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Updated: Aug 18, 2026

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
Published on: February 16, 2011
Critical consciousness, accountability, and empowerment: key processes for helping families heal
Pilar Hernández1, Rhea Almeida, Ken Dolan-Del Vecchio
1Marriage and Family Therapy Program, San Diego State University, San Diego, CA 92182-1170, USA. phernand@mail.sdsu.edu
Abstract:
Families are inextricably embedded within their larger sociopolitical contexts, an observation acknowledged by many theorists. The field of family therapy is working on its translation into comprehensive and effective approaches for helping families change. This article illustrates the use of the Cultural Context Model to help families change, guided by the linked foundational concepts of accountability, critical consciousness, and empowerment. The authors support their discussion of theory with examples illustrating the ways in which social patterns connected to race, gender, class, and sexual orientation shape the dilemmas that family members encounter, as well as their access to solutions.
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