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In a short communication Grinberg details an incident in an analysis in which a somatic disorder was exacerbated the day following an obviously related dream. The manifest dream was that the patient was lying on a cot or litter and someone behind him whom he could not see bound his arm with an elastic band compressing it strongly. As a result the limb became swollen and red. He tried to move his arm but could not.
On the day following the dream his left hand and forearm, in exactly the area he had dreamed, were extremely swollen with an intense, immobilizing pain. In medical consultation a diagnosis of acute arthritis with lymphangitis was made.
The patient associated the arm compression with a blood donation he had made some weeks before. Then, too, he feared the band was too tight and also that the quantity of blood he was yielding for a friend was too much. He felt that the unseen person might represent the analyst. He spoke of his shortness of funds, which the analyst relates to the fact that the patient's fees had just been raised. This was also connected with his father's demand that he contribute more money to the family budget. He himself brought out the fact that the immobilized arm made it difficult to extract his wallet from his