Cross-cultural practice requires an active blend of "knowing" and "not knowing" in regard to specific family cultures, representing an awareness of the risks of making cultural generalizations about behaviors that are idiosyncratic, and vice versa. The ways in which the unavoidable process of acculturation manifests itself in families are illustrated by a transcription and discussion of an actual consultation that took place in Belgium with a family of Moroccan immigrants in which one of the sons refused to retain culturally mandated roles in a social milieu that required changes in the family mores. Multiple hallucinations reported by different family members further seemed to complicate the matter. The present discussion emphasizes family identity and change and details the interviewer's own processing of information and decision making throughout the culture-sensitive consultation.

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male case report hallucination immigrant Review consultation family identity cultural factor Belgium Morocco development identity Family Therapy human family migration Adolescent