Preliminary statement: In the summer of 1895 I had psychoanalytically treated a young lady who stood in close friendship to me and those near to me. It is to be understood that such a complication of relations may be the source of manifold feelings for the physician, especially for the psychotherapist. The personal interest of the physician is greater, his authority is less. A failure threatens to undermine the friendship with the relatives of the patient. The cure ended with partial success, the patient got rid of her hysterical fear, but not of all her somatic symptoms. I was at that time not yet sure of the criteria marking the final settlement of a hysterical case, and expected her to accept a solution which did not seem acceptable to her. In this disagreement, we cut short the treatment on account of the summer season. One day a younger colleague, one of my best friends, who had visited the patient—Irma—and her family in their country resort, came to see me. I asked him how he found her, and received the answer: “She is better, but not altogether well.” I realise that those words of my friend Otto, or the tone of voice in which they were spoken, made me angry. I thought I heard a reproach in the words, perhaps to the effect that I had promised the patient too much, and rightly or wrongly I traced Otto’s supposed siding against me to the influence of the relatives of the patient, who, I assume, had never approved of my treatment. Moreover, my disagreeable impression did not become clear to me, nor did I give it expression. The very same evening, I wrote down the history of Irma’s case, in order to hand it, as though for my justification, to Dr. M., a mutual friend, who was at that time a leading figure in our circle. During the night following this evening (perhaps rather in the morning) I had the following dream, which was registered immediately after waking:— DREAM OF JULY 23–24, 1895