The Attainment of Insight in the Hill Dream Model: A Case Study

Document Type

Contribution to Book



Format of Original

24 p.; 26 cm

Publication Date



American Psychological Association

Source Publication

Insight in Psychotherapy

Source ISSN



Using a variety of different measurement methods, it has been shown that clients valued insight in dream sessions and that they gained insight into their dreams as a result of sessions. However, very little is known about the mechanisms through which insight is attained in dream sessions, other than the fact that client involvement and therapist adherence and competence are related to insight gains and that therapist interpretation may not be necessary for insight gains. Knowledge about how client insight develops in dream sessions might provide clues about how insight develops in therapy more generally, a useful pursuit given that insight is a major goal of many therapies. The purpose of the present study, then, was to investigate the development of insight within a single case of dream work. Because we currently know little about how insight develops in dream sessions and because insight might develop differently across clients, we studied one case of a client who developed insight during a dream session. We used a combination of quantitative and qualitative methods to maximize our ability to highlight the development of insight in this case. In this chapter we first describe the process and outcomes of the session, documenting that insight did occur. We then explore factors suggested from psychotherapy process research; dream work research; and our clinical experiences that may have facilitated or inhibited insight gains. (PsycINFO Database Record (c) 2010 APA, all rights reserved)


"The Attainment of Insight in the Hill Dream Model: A Case Study" in Insight in Psychotherapy. Eds. Louis Georges Castonguay and Clara E Hill. Washington, DC: American Psychological Association, 2007: 207-230. DOI.