Overview

This page separates three uses of one word: the Native Hawaiian family reconciliation process documented by Mary Kawena Pukui and later Hawaiian scholars, the self-directed method taught by Morrnah Simeona, and the four-phrase form in popular self-help writing. It describes each, what has been studied, and what sources report on care and cultural boundaries.

Where does Ho'oponopono come from?

Family reconciliation before and after 1819

Malcolm Nāea Chun, a cultural specialist at the University of Hawaiʻi Curriculum Research and Development Group, begins his account with the historian Samuel Manaiakalani Kamakau. Kamakau described families in pre-contact Hawaiʻi who, when trouble was attributed to a wrong against a family ʻaumakua (ancestral god), made offerings of atonement and reconciliation at a refuge place called Pōhaku o Kāne. Chun adds that when the high chiefs ended the state religious system in 1819, such places gradually fell out of use and other forms of seeking reconciliation developed.

Chun presents the modern practice as a descendant of those earlier forms rather than an unchanged survival. The sources reviewed for this page do not give a continuous documented history between 1819 and the twentieth century, and Chun's sample pages do not claim one.

Mary Kawena Pukui and the Queen Liliʻuokalani Children's Center

Chun reports that Mary Kawena Pukui, a translator and consultant at the Bernice Pauahi Bishop Museum, told museum interviewers in 1958 that the practice had become a fond memory since her mother's death in 1942, and that most people regarded it as a remnant of heathenism. From the mid 1960s to the early 1970s she worked with mental health professionals and social workers at the Queen Liliʻuokalani Children's Center to describe it in terms that modern professionals and families could learn. The resulting books are the Nānā I Ke Kumu series, whose second volume (1972, Pukui, Haertig and Lee) is the standard reference.

Lynette and Richard Paglinawan, Native Hawaiian social workers, describe the committee's purpose as rediscovering Hawaiian mental health practices of earlier generations. They write that knowledge of the practice was limited and fragmented and that there were not enough practitioners, so training the next generation was an ongoing task.

Self I-Dentity Through Hoʻoponopono

A separate lineage begins with Morrnah Nalamaku Simeona (1913-1992). A doctoral dissertation by a teacher of her method states that she taught the process to many people in Hawaiʻi and abroad and was named a Living Treasure by Hawaiʻi's governor and legislature. The organization that holds her trademarked method, IZI LLC, calls her a Hawaiian kahuna lapaʻau (traditional healer), describes the method as an updated Hawaiian problem-solving process, and says Ihaleakala Hew Len met her in 1982 and took her Basic I class.

In the same dissertation, the method is described as done entirely in the mind of one person, in contrast to a face-to-face family process. The author attributes to the Hawaiian cultural figure George Naope the statement that ho'oponopono was conducted in three ways before Western contact: face to face with a facilitator, first in the mind and then in conversation, and wholly in the mind. This is one practitioner's account passed on in a personal communication, and the sources reviewed here do not document it independently.

What do the names and terms mean?

Meaning of the word

The Hawaiian dictionary sense of pono, as Manulani Aluli Meyer lists it, covers goodness, uprightness, correct procedure and being in good order, and the compound is commonly translated as setting to right or making right. Meyer, a University of Hawaiʻi scholar who writes as a student of Pukui's students, holds that the practice is first a set of principles and only secondarily a facilitation technique. Chun describes it as a cultural practice of restoring goodness to what it once was.

Vocabulary of the family process

Meyer's glossary, which she attributes to Pukui, includes ʻohana (family), haku (a facilitator respected by all), pule wehe (opening prayer, addressed to the family ʻaumakua), kukulu kumuhana (pooling of strength toward a positive goal, also the clear statement of the problem), hihia (entanglement of emotions), mahiki (peeling back layers of the matter, described as unpeeling an onion), ʻoiaʻiʻo (essence of truth), mihi (confession and apology), kala (release) and pule hoʻopau (closing prayer). Meyer notes that the vocabulary is understood and practiced differently across families, islands, districts and individual haku.

One term, several practices

The word is now applied to at least three things in the sources: the facilitated family process documented by Pukui, the self-directed method taught under the registered name Self I-Dentity Through Hoʻoponopono (SITH), and a short repeated-phrase form in consumer wellness writing. A consumer magazine article credits Hew Len with bringing the modern form to wide notice and repeats his claim, which this page has not verified, that he helped an entire hospital ward. That article does not distinguish the repeated-phrase form from the Hawaiian family process or from SITH.

What does Ho'oponopono involve?

The family session

Meyer describes five agreements that the family examines before a session begins: each member commits to the problem-solving process, words and deeds are shared in an atmosphere of truth, aloha is shared or the members commit to restoring it, what is said stays confidential, and the haku is accepted by all as fair and impartial. The session then moves through an opening prayer, a statement of the problem, the layered discussion of what happened, mihi and release, and a closing prayer. She writes that the haku does not call the family together; the family asks for the process.

Meyer also writes that the full practice cannot be detailed in a short article, that the process cannot be prescribed or franchised, and that Pukui wrote extensively about the Kaʻū family style of the practice. The page therefore gives an overview only and does not reproduce sacred prayers or restricted knowledge.

Use in a residential program

Andrew Grant's 2008 master's thesis observed a three-week residential substance use program for Native Hawaiian youth at Kahua Ola Hou on Molokaʻi. Sessions were scheduled in the second week, with the program director acting as haku. Each youth wrote a statement forgiving the family and asking forgiveness, and the sessions opened with a prayer by the youth. Grant reports that the haku set the rules and could stop a session that got out of hand, and that staff aimed to teach youth to use the process with relatives after leaving.

Self-directed methods

In the James dissertation, participants in the test condition followed an audio-guided exercise, adapted by the author from a description of Simeona's teaching, in which they imagine a person who has wronged them on a mental stage, offer willingness to become pono with that person, and direct imagined healing light toward both. The IZI LLC site lists SITH classes at several levels, private sessions and absentee programs, with fees that vary by class, and states that only its listed instructors may teach the trademarked method.

What is Ho'oponopono used for?

Family and community settings

Native Hawaiian authors and programs describe the family process as a way to restore relationships and to address problems tied to family conflict. Paglinawan and Paglinawan call it one especially useful practice for social workers serving Hawaiian clients who may not respond well to Western approaches. A 2023 news report states that the Hawaiʻi health plan AlohaCare covers hoʻoponopono for its members through a program for Native Hawaiian healing practices, with the plan describing it as a way for couples and families to resolve conflict and improve communication.

Illness and stress

A qualitative study by Lana Kaʻopua and colleagues uses hoʻoponopono as a framework: a spiritually grounded family discussion traditionally held before medicinal treatment, with family prayer, pooling of family strength, assignment of responsibility and discernment of the meaning of illness. The SITH study by Kretzer and colleagues presented the method as a step-by-step approach to identify and relieve stress. A consumer article presents the four-phrase form as a way to find peace in daily life.

What does the research show?

Qualitative and descriptive work on the family process

Grant's thesis was a qualitative case study with 16 participants, 15 of them Hawaiian or part Hawaiian, using interviews and observation of five sessions. It identified hoʻoponopono as one of seven themes and reported participants' positive accounts, including parents and youth describing improved communication. It collected no outcome measures, and Grant lists follow-up of the youth and comparison with established family therapies as future research.

The Kaʻopua study interviewed seven people, three breast cancer survivors and four family members, from Hawaiian churches on Maui and Oʻahu in 2005. It used hoʻoponopono to frame a culturally responsive description of coping and measured no effect of the practice.

Studies of self-directed forms

Kretzer and colleagues (2007) enrolled 23 Asian, Hawaiian and other Pacific Islander adults in Hawaiʻi in a half-day SITH class alongside standard medical therapy. With no control group, blood pressure fell on average by 11.86 mm Hg systolic and 5.44 mm Hg diastolic after the class and spirituality scores rose. The authors conclude it may be an effective adjunct and call for further research. This page read the abstract only.

James (2008), an unpublished doctoral dissertation, assigned 79 online participants alternately by login order to an audio-guided exercise or to no exercise. Scores for unforgiveness toward one transgressor fell significantly in the exercise group and not in the control group, but the revenge subscale showed no difference between groups. The author discloses teaching the process since 1998. Limitations he lists include a self-selected sample, unsupervised use and uncontrolled outside factors.

What has not been shown

The sources reviewed contain no controlled study of the facilitated family process and none of the four-phrase form. Searches of the PubMed database through the available tools returned only the Kretzer record for the SITH method, but these searches were not exhaustive. No source reviewed supports claims that the practice affects external events or other people's health.

What is the cultural context?

Revival and the Hawaiian sources

The Hawaiian-authored sources reviewed treat the practice as a living family and community process that survived suppression and was deliberately revived. Meyer's statement that it cannot be franchised, and the Pukui remark Chun quotes about customs turned into plastic imitations, are general statements. None of the Hawaiian-authored sources opened for this page directly addresses the SITH method or the four-phrase form, so this page does not attribute a specific critique of them to Native Hawaiian scholars.

How the forms differ

The sources do show that the forms differ in structure. The family process involves several people, a haku and shared agreements, while the SITH and four-phrase forms are described as individual practices, and SITH is a registered trademark taught by authorized instructors for a fee. Critical commentary by Hawaiian practitioners on the four-phrase form exists online, but this page found it only on pages it could not verify and does not cite it.

What are the safety considerations?

Reported cautions and gaps

None of the sources reviewed reports an adverse-event series or a harms review for any form of hoʻoponopono, and absence of reports is not evidence of safety. Meyer and Grant both describe emotionally intense sessions, and Grant observed participants sobbing during a session. Both describe the facilitator's authority to pause or stop. The James dissertation excluded reported physical attacks, rape, abuse and severe emotional or mental trauma, and minors, because participants worked unsupervised, and states that the setting would have been inappropriate for such transgressions.

The SITH study assessed the class alongside standard blood pressure treatment, not as a replacement for it, and the sources reviewed give no basis for substituting hoʻoponopono for medical or mental health care. The sources also do not address families where abuse or safety concerns are present. People with such concerns, or with a health condition, can raise them with a qualified clinician.

Training and cost

Paglinawan and Paglinawan write that training the next generation of practitioners is an ongoing task, and Grant's participants described the haku as certified by a kupuna (elder) in one program. No licensing standard for facilitators was found in the sources reviewed. IZI LLC states that only its authorized instructors may teach SITH and that fees vary by class.

Connected Entries

Classification and context

Entry type
Modality
Practice type
Native Hawaiian family reconciliation practice and related modern forgiveness and self-help methods
Traditions
Native Hawaiian (Kānaka Maoli) family practice, Queen Liliʻuokalani Children's Center documentation (1960s-1970s), Self I-Dentity Through Ho'oponopono (Morrnah Simeona), Popular four-phrase self-help form
Concepts
pono, haku (facilitator), ʻohana, kukulu kumuhana, hihia, mahiki, mihi, kala, ʻoia iʻo, pule wehe and pule hoʻopau, forgiveness
Categories
Metaphysical, Holistic

MACHIPEDIA AUTHORITY

70/ 100 · Source-Linked Reference

Authority reflects documentation depth, graded source quality, claim coverage, safety completeness, cultural context, and source traceability. It is not a medical recommendation or proof of effectiveness.

Average Source Grade10 / 25
Evidence Coverage8 / 15
Safety Completeness10 / 10
View Authority Breakdown
Average Source Grade10 / 25

Source grades are calculated in this modality's context. Evidence and public-health sources carry more authority weight than directories or consumer pages.

Evidence Coverage8 / 15

A developed Research and Evidence section, 5 evidence-grade sources linked to it; claim-level evidence questions are not assigned yet.

Safety Completeness10 / 10

A Safety and Suitability section is written and safety sources are linked; contraindications and clinical suitability still need formal review.

Cultural Context7 / 10

Tradition and concept links, a linked Tradition page and a historical or cultural source each add to this; community review of living traditions is still needed.

Each source grade is recalculated for this modality from source type, traceability, currency, safety and limitation signals, relevance, coverage, and claim links. Discovery sources additionally use entity, relationship, interaction, evidence, provider, and offering coverage.

Sources and discovery context

Research and public-health sources support evidence and safety context. Directory and discovery sources describe navigation, relationships, practitioners, and access—not clinical efficacy.

Hoʻoponopono: Traditional Ways of Healing to Make Things Right Again (Ka Wana Series, Book 5; sample pages)Curriculum Research & Development Group, University of Hawaiʻi

A cultural specialist's account of how the practice was described, set aside and then recorded for modern families.

How this source relates
Source link
Exact source page
Relationship
Supports the Kamakau account, the 1819 end of the state religious system, Pukui's 1958 interview and the Queen Liliʻuokalani Children's Center collaboration. Must not be read as covering the full book or any outcome claims.
Supports sections
History and Origins, Terminology
Source grade37/100
Hoʻoponopono: Healing through ritualized communicationNative American Rights Fund peacemaking resource collection (peacemaking.narf.org)

A University of Hawaiʻi scholar's essay that treats the practice as principles first and technique second.

How this source relates
Source link
Exact source page
Relationship
Supports the vocabulary, five agreements, session sequence and statements about principles and franchising. Does not address SITH or the four-phrase form and must not be read as a critique of them.
Supports sections
History and Origins, Terminology, Practice Description
Source grade38/100
Living Hawaiian Rituals: Lua, Hoʻoponopono, and Social WorkHūlili: Multidisciplinary Research on Hawaiian Well-Being, Vol. 8 (Kamehameha Schools)

Two Native Hawaiian social workers describe the practice and the need to train new practitioners.

How this source relates
Source link
Exact source page
Relationship
Supports the Queen Liliʻuokalani Children's Center cultural committee, the claim that practitioners are scarce, and use in social work. The authors' stated beliefs are not outcome evidence.
Supports sections
History and Origins, Claimed Uses, Safety and Suitability
Source grade41/100
Culture and activity: a case study of Kahua Ola Hou, Molokaʻi, HIMaster's thesis, Department of Psychology, University of Hawaiʻi at Mānoa (ScholarSpace)

A small observational thesis on how one Native Hawaiian youth program used the family process.

How this source relates
Source link
Exact source page
Relationship
Supports the description of sessions at one program and participants' reported views. It has no comparison group and no outcome measures, so it must not be read as showing that the practice is effective.
Supports sections
Practice Description, Claimed Uses, Research and Evidence, Safety and Suitability
Source grade33/100
Coping With Breast Cancer at the Nexus of Religiosity and Hawaiian Culture: Perspectives of Native Hawaiian Survivors and Family MembersJournal of Religion & Spiritual Social Work

A seven-person interview study in which the practice frames the account of coping with breast cancer.

How this source relates
Source link
Exact source page
Relationship
Supports the description of hoʻoponopono as a family discussion before treatment and the study's size. It measured no effect of hoʻoponopono and says nothing about its efficacy.
Supports sections
Claimed Uses, Research and Evidence
Source grade41/100
Self identity through Ho'oponopono as adjunctive therapy for hypertension managementEthnicity & Disease 17(4):624-628

A small pre-post study of a half-day SITH class taken alongside usual hypertension treatment.

How this source relates
Source link
Exact source page
Relationship
Supports the figures reported in the abstract for 23 participants without a control group. It must not be applied to the Hawaiian family process or to the four-phrase form, and cannot show that the class caused the blood pressure change.
Supports sections
Claimed Uses, Research and Evidence, Safety and Suitability
Source grade36/100
Hoʻoponopono: Assessing the Effects of a Traditional Hawaiian Forgiveness Technique on UnforgivenessDoctoral dissertation (Health Psychology), Walden University

A dissertation reporting a lower unforgiveness score after an individual exercise compared with no exercise, over a short interval.

How this source relates
Source link
Exact source page
Relationship
Supports the design, results, limitations, exclusions and the author's account of Simeona and Naope. The author teaches the process, the sample was self-selected and the outcome was self-reported, so it must not be read as establishing efficacy or as testing the family process.
Supports sections
History and Origins, Practice Description, Research and Evidence, Safety and Suitability
Source grade44/100
Authorized SITH Informationself-i-dentity-through-hooponopono.com

The organization says it alone is authorized to teach its trademarked updated Hawaiian process.

How this source relates
Source link
Exact source page
Relationship
Used only for what the organization states about its trademark, authorized instructors, class types and fees. It is not evidence of origin, effect or Hawaiian endorsement.
Supports sections
History and Origins, Terminology, Practice Description, Research and Evidence, Safety and Suitability
Source grade35/100
In Memory of Dr. Hew Lenself-i-dentity-through-hooponopono.com

A tribute page by the trademark holder recording Hew Len's training under Simeona.

How this source relates
Source link
Exact source page
Relationship
Supports only the statement that Hew Len met Simeona in 1982 and took her class. It must not be read as describing the four-phrase form.
Supports sections
History and Origins
Source grade34/100
Native Hawaiian Healing Practices Are Now Covered By This Insurance ProviderHonolulu Civil Beat (April 12, 2023)

A news report on a Medicaid-focused plan adding Native Hawaiian healing services.

How this source relates
Source link
Exact source page
Relationship
Supports the statement that one Hawaiʻi plan offers hoʻoponopono to members and how it was described. Not an evidence summary and no statement about effect.
Supports sections
Claimed Uses
Source grade35/100
Ho'oponopono Explained: How 4 Phrases Can Shift Your Inner StateComplete Wellbeing (originally March 2015; page updated July 5, 2025)

A wellness article that credits Hew Len with bringing the modern form to attention.

How this source relates
Source link
Exact source page
Relationship
Supports only how a wellness magazine presents the four phrases and attributes the hospital claim to Hew Len. It is not evidence for the claim, and the claim itself was not verified.
Supports sections
Terminology, Claimed Uses
Source grade31/100
Ho'oponoponoGyfts

Links to Gyfts Ho'oponopono page for this practice, for discovery only. The platform's descriptions and claims are not independent claims. Machipedia does not rely on them for evidence.

How this source relates
Source link
Exact source page
Relationship
Links to Gyfts' page for this practice, for discovery only. The platform's descriptions and claims are not independent evidence, and nothing on this Machipedia page relies on them.
Supports sections
Practice Description
Discovery grade77/100