Freud’s work with hysterics led him to the discovery of the unconscious and the founding of psychoanalysis. The dream of the beautiful butcher’s wife, one of Freud’s patients, is examined following Lacan’s added insights that give full credit to his well known statement: “The unconscious is structured like a language.” Three basic identifications are presented by Lacanian analysis and I add a clinical vignette that exemplifies my work in the treatment of a couple.