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Insight and Dissociation in Lucid Dreaming and Psychosis

Ursula Voss, Armando D’Agostino, Luca Kolibius, Ansgar Klimke, Silvio Scarone, J. Allan Hobson

Frontiers in Psychology November 12, 2018 DOI: 10.3389/fpsyg.2018.02164 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Review Peer reviewed
Topics Dreaming Lucid dreaming
Citations 28
Key findings Insight and dissociation, both involving metacognition, are core concepts linking lucid dreaming and psychosis, with insight potentially beneficial in psychosis while dissociation remains unresolved.

Abstract

Dreams and psychosis share several important features regarding symptoms and underlying neurobiology, which is helpful in constructing a testable model of, for example, schizophrenia and delirium. The purpose of the present communication is to discuss two major concepts in dreaming and psychosis that have received much attention in the recent literature: insight and dissociation. Both phenomena are considered functions of higher order consciousness because they involve metacognition in the form of reflective thought and attempted control of negative emotional impact. Insight in dreams is a core criterion for lucid dreams. Lucid dreams are usually accompanied by attempts to control the dream plot and dissociative elements akin to depersonalization and derealization. These concepts are also relevant in psychotic illness. Whereas insightfulness can be considered innocuous in lucid dreaming and even advantageous in psychosis, the concept of dissociation is still unresolved. The present review compares correlates and functions of insight and dissociation in lucid dreaming and psychosis. This is helpful in understanding the two concepts with regard to psychological function as well as neurophysiology.

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