Family development can be inhibited by lack of social or family rituals to facilitate life cycle transitions. Therapeutic rituals can be used to help families mobilize their resources for healing, growth, and change. 2. A therapeutic ritual can help a family to resolve conflicts and resentments, to negotiate new roles and relational boundaries, and to develop new shared meanings among its members about their ongoing life together. 3. The success of a therapeutic intervention is influenced by the nurse-therapist's understanding of the family's culture, values, and needs, as well as familiarity with the directive nature of strategic therapy concepts on which therapeutic rituals are based.