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Based on a dataset, this paper examines the link between children's presenting problems and interparental relationships. The clinical discussion focuses specifically on the impact of parental relationship on mental illness. Using a protocol to measure both the physiological and verbal responses of the patients, it is observed that regardless of the psychiatric diagnoses given to these children or young adults, almost all of them were deeply involved in their parents' unresolved relational conflict. In the five case scenarios provided for illustration, the patients could articulate very clearly how concerned they were when they sensed their parent's relationship was at risk, and how their symptoms had served a function in maintaining the family equilibrium. Based on this clinical observation, it is important to develop a treatment approach that addresses mental illness in the family context. [ABSTRACT FROM AUTHOR]

Building on Lieberman's Transgenerational theory (1979), which posited that many inexplicable family problems could be traced to unresolved conflicts arising from clashes between cultural differences across generations, forty multi‐generation families that have been treated with either a child, an adult, or a member from the older generation as symptom bearers were reviewed in this project. This paper is a discussion of the findings obtained from exploring these presenting symptoms from the perspective of transgenerational dynamics, and a presentation of a treatment approach in working transgenerationally. In addition to family histories, we also focused in this work on the importance of working with problematic interpersonal patterns across generations in order to negotiate a more satisfactory and developmentally appropriate boundary between subsystems. Practitioner points: Analysis of clinical data with Chinese families shows that many individual mental health problems can reflect unresolved conflict in transgenerational relationshipsTransgenerational theory is useful in helping us understand the link between generationsAlong with structural family therapy theory this enables members of multi‐generations to negotiate a developmentally appropriate pattern between subsystemsUsing biofeedback in a family assessment protocol to elicit children's responses to parental conflict helps link repeated patterns transmitted transgenerationally [ABSTRACT FROM AUTHOR]