This article deals with aspects of the transferential relationship with a patient who dreams of her therapist. Unconscious fantasies are discussed that reveal a wish fulfillment that often directly expresses an impulse toward aggressive acts, whether they be oral-sadistic, urethral-sadistic, anal or phallic.
Fantasizing and dreaming constitute a defense against painful realities that are in constant relation with a patient’s parental or substitute objects.
Facts regarding the clinical case are described. In addition, the author discusses fragments of sessions and of two dreams, whereby the therapist could hear the patient’s cries for help and transform her material into something positive that would allow her to resolve the internal conflict expressed in the dreams.
Therapist; transference; dream; transform material in a positive way