Centering Intergenerational Grief

Bridging Clinical and Alternative Healing for Providers Navigating GBV Work 

Intergenerational grief and historical trauma shape providers’ responses (including vicarious trauma). Intentionally centering these realities while integrating clinical and culturally-rooted alternative practices strengthens resilience and ethical care. 

This resource contains:

  • A workshop outline to guide a group through learning, reflecting, and sharing about intergenerational grief and historical trauma

  • Writing prompts and discussion questions to help facilitate these reflections and conversations.

90-minute workshop outline (minute-by-minute) 

Facilitation Notes:

  • Trauma-safety: always include opt-out options, grounding/return instructions, and a clear referral list (clinical and community resources) in all participant handouts. 

  • Culturally responsive care: center diverse voices and offer alternatives to Western clinical frames; invite community elders/ceremonial leaders where appropriate and requested.

Guiding Facilitation Principles:

  • Start with consent & boundaries, make opt-out explicit, and center relational safety and confidentiality. 

  • Value narrative sovereignty — invite but do not require personal disclosure. 

  • Balance cognitive framing (what research says) with embodied practice and culturally relevant ritual/cleansing that participants can adapt.

Outline

0:00–0:06 — Welcome, agreements, safety, land acknowledgment (optional), & framing

0:06–0:16 — Short teaching segment (10 min): Define intergenerational grief and vicarious trauma in providers using resources from the Intergenerational Grief and Vicarious Trauma Resource Database. Craft your own intro lesson centering the community / communities that you serve.

0:16–0:26 — Guided grounding practice (10 min): brief breath + embodied anchor to make space (non-retraumatizing, invitational). 

0:26–0:36 — Silent writing prompt (10 min): writing about an intergenerational grief thread.

0:36–0:56 — Small-group breakout (20 min): 4–6 people; use the small-group questions above (10 min sharing each), assign a note-taker to capture themes (not personal identifiers).

0:56–1:06 — Large group share (10 min): Have each group share out themes, and structural implications. 

1:06–1:20 — Paired practice (14 min): each pair discusses clinical + alternative strategies used; then co-create 1 practical change to bring back to workplace (e.g., boundary script, micro-ritual, team check-in). 

1:20–1:28 — Resource + integration teaching (8 min): In the large group list best practices and resources, such as clinical protocols, community resources and referral options.

1:28–1:30 — Closing ritual & commitments (2 min): optional short shared breath; invite one-word commitments; share follow-up resource link.

Writing Prompts & Reflection Questions

  • What grief has been handed down in my lineage—spoken or unspoken?

  • What is the emotional labor I carry as a provider? 

  • What am I holding that is not mine? 

  • Where does grief live in my body today? 

  • Who or what helps me return to myself after trauma exposure? 

Small Group prompts & discussion questions 

Writing prompt (5 min, silent)

“Describe one inherited or intergenerational story of loss that you notice in your work or family. How does it show up in your body or practice?” 

Small-group question set

  1. How has intergenerational grief influenced how you experience clients’ stories of GBV? 

  2. What clinical tools have helped you hold that grief? What alternative/ceremonial practices have supported you? 

  3. Where are the tensions between clinical boundaries and ritual/communal healing in your setting? How could they be bridged? 

Reflective prompts for whole group:

What structural supports are missing in our workplaces to hold intergenerational grief? How might supervisors/teams respond differently? 

Shirley Johnson, LMFT

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