A study group on Conceptualizing Transformation in Child and Adult Analysis focused on a particular kind of change in analysis, that of transformational change, a change in organization that could not be predicted from what came before. We found that, based on careful presentations of four analytic cases, transformational or pre-transformational change did take place. A central intervening variable was the patient's development of a sense of agency. We tried to articulate the nature of the interventions leading to agency and ultimately to transformation. We added other new dimensions: an emphasis on construction in addition to reconstruction and a focus on the future.