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If waking and dreaming consciousness became de-differentiated, would schizophrenia result?

Sue Llewellyn

Consciousness and Cognition April 16, 2011 DOI: 10.1016/j.concog.2011.03.022 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Theoretical or philosophical paper Peer reviewed
Topics Dreaming
Keywords Brain Humans Emotions Cognition Consciousness Dreams Memory Psychomotor performance Wakefulness Schizophrenia Schizophrenic psychology Models, neurological Sleep wake disorders
Key points Argues that waking and dreaming consciousness are differentiated by reciprocal, self-organizing neuromodulatory systems, and that loss of this self-organization produces a hybrid state of de-differentiation that may lead to psychiatric disorders, ultimately schizophrenia, which the author characterizes as a disorganized-fragmented self.

Abstract

If both waking and dreaming consciousness are functional, their de-differentiation would be doubly detrimental. Differentiation between waking and dreaming is achieved through neuromodulation. During dreaming, without external sensory data and with mesolimbic dopaminergic input, hyper-cholinergic input almost totally suppresses the aminergic system. During waking, with sensory gates open, aminergic modulation inhibits cholinergic and mesocortical dopaminergic suppresses mesolimbic. These neuromodulatory systems are reciprocally interactive and self-organizing. As a consequence of neuromodulatory reciprocity, phenomenologically, the self and the world that appear during dreaming differ from those that emerge during waking. As a result of self-organizing, the self and the world in both states are integrated. Some loss of self-organization would precipitate a degree of de-differentiation between waking and dreaming, resulting in a hybrid state which would be expressed heterogeneously, both neurobiologically and phenomenologically. As a consequence of progressive de-differentiation, certain identifiable psychiatric disorders may emerge. Ultimately, schizophrenia, a disorganized-fragmented self, may result.

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