This article comments on the status of contemporary Kleinian child analysis in Britain. Although many of Melanie Klein's theoretical constructs remain unchanged, the clinical work of the contemporary Kleinians has been powerfully influenced by the work of Wilfred Bion and his followers. I discuss some of the major Kleinian concepts as well as some of the changes that have taken place in Kleinian child analysis, including those that result from the application of Bion's constructs. I interviewed Edna O'Shaughnessy, a foremost Kleinian child analyst, regarding her perspective on theoretical and pragmatic issues, and her comments are included.