Glebova Tatiana, Lal Arpita, Gangamma Rashmi
Couple & Family Therapy Program, California School of Professional Psychology, Alliant International University, Sacramento, California, USA.
Marriage and Family Therapy Program, Department of Counselor Education and Family Therapy, Central Connecticut State University, New Britain, Connecticut, USA.
Fam Process. 2025 Mar;64(1):e13071. doi: 10.1111/famp.13071. Epub 2024 Oct 27.
Contextual family therapy offers a unique explanatory and clinically valuable framework to address complex multigenerational processes in families of immigrants who experience cumulative migration-related traumas. In this paper, we offer a new extended, specific conceptualization of immigrant families' generational dynamics using existing literature within the five-dimensional contextual therapy framework illustrated with a clinical example. We highlight the importance of social and relational justice, loyalty, entitlement, and parentification in transgenerational processes in addressing manifestations of these traumas that are frequently overlooked in clinical practice with different generations of immigrant families. Clinical guiding principles include acknowledgment of the social nature of situational injustices and their consequences for relational justices, exploration of loyalty conflicts (familial, cultural, and national), active dialogue of mutual care, exoneration, and stimulating constructive entitlement through active giving. This paper contributes to further development of contextual therapy theory and provides practical guidance for clinicians working with international migrants including second and third generations.
情境家庭治疗提供了一个独特的解释性且具有临床价值的框架，以应对经历了与移民相关的累积性创伤的移民家庭中的复杂多代际过程。在本文中，我们运用五维情境治疗框架内的现有文献，并结合一个临床实例，对移民家庭的代际动态提出了一种新的扩展的、具体的概念化。我们强调了社会和关系正义、忠诚、权利以及父母化在跨代过程中的重要性，这些因素在处理不同代际移民家庭临床实践中经常被忽视的这些创伤表现方面具有重要意义。临床指导原则包括承认情境不公正的社会性质及其对关系正义的影响，探索忠诚冲突（家庭、文化和国家层面的），积极开展相互关怀、免责的对话，并通过积极给予来激发建设性的权利意识。本文有助于情境治疗理论的进一步发展，并为与包括第二代和第三代在内的国际移民打交道的临床医生提供实践指导。
