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Time, reconstruction and psychic reality.

H F Smith1

  • 1Harvard Medical School, Massachusetts Mental Health Center.

The Journal of the American Academy of Psychoanalysis
|January 1, 1988
PubMed
Summary
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This study explores how time, reconstruction, and psychic reality interact in clinical settings. Understanding a patient's unique psychic reality is crucial for effective therapeutic reconstruction and intervention.

Area of Science:

  • Psychology
  • Psychoanalysis
  • Clinical Psychology

Background:

  • The clinical understanding of past events is challenged by the subjective nature of memory and interpretation.
  • Arlow's model of psychic reality provides a framework for understanding internal mental representations.
  • The developmental perspective is essential for analyzing the evolution of psychic reality over time.

Observation:

  • A case example highlights the difficulty in establishing objective historical truth within the clinical encounter.
  • The paper examines how psychic reality influences the process of reconstructing past experiences.
  • Attention to individual psychic reality leads to varied reconstructive challenges and therapeutic strategies.

Findings:

  • Arlow's model is extended to incorporate developmental aspects of psychic reality.

Related Experiment Videos

  • Case examples demonstrate that focusing on a patient's unique psychic reality alters reconstructive approaches.
  • The study questions the definitive role of external reality and the nature of early experiences.
  • Implications:

    • The findings suggest that therapeutic reconstruction is an active, interpretive process shaped by psychic reality.
    • Understanding the interplay of time, reconstruction, and psychic reality is vital for psychoanalytic practice.
    • The paper broadens the discussion by referencing literary examples to illustrate these complex psychological concepts.