The authors present a case report of a white neurotic man treated in long-term psychoanalytic therapy by a black woman psychiatrist. The defense mechanism of reversal—the therapist was white in the patient's early dreams—was evident not only in this patient but in several other white patients treated by the black therapist. The authors suggest that, contrary to the opinions of a few other authors, the reality issues of racial differences can be dealt with successfully in this kind of interracial psychotherapy.