儘管已有充分的本地研究指出各種精神∕心理問題與病人∕案主之家庭系統密切關聯，並不斷呼籲系統取向介入處遇的重要性，目前台灣婚姻、家族治療實務工作發展仍極度不足。為具體瞭解本地實務界的現況，本研究回顧自1992 至2004 年在台灣發表之相關文獻72 篇，並深入分析其中11篇實務案例研究，以探討台灣婚姻∕家族治療現有的發展與遭遇的困境。依「理論取向」、「問題分析」、「治療過程」、「治療成果」四個層面對十一篇案例研究進行內容比較分析後發現：(1)實務研究數量有限，但治療人員、治療場景與涵蓋問題堪稱多元；(2)在理論取向上偏重「結構取向」與「薩提爾模式」兩種，多元性有限；(3)「頭重腳輕」的發展傾向──在文獻發表數量及內容上皆傾向依賴理論及介入技巧；(4)治療歷程傾向專注於治療師介入，有遠離家庭本身經驗之虞；(5)文化因素可對治療產生關鍵性影響，然尚未受到普遍重視。根據分析結果，本文建議：(1)積極推展本地婚姻、家族治療實務工作，及跨領域專業間之聯繫合作；(2)在實務工作上豐富理論取向的多元性；(3)培育實務督導師資、開設實務取向訓練課程，以轉化既有理論認識為實踐能力，增進治療效能；(4)重視並進一步研究文化因素對本地家族治療過程的影響。

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 conduct more research on the role of culture in family therapy.