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Dr. Rangell's comprehensive historical survey is followed by ten diverse chapters demonstrating how skilled and experienced analysts work with dreams and their associations, integrated within the framework of ongoing psychoanalysis and psychotherapy.
The analysts will all agree with Dr. Stein that there are “unconscious fantasies revealed and elucidated through analysis of dreams,” and that analysis “gives much richer opportunities for understanding dreams in depth” than does face-to-face psychotherapy. Some of the contributions may have left the impression that the interpretation of dreams cannot be of great significance in face-to-face clinical work. This is far from the facts. We need look no further than Dr. Myers's second case, the sixty-six-year-old psychotherapy patient whose dream associations ranged so far and wide; and Dr. Oremland noted the application of his termination dream model to psychotherapy.
The latent content is revealed through associations, but the latent content is not just a single wish or fantasy hidden behind the manifest dream. There are degrees of distance from the manifest surface. Dreams occurring in an ongoing therapy contain transferences, defenses, superego components, affects, and day residues in the context of that therapy. And as we have seen in several of the clinical examples, manifest dream form and content have meaning in their own right as they appear in the therapeutic context,