To have a successful marriage, couples need to develop the ability to accept the unchangeable and change what can be changed. This realistic premise is at the heart of integrative couple therapy, the first approach to embrace both techniques for fostering acceptance and techniques for fostering change. The book offers rich clinical detail on how to develop a formulation encompassing the couple's disparate conflict areas, enhance intimacy through acceptance, build tolerance for difference, and improve communication and problem-solving. The clinical implications of diversity in gender, culture, ethnicity, class, and sexual orientation are taken into account, as are issues related to domestic violence, infidelity, depression, and drug and alcohol addiction. Integrative couple therapy creates a context in which partners can accept in each other what cannot be changed, change what they can, and compassionately, realistically recognize the difference.