DREAM DIAGNOSTICS: FRITZ MORGENTHALER'S WORK ON DREAMS.

The unique approach to dreams of Swiss psychoanalyst Fritz Morgenthaler (1919-1984) is presented and discussed. Although rarely discussed in the English-speaking psychoanalytic world, this approach is very alive in German-speaking countries. Focusing on the distinction between the remembered hallucinatory experience of dreamers and the event of telling dreams within psychoanalytic sessions, Morgenthaler made two major innovations: first, he proposed a new understanding and handling of associations to dreams, and second, he offered what he called dream diagnostics as an instrument with which to integrate both resistance and transference into clinical work with dreams.

[Medically indicated termination of pregnancy in giant uterine myoma and mono-amniotic twin pregnancy: a case report].

We report the rare combination of a monoamniotic twin pregnancy with giant uterine leiomyomas in a 33-year-old para 0, gravida 1. Considering the restricted capacity of uterine expansion during pregnancy and the known complications associated with myomas, as well as the elevated morbidity and mortality of monoamniotic twin pregnancies, we opted for a medically indicated abortion at 12 weeks' gestation. After abortion the patient developed fever and abdominal pain.

[Postpartum pelvic vein and vena cava thrombosis after water immersion delivery].

A 26-years old primipara experienced a laparotomy with thrombectomy because of pelvic vein thrombophlebitis and cavathrombosis 18 days after ambulant water-birth. The pelvic vein thrombophlebitis is a potentially life-threatening complication in puerperium and to our knowledge, this is the first case reported after water-birth. Even after ambulant childbirth those rather rare complications are able to appear.