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Dreams, and the analyst's responsiveness to them, provide an excellent opportunity for the development of a playful and metaphorical communication between analyst and patient that can enhance the curative process. For the playspace, created by the analyst's empathic responsiveness, to facilitate a deepening of the curative process, it must include a sense of focus. This article presents and illustrates (with particular attention to the clinical use of dreams) the use of a self psychologically informed focus referred to as a “sustained empathic focus” on the patient's subjective-affective experience.