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The dreaming brain/mind, consciousness and psychosis.

Ivan Limosani, Armando D'Agostino, Maria Laura Manzone, Silvio Scarone

Consciousness and Cognition December 2011 DOI: 10.1016/j.concog.2010.11.014 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Theoretical or philosophical paper Peer reviewed
Topics Dreaming
Key points Argues that dreaming serves as a useful phenomenological model for psychosis, since both involve vivid internally generated imagery, incongruous emotion, and impaired reality testing. Cites experimental data indicating cognitive bizarreness is similarly elevated in dreams, in acutely psychotic patients' waking cognition, and in patients given pro-dopaminergic drugs, independent of diagnosis.

Abstract

Several independent lines of research in neurobiology seem to support the phenomenologically-grounded view of the dreaming brain/mind as a useful model for psychosis. Hallucinatory phenomena and thought disorders found in psychosis share several peculiarities with dreaming, where internally generated, vivid sensorimotor imagery along with often heightened and incongruous emotion are paired with a decrease in ego functions which ultimately leads to a severe impairment in reality testing. Contemporary conceptualizations of severe mental disorders view psychosis as one psychopathological dimension that may be found across several diagnostic categories. Some experimental data have shown cognitive bizarreness to be equally elevated in dreams and in the waking cognition of acutely psychotic subjects and in patients treated with pro-dopaminergic drugs, independent of the underlying disorder. Further studies into the neurofunctional underpinnings of both conditions will help to clarify the use and validity of this model.

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