ABSTRACT
This chapter presents a clinical example of a patient who can neither dream nor think. In spite of her high intelligence, keen observational skills, and articulate speech, she seems to be unable to use her psyche soma to process her experience. Her words seem to be about words rather than a symbolic expression of her emotional experience. Her actions appear to be going through the motions and not grounded in her emotional desires. Both being and nonbeing are challenges for her. She is always in a state of confusion, and her confusional mental states evoke confusion in those around her, including her analyst.
