Abstract
Twenty-five distressed adult clients received 2 sessions each of dream and event interpretation using the Hill model during 12 sessions of successful therapy. No differences were found in depth, insight, and working alliance among dream interpretation, event interpretation, and unstructured sessions, suggesting that dream interpretation is as effective as other therapist strategies. Dream and event interpretation may be equally effective because both lead back to relevant waking concerns and past memories. Pretreatment measures of client psychological mindedness, openness, and insight were generally unrelated to each other, to evaluations of insight within sessions, to therapist evaluations of client insight, and to pre- and posttherapy changes in insight. Cognitive complexity of client dialogue was related to the process and outcome of dream interpretation.
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