title: The impact of Asian American value systems on palliative care: illustrative cases from the family-focused grief therapy trial.
abstract: BACKGROUND
  Clinicians meet people from different ethnic backgrounds, yet need to respond in culturally sensitive ways. This article focuses on Asian American families.
  
  
  METHODS
  Within a randomized controlled trial of family therapy commenced during palliative care and continued into bereavement, 3 families of Asian American background were examined qualitatively from a cultural perspective by listening to recordings of 26 therapy sessions and reviewing detailed supervision notes compiled by each therapist.
  
  
  RESULTS
  A synopsis of each family's therapy narrative is presented. Prominent themes include family closeness, respect for hierarchy within the family, gender-determined roles, intergenerational tensions, preoccupation with shame and limited emotional expressiveness.
  
  
  CONCLUSIONS
  Family therapists working with culturally diverse families need to pay thoughtful attention to ethnic issues as they strive to support them during palliative care and bereavement.
authors.affiliation: SUNY Downstate College of Medicine, Brooklyn, NY, USA.
authors.forename: Stephen
authors.initials: S
authors.lastname: Mondia
authors.forename: Shira
authors.initials: S
authors.lastname: Hichenberg
authors.forename: Erica
authors.initials: E
authors.lastname: Kerr
authors.forename: Megan
authors.initials: M
authors.lastname: Eisenberg
authors.forename: David W
authors.initials: DW
authors.lastname: Kissane
mesh_terms: D000884:Anthropology, Cultural; D001213:Asian / Q000523:psychology; D004644:Emotions; D005190:Family / Q000208:ethnology / Q000523:psychology; D005196:Family Therapy; D005260:Female; D005783:Gender Identity; D006117:Grief; D006801:Humans; D008297:Male; D010166:Palliative Care / Q000523:psychology*; D012752:Shame; D012945:Social Values / Q000208:ethnology