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Psychosis and the Control of Lucid Dreaming

Natália B. Mota, Adara Resende, Sérgio Mota-Rolim, Mauro Copelli, Sidarta Ribeiro

Frontiers in Psychology March 8, 2016 DOI: 10.3389/fpsyg.2016.00294 (opens in new tab)

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Study at a glance

AI-extracted from the abstract
Characteristics Observational cohort Peer reviewed
Sample size 73
Population Subjects with psychotic symptoms (schizophrenia or bipolar disorder) and non-psychotic controls
Topics Dreaming Lucid dreaming
Citations 38
Key findings Psychotic patients reported more frequent control over lucid dreams than non-psychotic controls, but showed no clinical advantage from lucid dreaming.

Abstract

Dreaming and psychosis share important features, such as intrinsic sense perceptions independent of external stimulation, and a general lack of criticism that is associated with reduced frontal cerebral activity. Awareness of dreaming while a dream is happening defines lucid dreaming (LD), a state in which the prefrontal cortex is more active than during regular dreaming. For this reason, LD has been proposed to be potentially therapeutic for psychotic patients. According to this view, psychotic patients would be expected to report LD less frequently, and with lower control ability, than healthy subjects. Furthermore, psychotic patients able to experience LD should present milder psychiatric symptoms, in comparison with psychotic patients unable to experience LD. To test these hypotheses, we investigated LD features (occurrence, control abilities, frequency, and affective valence) and psychiatric symptoms (measure by PANSS, BPRS, and automated speech analysis) in 45 subjects with psychotic symptoms [25 with Schizophrenia (S) and 20 with Bipolar Disorder (B) diagnosis] versus 28 non-psychotic control (C) subjects. Psychotic lucid dreamers reported control of their dreams more frequently (67% of S and 73% of B) than non-psychotic lucid dreamers (only 23% of C; S > C with p = 0.0283, B > C with p = 0.0150). Importantly, there was no clinical advantage for lucid dreamers among psychotic patients, even for the diagnostic question specifically related to lack of judgment and insight. Despite some limitations (e.g., transversal design, large variation of medications), these preliminary results support the notion that LD is associated with psychosis, but falsify the hypotheses that we set out to test. A possible explanation is that psychosis enhances the experience of internal reality in detriment of external reality, and therefore lucid dreamers with psychotic symptoms would be more able to control their internal reality than non-psychotic lucid dreamers. Training dream lucidity is likely to produce safe psychological strengthening in a non-psychotic population, but in a psychotic population LD practice may further empower deliria and hallucinations, giving internal reality the appearance of external reality.

Comparable studies

Other observational and cohort studies on lucid dreaming, most cited first.

Study Year Design Participants
Lucid Dreaming: a State of Consciousness with Features of Both Waking and Non-Lucid Dreaming Student volunteers trained to become lucid and signal lucidity with horizontal eye... 2009 Observational study n = 6
Neural Correlates of Dream Lucidity Obtained from Contrasting Lucid versus Non-Lucid REM Sleep: A Combined EEG/fMRI Case Study Experienced lucid dreamers 2012 Observational cohort n = 4
Real-time dialogue between experimenters and dreamers during REM sleep. Individuals during REM sleep, including frequent lucid dreamers, a novice, and a... 2021 Observational study n = 36
Lucid Dreaming in Narcolepsy Consecutive patients with narcolepsy and healthy controls 2015 Case-control study n = 106
Metacognitive Mechanisms Underlying Lucid Dreaming Human participants split into high- and low-lucidity groups based on reported dream... 2015 Observational cohort

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Dreaming Lucid dreaming