The prediction of suicidal intent remains a clinical problem. This presentation illustrates that a distinction may be made between the manifest dream reports of patients who are potentially or acutely suicidal and those who are not. A review of the literature reveals that the manifest dream reports of clinically depressed, non-suicidal individuals differ from those who are depressed and acutely...
Shamanism is a worldwide social phenomenon consisting of a set of practices (e.g., ritualistic drumming, sensory deprivation, the ingestion of entheogens and dream incubation) designed to obtain knowledge from alternative realities for the purpose of benefiting one's social group. The aim of this paper is to provide a cross-cultural exploration of dreaming in the context of shamanism. We...
Abnormal arousal processes, sympathetic influences, as well as wake-like alpha activity during sleep were reported as pathophysiological features of Nightmare Disorder. We hypothesized that in Nightmare Disorder, wake-like cortical activity and peripheral measures linked to arousals would be triggered by physiological processes related to the initiation of REM periods. Therefore, we examined...
Study objectives: To characterize the clinical, polysomnographic and treatment responses of patients with disruptive nocturnal behaviors (DNB) and nightmares following traumatic experiences. Methods: A case series of four young male, active duty U.S. Army Soldiers who presented with DNB and trauma related nightmares. Patients underwent a clinical evaluation in a sleep medicine clinic, attended...
This article explores the notion that the brain is genetically endowed with an innate virtual reality generator that - through experience-dependent plasticity - becomes a generative or predictive model of the world. This model, which is most clearly revealed in rapid eye movement (REM) sleep dreaming, may provide the theater for conscious experience. Functional neuroimaging evidence for brain...
Nabilone is a synthetic cannabinoid that has shown promise for the treatment of posttraumatic stress disorder (PTSD)-related insomnia and nightmares as well as efficacy in the management of chronic pain. It has also been proposed for harm reduction in cannabis dependence. Its effectiveness for management of concurrent disorders in seriously mentally ill correctional populations has not been...
Relatively little is known about nightmares and other forms of disturbed dreaming in children. This article reviews the literature on the prevalence and correlates of nightmares in children and highlights key methodological issues in the field. Results show that regardless of how they are defined and measured, nightmares affect a significant proportion of children of all ages and there is some...
This investigation aimed to characterize the personality profile of dream-recallers using a psychometrically-validated measure of dream remembering (the MED-Q) (Horton & Conway, 2009), and considered these relationships in terms of confabulation: the tendency to confuse reality with imaginings and thus create false memories. In Experiment 1, 221 participants completed the MED-Q and a battery of...
This article demonstrates the use of a digital word search method designed to provide greater accuracy, objectivity, and speed in the study of dreams. A revised template of 40 word search categories, built into the website of the Sleep and Dream Database (SDDb), is applied to four "classic" sets of dreams: The male and female "Norm" dreams of Hall and Van de Castle (1966), the "Engine Man"...
September 30, 2014Wanzhen Chen, You Xu, Ming Zhu et al.
Background: Nightmare experience is associated with a broad spectrum of psychopathology, however, there lacks a structure-validated questionnaire to measure the effects of nightmare contents on the physical, psychological and behavioral aspects. Methods: Based on the clinical manifestation and previous documentation, we have designed a matrix of 95 items to measure the nightmare contents, plus...
August 7, 2014Habibolah Khazaie, M. Masoudi, Shahrzad Khoshbakht et al.
Objective: The aim of this study was assess the association between risk of sleep apnea and reported unpleasant dream content in healthy individual. Methods: In this prospective study, participants completed Berlin questionnaire (BQ) to assess their risk for sleep apnea and also, completed a self-report questionnaire that assessed unpleasant dream experiences over the past month including...
Chronic nightmares have a prevalence of 3 to 8% in the general population, but they seem not to play a relevant role in the health care system despite the existence of evidence-based treatments. The aim of this study was to identify nightmare-related knowledge, attitudes and coping approaches in the German mental health care system. A total of 219 health-care providers (primary care,...
This case example describes the use of Control-Mastery Theory and Jungian dream theory to interpret a Thai woman’s dreams and treat her nightmare disorder. We posit that therapy enabled the client to identify and challenge unconscious beliefs that had been preventing her from pursuing romantic relationships and ultimately life goals. The case illustrates dream interpretation as a...
Humans spend much of their time engaged in stimulus-independent thoughts, colloquially known as "daydreaming" or "mind-wandering." A fundamental question concerns how awake, spontaneous brain activity represents the ongoing cognition of daydreaming versus unconscious processes characterized as "intrinsic." Since daydreaming involves brief cognitive events that spontaneously fluctuate, we tested...
Dreaming is still poorly understood. Notably, its cerebral underpinning remains unclear. Neuropsychological studies have shown that lesions in the temporoparietal junction (TPJ) and/or the white matter of the medial prefrontal cortex (MPFC) lead to the global cessation of dream reports, suggesting that these regions of the default mode network have key roles in the dreaming process (forebrain...
The majority of women develop sleep impairments during pregnancy, but alterations in dream experiences remain poorly understood. This study aimed to assess prospectively and comparatively the recall of dreaming and of disturbed dreaming in late pregnancy. Fifty-seven nulliparous, third-trimester pregnant women (mean age±SD, 28.7±4.06 years) and 59 non-pregnant controls (mean age±SD, 26.8±4.21...
The neurophysiological correlates of dreaming remain unclear. According to the "arousal-retrieval" model, dream encoding depends on intrasleep wakefulness. Consistent with this model, subjects with high and low dream recall frequency (DRF) report differences in intrasleep awakenings. This suggests a possible neurophysiological trait difference between the 2 groups. To test this hypothesis, we...
In lucid dreams the dreamer is aware that he or she is dreaming. Although such dreams are not that uncommon, many aspects of lucid dream phenomenology are still unclear. An online survey was conducted to gather data about lucid dream origination, duration, active or passive participation in the dream, planned actions for lucid dreams, and other phenomenological aspects. Among the 684...
Interest in the treatment of nightmares has greatly increased over the last several years as research has demonstrated the clinical significance of nightmare disorder. This paper provides an overview of nightmare disorder, its clinical relevance, and the leading treatments that are available. In particular, the paper defines nightmare disorder and then summarize the recent literature examining...