Dreams were collected from thirty-six women inpatients who were diagnosed as having paranoid schizophrenic reaction, hysterical character disorder, or psychotic depressive reaction. The manifest dreams were scored by two persons on a blind basis. On the over-all findings each of the clinical groups could be distinguished and the dream characteristics of each clinical group are described. Similarities in style between first memories and manifest dreams in hysterical and paranoid patients are thought to reflect a structural similarity and a mirroring of the total personality. Comparison is made between the compromise structure of a symptom and a similar process resulting in the manifest dream. The manifest dream is viewed as an overdetermined product which is of value for experimental work but lacks the richness of the latent content with its vast associative network.