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Although we tend to regard telepathic communication as anomalous or uncanny, outside the range of scientific explanation, many paranormal experiences can be understood scientifically as the type of unconscious affective communication about which there is a growing body of scientific research and evidence. An information-processing model illuminates how a patient’s dissociated attempts to communicate through sensory experiences may be converted to the verbal symbolic via the analyst’s use of evoked images in the dissociative process. Understanding projective identification as a dissociative process of communication by which the patient projected his own unacceptable emotions into the analyst, who could then know experientially what the patient was feeling, can be understood scientifically as telepathic communication. When a patient experiences the effects of severe trauma and is very dissociative, as in the case presented, it is difficult to track and reflect upon these processes as they occur, making it virtually impossible to become and remain empathically attuned to his many self states. In the dissociative attunement deconstructed here, the therapist–patient dyad resonated increasingly in a telepathic attunement, despite much discord and confusion.