Abstract
This article presents the results of a qualitative study of 15 Latino clinicians' work with Latino clients. Four core categories-relationship, individuality, reality, and flexibility-emerge. These clinicians' practice is relational, takes into account the individuality and specific reality of the client before them, and is flexible in adapting to these parameters. Modifications made in technique, such as greater activity and directiveness, are mediated by clients' cultural values and expectations, rendering the work culturally sensitive. These practice principles are similar to findings from the few available empirical studies regarding culturally competent practice. Some guidelines for culturally competent practice are offered.