The purpose of this paper is to present early adolescent Japanese boys' images that emerge from the counseling process through the use of sandplay and dreams. The author, an assistant professor of clinical psychology at the International Buddhist University in Japan, has made use of sandplay and dreams as a mediative method to understand and communicate with his clients. Sandplay therapy, founded by D.M. Kalff by adopting the idea of Analytical Psychology, is one of the effective methods to psycho-somatic disease using the body as mediation, especially Japanese youths who are generally weak in verbalization. The paper described their images in the form of 3 case studies with 3 similarities: 1) each case was a 12 year old male; 2) each male had a stomach ache; and 3) each male had school refusal tendencies. This paper discusses: 1) a therapist-client relationship in all three cases; 2) the common image characteristic symbolically representing the son-mother affective bonding in all 3 case studies; and 3) the physical complaint as an obstacle for the Japanese boys' adjustments. (JDM)