I might have said this to her in waking life, and I may actually have done so.
(Freud, 1900)

"Reproach" seems to be the core, the most "overdetermined," issue in the dream. There is initial mutual criticism between Freud and his female patient(s), and this leitmotif is then replayed among Freud and his male colleagues.

• Reproach1: Conjugal vs. professional duty; challenges and temptations of the couch
• Reproach2: Professional (in)competence: of Freud, of Otto/M/Leopold, and of Wilhelm Fliess
• Reproach3: The nasal libido (cf. Freud, 1909, p. 248), bisexuality, periodicity, and other Fliessian mysteries