The authors are mainly concerned with the significance of concrete symbolization in a specific dream and ways in which this dream in turn affects the therapeutic work. From the case material they cite, in which the dream and the patient's struggles to maintain some sort of "self" coincide, it is questionable whether this is an addition to our understanding of psychoanalytic theory, or whether these insights are significant only in terms of this patient whose sickness borders on, or is frankly, psychosis.