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The Psychoanalytic Quarterly 2024The author describes and then clinically illustrates what he terms the ontological dimension of psychoanalysis (having to do with coming into being) and the...
The author describes and then clinically illustrates what he terms the ontological dimension of psychoanalysis (having to do with coming into being) and the epistemological dimension of psychoanalysis (having to do with coming to know and understand). Neither of these dimensions of psychoanalysis exists in pure form; they are inextricably intertwined. Epistemological psychoanalysis, for which Freud and Klein are the principal architects, involves the work of arriving at understandings of play, dreams, and associations; while ontological psychoanalysis, for which Winnicott and Bion are the principal architects, involves creating conditions in which the patient might become more fully alive and real to him- or herself. The author provides clinical illustrations of the ontological dimension of psychoanalysis in which the process of the patient's coming more fully into being is facilitated by the experiences in which the patient feels recognized for the individual he is and is becoming. This occurs in an analysis in which the analyst and patient invent a form of psychoanalysis that is uniquely their own.
Topics: Humans; Male; Psychoanalysis; Dreams; Emotions; Mental Processes; Knowledge
PubMed: 38578260
DOI: 10.1080/00332828.2024.2314776 -
PloS One 2022Memories of the past help us adaptively respond to similar situations in the future. Originally described by Schacter & Addis in 2007, the "constructive episodic...
Memories of the past help us adaptively respond to similar situations in the future. Originally described by Schacter & Addis in 2007, the "constructive episodic simulation" hypothesis proposes that waking thought combines fragments of various past episodes into imagined simulations of events that may occur in the future. This same framework may be useful for understanding the function of dreaming. N = 48 college students were asked to identify waking life sources for a total of N = 469 dreams. Participants frequently traced dreams to at least one past or future episodic source (53.5% and 25.7% of dreams, respectively). Individual dreams were very often traced to multiple waking sources (43.9% of all dreams with content), with fragments of past memory incorporated into scenarios that anticipated future events. Waking-life dream sources are described in terms of their phenomenology and distribution across time and sleep stage, providing new evidence that dreams not only reflect the past, but also utilize memory in simulating potential futures.
Topics: Computer Simulation; Dreams; Humans; Sleep Stages
PubMed: 35316266
DOI: 10.1371/journal.pone.0264574 -
Psychodynamic Psychiatry 2020Though the clinical and experimental literature suggests that discussing dreams with therapy patients can be beneficial in a variety of important ways, there appears to...
Though the clinical and experimental literature suggests that discussing dreams with therapy patients can be beneficial in a variety of important ways, there appears to be a gap in educational opportunities for psychiatric residents regarding this process. To address this educational need at the authors' residency program, a class in psychodynamically oriented dream analysis was implemented, and data was collected in the form of learner surveys both before and after they took the course. The survey found that the level of importance placed on dream work, the comfort level in discussing dreams with patients, and the frequency with which dreams were discussed in sessions were all increased after taking the course. Our conclusion was that these preliminary results suggest that implementing a structured course on dream analysis may help to fill the educational gap.
Topics: Attitude of Health Personnel; Dreams; Humans; Internship and Residency; Psychiatry; Psychoanalytic Interpretation; Surveys and Questionnaires; Teaching
PubMed: 32628577
DOI: 10.1521/pdps.2020.48.2.140 -
Consciousness and Cognition Aug 2020Information processing during sleep is active, ongoing and accessible to engineering. Protocols such as targeted memory reactivation use sensory stimuli during sleep to...
Information processing during sleep is active, ongoing and accessible to engineering. Protocols such as targeted memory reactivation use sensory stimuli during sleep to reactivate memories and demonstrate subsequent, specific enhancement of their consolidation. These protocols rely on physiological, as opposed to phenomenological, evidence of their reactivation. While dream content can predict post-sleep memory enhancement, dreaming itself remains a black box. Here, we present a novel protocol using a new wearable electronic device, Dormio, to automatically generate serial auditory dream incubations at sleep onset, wherein targeted information is repeatedly presented during the hypnagogic period, enabling direct incorporation of this information into dream content, a process we call targeted dream incubation (TDI). Along with validation data, we discuss how Dormio and TDI protocols can serve as tools for controlled experimentation on dream content, shedding light on the role of dreams in the overnight transformation of experiences into memories.
Topics: Adult; Creativity; Dreams; Equipment Design; Female; Humans; Male; Memory Consolidation; Sleep Stages; Wearable Electronic Devices; Young Adult
PubMed: 32480292
DOI: 10.1016/j.concog.2020.102938 -
Neuroscience and Biobehavioral Reviews Jun 2024Changes in sleep and dreams are often observed during pregnancy. Dreaming may represent privileged access to the inner world of individuals, providing relevant... (Review)
Review
Changes in sleep and dreams are often observed during pregnancy. Dreaming may represent privileged access to the inner world of individuals, providing relevant information about their well-being. For this reason, a growing but heterogeneous literature has investigated dream experiences of pregnant women. The present paper aimed to systematically review the available evidence on the relationship between pregnancy and oneric activity, focusing on dream and nightmare frequency, dream contents, and emotional features. Moreover, dream changes between pre-partum and post-partum periods and the impact of previous pregnancy-related adverse events on dreaming have been summarized. Overall, 17 studies have been examined. The reviewed evidence suggests that women tend to have an abundant production of dreams and nightmares during pregnancy, and some results support the view that a high rate of dream recall is associated with poor sleep quality. Most studies have shown a high presence of pregnancy-related dream content, likely reflecting waking experiences and concerns. Additionally, dreaming may promote psychological preparation and activation of functional coping strategies to face life changes after childbirth.
PubMed: 38852848
DOI: 10.1016/j.neubiorev.2024.105763 -
European Review For Medical and... Apr 2021The aim of this study was to review the available findings on sex-related differences for sleep disorders, dreams and nightmares. (Review)
Review
OBJECTIVE
The aim of this study was to review the available findings on sex-related differences for sleep disorders, dreams and nightmares.
MATERIALS AND METHODS
We explored the PubMed, EMBASE and Google Scholar electronic databases, with regards to the searching terms 'sleep', 'dreams', and 'nightmares' associated with 'sex' and/or 'gender'. Moreover, other supplementary terms for the searching strategy were 'chronobiology', and 'circadian rhythm'. Due to the relative paucity of studies including separate analysis by sex, and especially to their wide heterogeneity, we decided to proceed with a narrative review, highlighting the sex-related findings of each topic into apposite boxes.
RESULTS
On one hand, sleep disorders seem to be more frequent in women. On the other hand, sex-related differences exist for either dreams or nightmares. As for the former, differences make reference to dream content (men: physical aggression, women family themes), self-reported perspective (men dream in third person, women in first person), dream sharing (more frequent in women), lucid dreaming (women more realistic, men more controlled), and daydreaming (young men more frequently have sexual themes). Nightmares are more frequent in women too, and they are often associated with sleep disorders and even with psychiatric disorders, such as depression and/or anxiety. In women, a strong association has been shown between nightmares and evening circadian preference.
CONCLUSIONS
For many years, and for many reasons, laboratory experiments have been conducted mainly, if not exclusively, on male animals. Thus, a novel effort towards a new governance of scientific and research activities with a gender-specific perspective has been claimed for all areas of medicine, and more research on sex-differences is strongly needed also on this topic.
Topics: Dreams; Female; Humans; Male; Sex Factors; Sleep; Sleep Wake Disorders
PubMed: 33877669
DOI: 10.26355/eurrev_202104_25559 -
Translational Psychiatry Feb 2024Nightmares are vivid, extended, and emotionally negative or negative dreams that awaken the dreamer. While sporadic nightmares and bad dreams are common and generally...
Nightmares are vivid, extended, and emotionally negative or negative dreams that awaken the dreamer. While sporadic nightmares and bad dreams are common and generally harmless, frequent nightmares often reflect underlying pathologies of emotional regulation. Indeed, insomnia, depression, anxiety, or alcohol use have been associated with nightmares in epidemiological and clinical studies. However, the connection between nightmares and their comorbidities are poorly understood. Our goal was to examine the genetic risk factors for nightmares and estimate correlation or causality between nightmares and comorbidities. We performed a genome-wide association study (GWAS) in 45,255 individuals using a questionnaire-based assessment on the frequency of nightmares during the past month and genome-wide genotyping data. While the GWAS did not reveal individual risk variants, heritability was estimated at 5%. In addition, the genetic correlation analysis showed a robust correlation (rg > 0.4) of nightmares with anxiety (rg = 0.671, p = 7.507e-06), depressive (rg = 0.562, p = 1.282e-07) and posttraumatic stress disorders (rg = 0.4083, p = 0.0152), and personality trait neuroticism (rg = 0.667, p = 4.516e-07). Furthermore, Mendelian randomization suggested causality from insomnia to nightmares (beta = 0.027, p = 0.0002). Our findings suggest that nightmares share genetic background with psychiatric traits and that insomnia may increase an individual's liability to experience frequent nightmares. Given the significant correlations with psychiatric and psychological traits, it is essential to grow awareness of how nightmares affect health and disease and systematically collect information about nightmares, especially from clinical samples and larger cohorts.
Topics: Humans; Dreams; Sleep Initiation and Maintenance Disorders; Genome-Wide Association Study; Anxiety Disorders; Risk Factors
PubMed: 38413574
DOI: 10.1038/s41398-023-02637-6 -
Journal of Psychopharmacology (Oxford,... Dec 2021To compare different β-adrenoceptor antagonists for the risk of reporting nightmare.
AIM
To compare different β-adrenoceptor antagonists for the risk of reporting nightmare.
METHODS
The study involved two approaches: first, we investigated in VigiBase, the World Health Organization Individual Case Safety Report (ICSR) database, the disproportionality between exposure to each β-adrenoceptor antagonists and reports of nightmares between 1967 and 2019. Second, in a pharmacoepidemiological-pharmacodynamic analysis, we assessed whether use of β-adrenoceptor antagonists with moderate and high lipid solubility or strong 5-HT affinity were associated with an increased risk of reporting nightmares. We conducted multivariate logistic regression to estimate reporting odds ratios (RORs) of nightmares compared to all other adverse drug reactions.
RESULTS
Of the 126,964 reports recorded with β-adrenoceptor antagonists, 1138 (0.9%) were nightmares. The highest risk of reporting a nightmare was found with exposure of pindolol (adjusted ROR 2.82, 95%CI, 2.19-3.61), metoprolol (1.89, 1.66-2.16), and alprenolol (1.77, 1.06-2.97). Compared to use of low lipid solubility β-adrenoceptor antagonists, use of moderate or high lipid solubility β-adrenoceptor antagonists were significantly more associated with nightmare reports (aROR moderate vs. low 1.72, 95%CI 1.47-2.00 and aROR high vs. low 1.84, 95%CI 1.53-2.22). Use of moderate or high 5-HT affinity of β-adrenoceptor antagonists was associated with an increased ROR of nightmares compared with low 5-HT affinity of β-adrenoceptor antagonists (aROR moderate vs. low 1.22, 95%CI 1.04-1.43 and aROR high vs. low 2.46, 95%CI 1.93-3.13).
CONCLUSION
In our large pharmacovigilance study, nightmares are more frequently reported for pindolol and metoprolol, and among β-adrenoceptor antagonists with high lipid solubility and high 5-HT receptor affinity.
Topics: Adrenergic beta-Antagonists; Databases, Pharmaceutical; Dreams; Drug-Related Side Effects and Adverse Reactions; Humans; Pharmacoepidemiology; Pharmacovigilance
PubMed: 34318729
DOI: 10.1177/02698811211034810 -
Scientific Reports Oct 2020Why do people sometimes report that they remember dreams, while at other times they recall no experience? Despite the interest in dreams that may happen during the...
Why do people sometimes report that they remember dreams, while at other times they recall no experience? Despite the interest in dreams that may happen during the night, it has remained unclear which brain states determine whether these conscious experiences will occur and what prevents us from waking up during these episodes. Here we address this issue by comparing the EEG activity preceding awakenings with recalled vs. no recall of dreams using the EEG microstate approach. This approach characterizes transiently stable brain states of sub-second duration that involve neural networks with nearly synchronous dynamics. We found that two microstates (3 and 4) dominated during NREM sleep compared to resting wake. Further, within NREM sleep, microstate 3 was more expressed during periods followed by dream recall, whereas microstate 4 was less expressed. Source localization showed that microstate 3 encompassed the medial frontal lobe, whereas microstate 4 involved the occipital cortex, as well as thalamic and brainstem structures. Since NREM sleep is characterized by low-frequency synchronization, indicative of neuronal bistability, we interpret the increased presence of the "frontal" microstate 3 as a sign of deeper local deactivation, and the reduced presence of the "occipital" microstate 4 as a sign of local activation. The latter may account for the occurrence of dreaming with rich perceptual content, while the former may account for why the dreaming brain may undergo executive disconnection and remain asleep. This study demonstrates that NREM sleep consists of alternating brain states whose temporal dynamics determine whether conscious experience arises.
Topics: Adult; Aged; Brain; Brain Mapping; Dreams; Electroencephalography; Female; Humans; Male; Mental Recall; Middle Aged; Nerve Net; Polysomnography; Rest; Sleep, Slow-Wave; Wakefulness; Young Adult
PubMed: 33051536
DOI: 10.1038/s41598-020-74075-z -
Otolaryngologic Clinics of North America Jun 2020
Topics: Dreams; Humans; Medicine in the Arts; Sleep Apnea, Obstructive
PubMed: 32312549
DOI: 10.1016/j.otc.2020.03.017