What binds people together in marriage? The Marital Knot examines the differences between arranged marriages and love marriage and explores the ties that bind. It shares the story of one of Dr. Shabnamzehra Bhojani’s patients, Sarah, who enters into an arranged marriage after arriving in the US. Using Sarah’s story and her own experience with an arranged marriage as a catatlyst, Dr. Bhojani compares arranged marriages to love marriages. She presents a study of commitment, hate, anger, revenge, empathy, forgiveness, and mourning, including clinical examples every step of the way. The Marital Knot concludes with a discussion of empathy, forgiveness, and mourning: the necessary elements for maintaining commitment and repairing betrayals.