As the structure of the family changes with the proliferation of single parent families, working mothers, infant and day care, and societal complexities and stresses, early therapy for the mother-child dyad becomes critical. Gochman's program, begun under the auspices of the National Institute of Mental Health, has made an impact on the Washington, D.C. area and has ignited a carryover into development training and research in primary prevention programs. This is the first time that mother-infant psychotherapy has been presented outside the professional journal literature. Through case studies, observations, and procedural explanations, Gochman lays out her practice in clear and urgent detail.