She is cofounder and faculty member of the Training and Research Institute for Self Psychology (TRISP) in New York. She has authored and co-authored several books, the most recent of which is Toward a Psychology of Uncertainty: Trauma-Centered Psychoanalysis. Her recent writing focuses on what she calls “traumatic attachments” and their role in the intergenerational transmission of trauma as well as the problem of evil and “the unforgiveable” in clinical practice. She has a private practice in New York City.