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The study rests on the assumption that HIV/AIDS, socioeconomic and socio-cultural factors could inevitably be addressed as these are regarded as typical forms of adversities that South African families face. Other forms of adversity include poverty, illness, bereavement, child-headed households and lack of access to resources. Resilient individual and institutions possess protective factors, which help to mitigating risk and build resilience. The research aimed to investigate key processes that supports as well as hampers resilience in a South African family environment (low socio-economic background). A non-probability purposive sampling guided the research. Participatory Reflection and Action was used and 86 caregivers participated. The results indicated that, relationships, communication, problem solving skills, spirituality and socio-economic factors are key to family resilience.