An interesting week. In the dream state, client has made a decision to move out of state with wife. Subsequently, he claimed to have visited a drive-thru restaurant in this dream and received a disembodied message from the loudspeaker, telling him not to move and advising him to reopen the case he was working at the time of the accident.
The human psyche is amazing - to wit, client's subconscious is acting as doctor, tending to the traumatized mind's emotional wounds with its cryptic messaging. My hope - this is the first indication client is moving towards acceptance of his delusion as delusion, and acceptance of his wife's death. Although in the past I've suggested that a return to normal perception can be as simple as flipping a switch - just a change in posture, client has repeatedly demonstrated a tenacious insistence on maintaining his so-called dual existence. Despite earlier progress, by end of week, client's tenacious hold on status quo had been reinvigorated, as he is clearly obsessing on this old case - already solved, yet insolvable, a metaphor for his own emotional state.