This quite slim volume is aimed at psychotherapists in the UK, and its main message is that the legacy of slavery is very important in understanding the problems and treatment needs of Afro-Caribbean patients now living in the UK. It does this by demonstrating how the history over generations of trauma, betrayal, loss, disruptions and humiliations, makes vital the constant awareness in any therapy of the internal-external world boundary, so that not all psychopathology is ascribed to internal-world difficulties. Many current problems may be due to events in the external world, transmitted