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Dreams, Hallucinogenic Drug States, and Schizophrenia: A Psychological and Biological Comparison

Lawrence Fischman

Schizophrenia Bulletin 1983 DOI: 10.1093/schbul/9.1.73 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Theoretical or philosophical paper Peer reviewed
Topics LSD Serotonin
Keywords Hallucinogen Schizophrenia object-oriented programming Analogy Attractiveness Dream Psychosis Cognitive psychology Psychotherapist Psychoanalysis Epistemology
Citations 109
Key points Proposes that compromised ego boundaries, impairing the synthesis of self-representations into a coherent self, underlie the shared characteristics of dreams, hallucinogenic drug states, and schizophrenia, and that serotonin neurotransmission may regulate these states.

Abstract

Many observers have noted similarities between dreams, hallucinogenic drug states, and schizophrenia. In the present article, certain fundamental areas of convergence between the three states are described. Consideration is given to the hallucinogenic drug model of psychosis: the reasons for its initial attractiveness, and the reasons for its current disfavor. The concept of ego boundaries is defined, examined, and applied to the three states. In these states, the ego's capacity to average or synthesize various self-representations into a continuous, coherent self is compromised--leading to an impairment of the reality-oriented secondary process, and the emergence of the florid attributes of the primary process. This can account for many of the familiar characteristics of the three states. Current neurophysiological theories of dream and hallucinogenic drug states are presented, with emphasis upon serotonin neurotransmission. Serotonin appears to play a prominent role in the regulation of these states. The analogy contained in the present article suggests that serotonin may play a role in regulating schizophrenic states as well.

Comparable studies

Other theoretical and historical papers on LSD, most cited first.

Study Year Design Participants
The Experimental Use of Psychedelic (LSD) Psychotherapy 1970 Historical analysis
LSD: My Problem Child 1981 Historical analysis
On the Use and Abuse of LSD 1968 Theoretical or philosophical paper
The Use of Music in Psychedelic (LSD) Psychotherapy 1972 Theoretical or philosophical paper
Flashbacks: Recurrent Intrusive Images After the Use of LSD 1969 Theoretical or philosophical paper

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