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Exploring dream content as an expression of underlying mental states: A thematic analysis of ten clinical cases in homoeopathic practice - A pilot study

Nikunj Jani, Chirag Shah

International Journal of Psychiatry Research July 1, 2026 DOI: 10.33545/26648962.2026.v8.i7a.158 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Secondary qualitative analysis Pilot study Peer reviewed
Sample size 10
Population Clinical cases selected from a homoeopathic practice
Topics Anxiety Dreaming
Keywords Thematic analysis Qualitative research Dream Content analysis Nonprobability sampling Mental health Narrative inquiry Interpersonal communication Clinical psychology Applied psychology Data collection Experiential learning Interpersonal relationship Psychotherapist Qualitative analysis Content measure theory Developmental psychology Expression computer science
Key findings Five higher-order themes emerged from dream narratives, suggesting that dreams may reveal emotional concerns not readily expressed during waking interviews.

Abstract

Background: Dreams contain emotional, interpersonal and experiential material that may relate to waking-life concerns. In homoeopathic practice, dreams are traditionally considered during case-taking; however, their interpretation is often subjective. Systematic thematic analysis may provide a more transparent method for exploring the relationship between dream content and the mental state of an individual.

Objective: To identify recurring themes in dream narratives and explore their relationship with documented waking-life situations and emotional states in a purposively selected sample of clinical cases.

Methods: A secondary qualitative analysis was conducted on 10 cases selected from a clinical practice. A purposive sampling was used to select the cases which had established a contextual relationship between dreams and life situations. Dream narratives, documented life situations and clinical interpretations were re-analysed using a thematic-analysis procedure adapted from Braun and Clarke. Data was grouped into subthemes and subsequently higher-order themes. Reporting was guided by the Standards for Reporting Qualitative Research (SRQR).

Results: Five higher-order themes emerged: Threat, anxiety and loss of control. Suppressed and repressed emotional experience. Aggression, conflict and the threatened self. Attachment, sexuality and unmet relational needs. Vulnerability, isolation and inadequacy.

Conclusion: Dream narratives may provide clinically relevant qualitative material concerning emotional concerns that are not always readily expressed during waking interviews. Their potential value appears to lie in contextual thematic analysis rather than fixed symbolic interpretation. Larger prospective studies using systematic coding and independent validation are warranted.

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