Numerous studies in Taiwan have indicated a connection between mental illness and patients' family systems and called for systemic intervention. However, to date, couple and family therapy is little practiced in Taiwan. This study entails a review of 72 relevant studies from 1992-2004 and a qualitative comparative analysis of 11 clinical case studies in terms of theoretical approach, problem assessment, therapeutic process, and treatment outcome. Results indicated: (1) a variety of therapeutic disciplines, settings, and presenting problems; (2) little theoretical diversity, with the structural approach and the Satir model prevailing; (3) publications of theoretical discussion outnumber those of clinical practice, and the therapy process has tended to rely on theoretical frameworks and correspondent techniques; (4) descriptions of the therapy process have tended to focus more on therapist intervention and less on the family’s experience; and (5) there has been little emphasis on Taiwanese culture, which sometimes can play a critical role in therapy. Implications of this study include the need to (1) promote the practice of couple/family therapy in Taiwan and enhance collaboration across disciplines; (2) enrich the diversity of theoretical approaches in clinical practice; (3) establish practice-oriented training programs, and cultivate experienced clinical supervisors to help local therapists transform their theoretical knowledge into clinical practice; and (4) pay more attention to and conduct more research on the role of culture in family therapy.