A question which audiences have asked me hundreds of times is: "Cannot the patient make up something that will deceive you entirely and throw you on the wrong trail?" My answer to such a question is emphatically negative. A study of the literary and artistic productions of all races has shown that in every "story" and in every work of art, the writer or artist was solely bringing to consciousness his own preoccupations, in a form which may have deceived him but which does not deceive the psychologist slightly familiar with the author's biography. Brill tells somewhere how his attention was first drawn to the value of artificial dreams and of so called "fake dreams." In 1908, he was treating an out of town physician, suffering from severe anxiety hysteria. The patient was very sceptical, did not co-operate with Brill, never talked freely and pretended he never had dreams. One morning, however, he came for his appointment bringing at last one dream. "He had given birth to a child and felt severe labour pains. X., a gynecologist who assisted him, was unusually rough and stuck the forceps into him more like a butcher than a physician." It was a homosexual fancy. Asked who X. was, the patient said he was a friend with whom he had had some unpleasantness. Then he interrupted the conversation, saying: "There is no use fooling you any longer. What I told you was not a dream. I just made it up to show you how ridiculous your dream theories are." Further examination, however, proved that the patient was homosexual and that his anxiety states were due to the cessation of his perverse relations with X. The lie he had made up was simply a distorted wish closely connected with the cause of his neurosis. As Brill states very justly, "everything which necessitates lying must be of importance to the individual concerned." Personally, I have found that, with certain patients, the artificial dream method is productive of better results than the free association method. With the docile patient who has much insight and a positive desire to rid himself of his troubles, the association method reveals quickly the darkest corners of the unconscious. The patient who, on the other hand, constantly answers: "I cannot think of anything," and is always on his guard, the association method wastes much valuable time and is very discouraging to patient and analyst. It is not always advisable for the analyst to reveal to his subjects the import of their dreams. It is especially when the meaning of their dreams is frankly sexual that discretion and tact are necessary. In cases of a severe repression of sexual cravings extending over many years, when, for instance, one has to deal with a woman, no longer young and whose attitude to life has been rather puritanical, a good deal of educational work has to be undertaken before the subject can be enlightened.