The model of psychoanalytically oriented infant-parent psychotherapy originally proposed by Selma Fraiberg and her colleagues has evolved in the nearly two decades since its inception. This paper provides an overview of current developments in the model’s core intervention techniques, with special reference to modifications that have emerged in response to recent efforts to intervene with an exceptionally psychosocially disadvantaged population. A conceptual framework for the intervention is offered, emphasizing the special therapeutic opportunities offered during the couple’s transition to parenthood. Finally, the concept of “bureaucratic transference” will be briefly elaborated as it has emerged in efforts to apply psychoanalysis in work with social agencies on behalf of infants and their families.