Cultural differences profoundly shape both the therapeutic process and the family concept, influencing the ways in which individuals engage with therapy and frame their familial relationships. From a narrative therapy perspective, understanding these cultural frameworks is vital for creating a therapeutic environment where clients feel seen, heard, and respected. The stories people tell about themselves, their families, and their place in the world are deeply shaped by cultural values, and these narratives must be approached with cultural humility, empathy, and an openness to multiple interpretations of reality. In this way, therapy becomes a collaborative process of reshaping one’s story while acknowledging and respecting cultural identities and values.
Cultural values around authority, hierarchy, and communication styles profoundly influence how individuals approach therapy. For instance, in some cultures, there is a deep respect for elders, and this can influence how a client views the therapist. In such settings, the client may expect the therapist to take an authoritative role, offering solutions rather than collaboratively exploring issues. In contrast, cultures with more egalitarian views of authority might encourage a more collaborative, client-centered approach where the therapist and client engage as equals in the process of meaning-making.
Furthermore, some cultures may emphasize indirect communication, where individuals avoid confrontation or open expression of emotion. In these cases, clients might be reluctant to directly address issues, which can challenge the therapist’s ability to uncover the full scope of a problem. Therapists must navigate these nuances with cultural sensitivity, ensuring that they understand the underlying meanings and values that shape a client’s reluctance to speak openly.
The Family Concept Across Cultures
The concept of family varies significantly across cultures, influencing therapeutic work. In many Western cultures, the family is often seen as a unit of individual relationships, with a focus on nuclear families (parents and children). In contrast, many non-Western cultures, especially in Asia, Africa, and Latin America, view the family as an extended network that includes not only immediate family members but also aunts, uncles, cousins, and even close friends. This extended family system often plays a key role in emotional support, decision-making, and conflict resolution.
From a narrative perspective, the stories that individuals construct about their families are influenced by these broader concepts. A person from a collectivist culture might frame family conflicts as a reflection of family-wide issues rather than personal failures, emphasizing group harmony and collective responsibility. On the other hand, a person from an individualistic culture might focus more on personal agency and individual goals within the family dynamic.
Therapists working with clients from different cultural backgrounds must be attuned to these differences in how family is defined and functioned. They must also consider how family members influence and contribute to the client’s personal narrative. In some cases, therapy may involve not just the individual but also the family, especially in cultures where familial input is essential for healing.


Amazing article.