Hill Cognitive-Experiential Dream Model

Working with Dreams

Based on reading the existing literature on dream models, I developed a method for working with dreams that integrates existing approaches into a straightforward, easy-to-learn-and-use approach. I refined the model through clinical practice, teaching, and research. At this point, we have conducted about 25 studies on this model of dream work and have trained hundreds of psychologists in how to work with dreams. We do not claim that it is the “best” model, only that it is empirically-supported as effective.

Note that when we have tested the model for research purposed, we trained therapists to implement in in a structured approach, incorporating specific steps. We recognize, however, that complete implementation of this model for a single dream requires about 90 minutes, and that most therapists do not have the luxury of 90-minute sessions. We do have evidence that in actual therapy, therapists modify the approach to be responsive to the needs of their clients and the time frame. We can say, then, that it is not necessary to adhere strictly to the model presented as presented below, but simply note that this is the model that has been empirically supported.

The next logical question is whether it is necessary to work with a therapist on dreams or whether a person can apply the steps in a self-help approach. Our research shows that indeed people can do it on their own using these same steps (and of course we all interpret our own dreams)…but I would note that we often get stuck or blocked when we work on our own, and sometimes an outside perspective can be helpful. I firmly believe that the dreamer is the “expert” on the dream and that no one else has the “right” interpretation, but it can be helpful to hear another perspective…and then decide whether it fits or not.

There are many examples of dream work in The Owl and the Dreamcatcher. The most complete illustration of the model is in chapters 25 and 28, where Esther works on her recurrent dream about failing an exam across two complete sessions. For other examples of how dream work can be modified to fit the needs of a particular session, see chapters 1, 3, 7, 11, 13, 16, 17, 18, 21, 23, 24, 31, 32, 35, 41, and 42.

The following is an outline of the steps of the as described in more detail in: Hill, C. E. (2004). Dream Work in Psychotherapy: Facilitating Exploration, Insight, and Action. American Psychological Association.

1. Exploration

A. Getting started

  •   Explain 3-stage model briefly

  •   Have client retell dream in first person present tense

B. Explore 3 to 5 major images sequentially using DRAW acronym

  •  Describe

  •  Re-experience Feelings

  •  Associate

  •  Waking life triggers

C. Summarize exploration process (optional)

2. Insight

A. Ask client for initial understanding of the meaning of the dream

B. Collaborate with client to construct a meaning of the dream

  • Experience

  •  Waking life

  •  Inner personality dynamics

    • Parts of self

    • Conflicts originating in childhood

    • Spiritual/Existential

C. Ask client to summarize insights about meaning of dream

3. Action

A. Ask client to change the dream or create a sequel

  • In fantasy

  • During sleep

B. Coach client about making changes in waking life

  • Specific behavioral change

  • Ritual to honor the dream

  • Continued working with dreams

C. Ask client to give a title for the dream

D. Ask client to summarize action plan