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Dreaming and hallucinations - continuity or discontinuity? Perspectives from dementia with Lewy bodies.

Daniel Collerton, Elaine K. Perry

Consciousness and Cognition December 2011 DOI: 10.1016/j.concog.2011.03.024 (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 hallucinations and dreaming lack a simple correspondence: differences in visual phenomenology may reflect varying visual context acting on a shared mechanism, while cholinergic, dopaminergic, and serotonergic changes during sleep and in Lewy body dementia hallucinations suggest different, potentially opposite, neurochemical profiles. The authors propose that dreaming may have more convincing parallels with delusional states than with hallucinations.

Abstract

Comparing the phenomenology, neurochemical pathology, and psychopharmacology of hallucinations and dreaming is limited by the available data. Evidence to date reveals no simple correspondence between the two states. Differences in the phenomenology of visual hallucinations and the visual component of dreams may reflect variations in visual context acting on the same underlying mechanism - the minimal visual input during dreaming contrasts with the more substantial perceived context in hallucinations. Variations in cholinergic, dopaminergic and serotonergic neurotransmitter function during sleep and during hallucinations in Lewy body dementias, together with relevant drug effects suggest that, on the whole, different, potentially opposite, changes characterise the two states. A similar analysis of other psychotic features in Lewy body dementia and other disorders suggests that, in contrast to hallucinations, there may be more convincing parallels between dreaming and delusional states.

Comparable studies

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