This article conceptualizes problems of traumatized refugee families and describes therapeutic work that seeks to transcend dilemmas and tensions arising within the discourses on culture, trauma, and treatment. Several options for treatment that help avoid the usual traps and pitfalls in trauma treatment of culturally diverse populations are presented and discussed. These options include the use of multifocal conceptual lenses, the creation of possibilities for various interpretations within a flexible therapeutic setting, intercultural negotiations, and the invocation of culturally relevant resources.