Blum Harold P
New York University School of Medicine, Training and Supervising Analyst, New York University Psychoanalytic Institute, USA.
Psychoanal Study Child. 2005;60:295-311. doi: 10.1080/00797308.2005.11800755.
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.
随着对移情-反移情场域的此时此地以及主体间性给予了更多关注，精神分析重建在理论和临床方面的关注度有所下降。然而，移情基于童年幻想，是无意识心理内部表征及关系的新版本。在本文中，移情被视为重建的指南，但移情本身也是重建的对象。重建是一种辅助改变的因素，它整合了发生学解释并恢复自我的连续性。患者的幼稚特质、特征、固着以及非理性的幼稚幻想和行为表明了重建的必要性。重建将解离的、碎片化的记忆组织起来，增强对被压抑记忆的进一步检索。重建对于彻底处理和减轻早期创伤经历至关重要。重温过去对于证明并减少过去在当下的持续影响，以及有意义地连接过去和现在是必要的。本文呈现了一个案例，其中重建在分析过程中起到了核心且关键的作用。
