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Dream Content Study in Chronic Schizophrenics and Normals by RE MP-A wakening Technique

Teruo Ōkuma, Yuzuru Sunami, Etsuo Fukuma, 博之 吉留, Mitsuo Motoiku

Psychiatry and Clinical Neurosciences September 1, 1970 DOI: 10.1111/j.1440-1819.1970.tb01470.x (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Observational comparison study Peer reviewed
Sample size 55
Population 21 schizophrenic patients and 34 normal subjects
Topics Dreaming
Citations 12
Key findings Schizophrenic participants showed longer dream-reporting latency, shorter spontaneous reports, more needed examiner questions, lower next-morning recall, and shorter narratives with fewer clauses than normal subjects. Their dreams less often were coherent, complex, or bizarre, more often contained color, featured family members more and friends less, and included more unpleasant emotions. The authors suggest these dream features reflect the inner experiences of schizophrenics.

Abstract

There has been a relatively few studies on the dreams of psychotic patients though the new technique of studying dreams during the rapid eye movement period of sleep (REMP) has been established in these 10 years. The present study was performed on 21 schizophrenics and 34 normal subjects to investigate the nature of content of dreams collected by using the technique of awakening the subject during REMP. In schizophrenic subjects, the latency of dream reporting was longer, the length of time of the spontaneous dream reporting was shorter and a larger number of examiner's supplementary questions was necessary than in normal subjects. The rate of dream recall in the next morning was lower in schizophrenics. Analysis of the sentence of the dream narratives revealed that, in schizophrenic subjects, the number of words as well as conceptual elements (clauses) in a spontaneously reported dream narrative was much smaller than that of normal subjects. As to the nature of the dream content in schizophrenic subjects, the incidences of coherent dream, complex dream, and dreams with bizarre elements were lower than those of normal subjects. The incidence of dream with color was higher in the schizophrenic subjects. There was no significant difference in the incidence of experimental elements in the dream content between schizophrenics and normal subjects. No significant difference was found in the number of characters per dream in schizophrenics and normals except for the lower incidence of a crowd of people in the former. As to the type of character in the dream, the incidence of family members was higher and that of friends lower in schizophrenics. The incidence of pleasant emotion in the dream was similar in normal and schizophrenics, whereas those of unpleasant feelings such as sadness, anger, fear and anxiety were higher in schizophrenics. As to the interpersonal emotional relationships in the dream, the tendency that the male dreamer was aggressive to male and friendly to female characters whereas the female dreamer was aggressive to male and aggressive as well as friendly to female characters, was observed in both normal and schizophrenic subjects. It was suggested that the features of dream reporting and dream content in the schizophrenic subjects seemed to reflect fairly accurately the characteristics of the inner experiences of schizophrenics.

Comparable studies

Other observational and cohort studies on dreaming, most cited first.

Study Year Design Participants
Lucid Dreaming: a State of Consciousness with Features of Both Waking and Non-Lucid Dreaming Student volunteers trained to become lucid and signal lucidity with horizontal eye... 2009 Observational study n = 6
Nightmare Prevalence, Nightmare Distress, and Self-Reported Psychological Disturbance Young adults with a mean age of 20 years 2002 Prospective observational study n = 116
Long-term effects of extreme situational stress on sleep and dreaming Survivors of traumatic events who complained of sleep disturbances, compared with... 1987 Case-control study n = 11
The relationship of nightmare frequency and nightmare distress to well‐being Adults who reported dreams 2004 Observational cohort n = 147
The prevalence of nightmares and their independence from anxiety. Undergraduates 1990 Observational study using daily dream logs n = 220

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