Families develop shared worldviews called family paradigms, an ordered set of beliefs about the social world that are sensibly connected to the ways families actually respond to and interact with their social world and which help or hinder their problem solving abilities. Evidence suggests that these paradigms are generally built in and endure and regulate transactions with the family's social environment. Under stress, however, a family may alter its paradigm as a result of transactions with the environment. Using a family system paradigm, this presentation will examine the theoretical literature in search of a better way of understanding stress and its management in families. Multiple causes and multifaceted coping strategies, and the advantages and disadvantages of management strategies in families will be highlighted.