“…Over the past two decades, clinicians and clinical researchers have outlined a number of salient factors in the conduct of psychotherapy with Black Americans. The issues considered have included transference and countertransference problems (Jones & Seagull, 1977; Schacter & Butts, 1968), interracial therapist-patient dynamics (Block, 1968; Gardner, 1971; Jackson, 1973; Jones & Seagull, 1977; Sue, 1981; Waite, 1968), the impact of social class (Acosta et al, 1982; Brill & Storrow, 1969; Carkhuff & Pierce, 1967; Jones, 1974; Mayo, 1974; Sue, 1981; Yamamoto & Goin, 1965), the general problem of racial bias in mental delivery systems (Acosta et al, 1982; Anderson et al, 1977; Cole & Pilisuk, 1976; Gibbs, 1975; Jackson et al, 1974; Sue, 1977; Warren et al, 1973), and the use of appropriate techniques with black patients (Banks, 1975; Cheek, 1976; Harper & Stone, 1974; Shipp, 1983; Sue, 1981; Tounsel & Jones, 1980; Wilson & Calhoun, 1974; Wyatt et al, 1976). While the size of the literature attests to the increased awareness among mental health professionals that race is an important factor in psychotherapy with black patients, there has yet been little attempt to develop a comprehensive conceptual framework for viewing mental health functioning in blacks from varying social, economic, and subcultural backgrounds.…”