From the written case material of about seventy cases which the author used as control, he comes to the conclusion that the early current dreams of an analysis (about ten to fifteen) give the essence of the case. The essence does not consist of the diagnostic and symptomatic picture, but the 'main points of the psychological structure in dynamic and psychic-economic terms as well as the status of the conflict and of the ego'. In the formulation of the case from these early dreams special attention must be paid to certain features only, because of the great variety of material in a dream. Very deep material is excluded and the interpretations must be confined to those tendencies which are readily apparent from the manifest content in the light of history, life-situation and associations. In some instances no structural formulation is possible because the material is chaotic. The author shows specimen formulations of the early dreams of about ten men and women. Four of them were male hypertensives and the nuclear conflicts as expressed in the formulations were closely similar.