Imago relationship therapy (IRT) developed from a synthesisof clinical therapeutic approaches and theoretical schools as an operationalmeans of intervening in troubled, committed relationships. IRT isbased on a premise of mate selection, loss of romantic love, powerstruggle, and the conscious evolution of passionate friendship. The effective use of IRT by therapists with couples necessitates theacquisition of specific skills sensitively applied in an effort to help thecouple heal each partner. Brief, theoretical comparisons withother relationship therapy paradigms are made to aid the reader in discerningdifferences between competing schools of thought. The complexities ofthe differential treatment response of various diagnostic entities to IRT arediscussed, as well as factors complicating treatment processes. The pitfalls and rewards of manualization efforts are noted, and outcomesmeasurement needs are explored.