To create a therapeutic alliance with a client, the art therapist needs to be sensitiue to the cultural differences which can bias the relationship. The purpose of this paper is to present a literature review of specifw cross-cultural therapeutic principles to be considered during treatment. Furthermore, it defines how barriers such as language, diagnostic errors, and others may influence the treatment and possibly contribute to a client's early termination from therapy. The author also c o d r s the use of art materials and gives attention to products andlor to processes during art therapy with the client. It is by exploring these issues that art therapists can possibly discouer an indiuidualized technique which will best benefit their clients who may h u e dzfferent cultural values, beliefs, and traditions.