This paper describes an integrative approach for treating couples in abusive relationships. Because of the power inequities that often obtain in such cases, the therapist faces special challenges. Both partners must be defined as clients, yet the two are not on equal footing. Sustaining moral clarity in a context of such psychological ambiguity is crucial, and it requires skills beyond those we typically associate with the art and craft of the interview. A mutative factor in any therapy requires bearing witness to injustices large and small—leading the author to raise questions about the place of the moral work of psychotherapy in our therapy-saturated society. She poses an urgent social question: Is it possible to intervene therapeutically in abusive relationships to make love safer for women and less threatening to men?