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ABSTRACT
This article describes the significant factors in working therapeutically with recent Irish immigrants. A profile of recent Irish immigrants including the salient aspects of Irish culture are presented. The concept of dissonance, migrant mourning and problems related to life cycle stressors are discussed. Strategies are presented for working with migrants who live a “trans-context” lifestyle, but may need help resolving the discomfort in struggling with two cultural meaning systems. A case example is presented illustrating some of these clinical issues.