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The author analyzes a dream of an underworld journey undertaken with his deceased parents. Coincident with this dream is an e-mail communication from a patient whose son had recently died and whose wife is currently undergoing treatment for a fatal condition. Last year, at the time of the son’s death, the author and his patient had had a mutual dream of “waking up dead.” Now, realizing his current dream has as much to do with his patient’s life as his own, the author explores the idea of an “intersubjective dream,” weaving together theoretical perspectives of Gustav Fechner, William James, Carl Jung, Wilfred Bion, and Hyman Spotnitz. Using empirical research on mutual dreams, he proposes that a combination of symbiosis and mimesis regressively recreate the conditions for intersubjective dreaming and mutual dreams, and suggests this imitative process of symmetrical reflection within a symbiotic mental state is the basis of telepathy.