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Although contemporary dream models differ, the view of dreams as centrally organizing information and regulating affect in keeping with shifting needs and motivational priorities is an increasingly convergent perspective evolving out of dream and neuroscientific research, contemporary psychoanalytic theory, cognitive psychology, and clinical work. The author's organization model of dreams is presented as a representative of our contemporary understanding of dreams. Pivotal issues concerning understanding and working with dreams are delineated, followed by a detailed clinical illustration.