Based on a combination of clinical and survey data, this article posit
ions menopause as a unique stage of development within the midlife per
iod of reconstruction. Viewing midlife women in therapy as a special s
ample of midlife women in general, the authors challenge therapists to
go beyond the current medical conception of menopause as a ''deficien
cy disease.'' Reflecting society's negative social construction of men
opause, the data indicate that both therapists and their menopausal pa
tients are hesitant to discuss menopause. Therapists report most women
who do discuss menopause in psychotherapy say that menopause means ''
getting old.'' The unexpected ambivalence of therapists regarding disc
ussion of menopausal issues is analyzed in terms of countertransferenc
e issues.