Still other subjects mingle in the dream, whose relation to my release from responsibility for Irma’s illness is not so transparent: the illness of my daughter and that of a patient of the same name, the harmfulness of cocaine, the illness of my patient travelling in Egypt, concern about the health of my wife, my brother, of Dr. M., my own bodily troubles, and concern about the absent friend who is suffering from suppurative rhinitis. But if I keep all these things in view, they combine into a single train of thought, labelled perhaps: Concern for the health of myself and others—professional conscientiousness. I recall an undefined disagreeable sensation as Otto brought me the news of Irma’s condition. I should like to note finally the expression of this fleeting sensation, which is part of the train of thought that is mingled into the dream. It is as though Otto had said to me: “You do not take your physician’s duties seriously enough, you are not conscientious, do not keep your promises.” Thereupon this train of thought placed itself at my service in order that I might exhibit proof of the high degree in which I am conscientious, how intimately I am concerned with the health of my relatives, friends, and patients. Curiously enough, there are also in this thought material some painful memories, which correspond rather to the blame attributed to Otto than to the accusation against me. The material has the appearance of being impartial, but the connection between this broader material, upon which the dream depends, and the more limited theme of the dream which gives rise to the wish to be innocent of Irma’s illness, is nevertheless unmistakable. I do not wish to claim that I have revealed the meaning of the dream entirely, or that the interpretation is flawless. I could still spend much time upon it; I could draw further explanations from it, and bring up new problems which it bids us consider. I even know the points from which further thought associations might be traced; but such considerations as are connected with every dream of one’s own restrain me from the work of interpretation. Whoever is ready to condemn such reserve, may himself try to be more straightforward than I. I am content with the discovery which has been just made. If the method of dream interpretation here indicated is followed, it will be found that the dream really has meaning, and is by no means the expression of fragmentary brain activity, which the authors would have us believe. _When the work of interpretation has been completed the dream may be recognised as the fulfilment of a wish._ III THE DREAM IS THE FULFILMENT OF A WISH