Caribbean mental health professionals are concerned with the types of psychotherapy that are relevant to the needs of their clients, and with the uses of psychotherapy in a political context. They appear to be divided into two schools: one seeking to promote in clients a change from a traditional world view to a modern one, and the other seeking resolution within the client's lifestyle and belief system. This paper discusses mental health professionals' relationship to indigenous healing systems endemic to Caribbean people. For instance: (1) Haitians' Voudou, (2) Obeah, or witchcraft, which is prevalent in the British West Indies, the Virgin Islands, and the Bahamas, (3) Puerto Ricans' Espiritismo, and (4) Afro-Cubans' Santeria. These as well as other therapeutic modalities are discussed in terms of their applicability in clinical and community settings. A second component of the paper deals with empirical approaches to psychotherapy with Caribbean immigrant groups in Miami. The University of Miami-Jackson Memorial Hospital Community Mental Health Center, maintains six ethnic community teams, four of which are geared toward Caribbean populations (Bahamian, Cuban, Haitian, and Puerto Rican) with staff of matching ethnicity. This center has developed a range of various types of therapeutic interventions. Among them are the following: (1) a network of culturally homogenous mini clinics in six different communities, (2) group therapy within a social recreational context, (3) involvement of the extended family in family therapy, (4) knowledge of the various forms of"hexing", (5) consultation and informal referral to folk healers when this seems indicated, and (6) merger of traditional and scientific techniques in psychotherapy. (Author/AM)