Family Therapy with English Caribbean Immigrant Families in the United States: Issues of Emigration, Immigration, Culture, and Race

Many English Caribbean families in the United States are referred for therapy because of difficulties related to their adaptation to a new country/culture. This paper focuses on the intra-familial, and the family-larger system transitional/adjustment difficulties experienced by these families and presents issues specific to therapy with them. Effective therapy with English Caribbean families and their subsystems requires that therapists communicate to these families an understanding of their concerns, be knowledgeable about heterogeneity in cultural values and traditions, and create a therapeutic atmosphere in which families can feel valued and respected. Recommendations for therapists are presented and discussed.