Family processes in the midst of urban poverty: What does the trauma literature tell us?

Consistent with a family systems framework, this paper examines the clinical and research literatures to clarify the connection between chronic trauma exposure and family processes with a focus on the social ecology of low-income, urban neighborhoods. Strong empirical evidence demonstrates the impact of chronic trauma on individual family members and, in turn, on multiple family subsystems. Additionally, there is evidence that living under chronically harsh, traumatic circumstances slowly erodes family processes, specifically structure, relations, and coping. However, existing research reflects the problems inherent in sorting out relationships among multiple, often interrelated factors. Future research requires comprehensive theoretical models, such as systemic, transactional, or ecodevelopmental, along with sophisticated research designs, prospective, longitudinal or intervention, and multilevel analytic methods.