This study uses seven well-analyzed dreams to establish three empirical generalizations about dreams and works of art nested in dreams: (1) Those dreams attempt to deny a painful reality in some way depicted in the nested element; (2) they present an antithetical view of that reality (both denying and affirming); and (3) they are consistently associated with the problem of reality (the problem of deciding what is real or true). The explanation of these empirical generalizations is based on a hypothesis derived from Freud's 1911 formulation of the dream within a dream.