People with psychosis report more control over their lucid dreams than non-psychotic individuals, contrary to the hypothesis that lucid dreaming might be therapeutically beneficial for psychotic patients. Among 45 subjects with psychotic symptoms (25 with schizophrenia, 20 with bipolar disorder) and 28 non-psychotic controls, psychotic lucid dreamers reported controlling their dreams more frequently (67% of schizophrenia and 73% of bipolar patients) than non-psychotic lucid dreamers (23% of controls). However, lucid dreamers with psychosis showed no clinical advantage, even on measures of judgment and insight. The findings suggest psychosis may enhance the ability to control internal reality, and that training lucid dreaming in psychotic populations could potentially strengthen delusions and hallucinations rather than provide therapeutic benefit.
Language produced under the influence of LSD shows increased entropy and reduced semantic coherence, consistent with a state of heightened neural entropy. Non-semantic analysis of speech organization revealed increased verbosity and a reduced lexicon, changes more similar to manic psychoses than to schizophrenia, as confirmed by direct comparison with reference samples. Features related to language organization allowed machine learning classifiers to identify speech under LSD with accuracy comparable to that obtained by examining semantic content. These results provide a quantitative characterization of disorganized natural speech as a landmark feature of the psychedelic state.