This paper challenges the monolithic assumption of the anorectic families in Hong Kong by blindly adopting the western theoretical framework of family therapy. It is problematic that family therapy lacks indigenous culture-specific knowledge and ignores the voices of these multi-categories of families. It is inappropriate to conceptualize these families as being similar and to stereotype them as experiencing particular difficulties. In order to bridge the homogeneity and address the multiplicity of these families, the paper examines both the ideologies of postmodernism and the process of confession that can enrich the understanding of anorectic families and advance family practice. The paper ends by discussing both reservations and the significance of the postmodernist thought in family therapy.