Cultural beliefs of Chinese American families are discussed in relation to their caregiving experience of a mentally ill relative. Implications of such beliefs to mental health professionals are highlighted. Somatic factors and psychosocial stresses as causes of mental disorders are found compatible to the belief systems of these families. The stress-vulnerability dialysis is recommended as the explanatory model to be adopted by clinicians when they communicate the causes of mental illness to these families. In view of the pressure experienced by these families in the caregiving process and their relative social isolation as a result of their immigrant status, ways to harness the support from extended families and community resources are suggested. Also examined is a viable working alliance between these families and clinicians in terms of a therapeutic bond, consensual treatment goals, and relevant tasks. Finally, elements of a family intervention model compatible with cultural beliefs of these families are proposed.
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