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Psychological trauma in Asian American communities has been increasingly visible in recent years. This paper examines the impact of several variables, including migration, interdependence of the Asian family structure, and acculturation on the experience of trauma. Case illustrations are discussed to illustrate the interplay of cultural ideology, family dynamics, and intrapsychic experiences in the lives of many Asian and Asian American trauma survivors. Psychotherapeutic issues are explored from cultural and psychodynamic perspectives.