Reuniting incest offenders with their families and using family therapy in incest cases are controversial issues. However, the alternative is to insist that the family separate forever. Even if the perpetrator is incarcerated the nonoffending spouse can decide to remain with the spouse until the government has no jurisdiction over them and then to reunite the family. It may be much healthier to prepare that family for the inevitable reconciliation by openly and proactively discussion the problem than by not doing so. The recommended treatment model consists of three stages of treatment. Stage I involves creating a context for change, Stage II involves challenging patterns and expanding realities, and Stage III involves consolidation of the positive changes that have been made. Each family member should simultaneously receive specialized treatment. Helping the family work through denial and learn protective patterns can help all family members contribute to an atmosphere that discourages further abuse. Figures, case examples, and 2 references