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Understanding is an essential clinical practice skill, one which draws upon cognitive and affective, conscious and unconscious abilities. This paper explores the challenges posed by cross-cultural understanding. Using concepts from anthropology and data from anthropological field work and clinical practice, it examines cultural differences in the experience and communication of affect. Clinical examples from Northern Thailand are used to illustrate the ways these subtle and complex differences in clients' affective worlds challenge our capacity to understand those who are culturally different. Implications for cross-cultural social work practice are addressed. [ABSTRACT FROM AUTHOR]