This book is about hope and despair and the way in which as family therapists we meet and engage with this territory of human experience. For many families, the experience of hope and despair is complex. It can reflect a constellation of individual and family histories, current patterns and dynamics, the stresses of everyday life, the severity and chronicity of the family’s struggle, and their exposure to abuse, adversity, tragedy and social injustice. Beyond these immediate and personal constellations lie the overarching cultural and social contexts that create the social conditions of individuals’ and families’ relationships to hope and despair.