title: Psychoanalytic reconstruction and reintegration.
abstract: Psychoanalytic reconstruction has declined in theoretical and clinical interest as greater attention has been directed to the here and now of the transference-counter-transference field and inter-subjectivity. Transference, however, is based upon childhood fantasy, and is a new edition of unconscious intra-psychic representation and relationships. In this paper transference is viewed as a guide to reconstruction, but transference itself is also an object of reconstruction. Reconstruction is a complementary agent of change, which integrates genetic interpretations and restores the continuity of the self The patient's childish traits, features, fixations, and irrational childish fantasies and behavior point to the necessity for reconstruction. Reconstruction organizes dissociated, fragmented memories, potentiating the further retrieval of repressed memories. Reconstruction is essential to the working through and attenuation of early traumatic experience. Recapture of the past is necessary to demonstrate and diminish the persistent influence of the past in the present, and to meaningfully connect past and present. A case is presented in which reconstruction had a central, vital role in the analytic process.
authors.affiliation: New York University School of Medicine, Training and Supervising Analyst, New York University Psychoanalytic Institute, USA.
authors.forename: Harold P
authors.initials: HP
authors.lastname: Blum
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D002648:Child; D003379:Countertransference; D005201:Fantasy; D006801:Humans; D008016:Life Change Events; D008297:Male; D011939:Mental Recall; D010553:Personality Development; D011573:Psychoanalytic Interpretation; D011574:Psychoanalytic Theory; D011575:Psychoanalytic Therapy; D012094:Repression, Psychology; D014167:Transference, Psychology