Abstract Introduction The incidence of nightmares and dreams during clinically indicated polysomnography (PSG) is rarely reported. We sought to (1) describe the incidence of nightmares and dreams during PSG, (2) PSG characteristics of nightmares and dreams, and (3) identify clinical correlates. Methods Ninety-three patients undergoing an initial clinically indicated PSG had a post-PSG and...
PsychotherapyApril 27, 2023Patricia T. Spangler, Wonjin Sim
In this article, we describe methods for working with dreams and nightmares in individual psychotherapy, provide clinical examples, and review research evidence of immediate and distal outcomes of each method. An original meta-analysis of eight studies using the cognitive-experiential dream model with 514 clients showed moderate effect sizes for session depth and insight gains. In the nightmare...
BACKGROUND: As nightmares may be a risk factor for, or symptom of, multiple psychological disorders, some researchers suggest that nightmares should be screened, diagnosed, and treated. Treatments for nightmares include trauma-focused Cognitive Behavioural Therapy and Image Rehearsal Therapy, and pharmacological interventions such as prazosin and nitrazepam. As recent research has put into...
Nightmares are a very common experience in the general population, with approximately 35%– 45% of individuals experiencing at least one nightmare per month.1 Nightmare disorder, which is characterized by repeated nightmares causing significant distress or impairment, is less frequent but still common, affecting 2%– 8% of the general population.1 Nightmare disorders are highly comorbid with...
Dreams are often viewed as fascinating but irrelevant mental epihenomena of the sleeping mind with questionable functional relevance. Despite long hours of oneiric activity, and high individual differences in dream recall, dreams are lost into oblivion. Here, we conceptualize dreaming and dream amnesia as inherent aspects of the reactive and predictive homeostatic functions of sleep. Mental...
Improving motor performance without physical movements might seem counterintuitive, however, decades of research on mental practice have demonstrated its feasibility. The phenomenon of lucid dreaming – i.e. becoming aware of the current dream state during ongoing sleep – bears some resemblance to mental practice: behaviors such as motor tasks can be intentionally simulated with mental imagery....
Dreaming is often connected with religious ideas and enjoys distinct epistemic status as a source of trusted information for divinatory practices—oneiromancy. These tendencies suggest the existence of a distinct content affordance relevance for dream divination, hypothesized in the “CARDD theory.” CARDD theory predicts that dreams containing nightmarish and threatening content, omission of...
Epic dreaming is a type of disturbed dreaming described as experiencing daytime fatigue after dreaming all night. To investigate whether such phenomena is simply a vivid dream or more of a disturbing nightmare, we are going to look at the physiological and psychological aspect of epic dreaming patients along the behaviors of nightmares. By comparison, we see a similarity of inclination towards...
Nightmare disorder is characterized by dysfunctional emotion regulation and poor subjective sleep quality reflected in pathophysiological features such as abnormal arousal processes and sympathetic influences. Dysfunctional parasympathetic regulation, especially before and during rapid eye movement (REM) phases, is assumed to alter heart rate (HR) and its variability (HRV) of frequent nightmare...
Study objectives: This pilot study determined whether transdiagnostic cognitive behavioral therapy for parasomnias (CBTp) reduces parasomnia and activity levels during sleep in a sample of adult sleep clinic outpatients. A secondary objective was to assess whether treatment produces improvements in daytime fatigue/sleepiness, perceived cognition, mood, and depression/anxiety/stress, as well as...