Karen Fraley, LCSW, BCD, is in private practice in Exton, Pennsylvania. She is a fellow of the Pennsylvania Society for Clinical Social Work and a member of the national faculty of the International Psychotherapy Institute (IPI). She currently co-chairs the IPI’s Clinical Consultants in Psychotherapy Program and serves on the Steering Committee for the IPI’s Psychoanalytic Psychotherapy Program. She is a founding member of the Philadelphia Psychotherapy Study Center and teaches seminars in object relations theory and practice. She contributed to the book Tuning the Therapeutic Instrument: Affective Learning of Psychotherapy edited by Jill and David Scharff and has published an article about Bion’s model of the mind.