Nightmares, Bad Dreams, and Emotion Dysregulation: A Review and New Neurocognitive Model of Dreaming

ABSTRACT— Nightmares—vivid, emotionally dysphoric dreams—are quite common and are associated with a broad range of psychiatric conditions. However, the origin of such dreams remains largely unexplained, and there have been no attempts to reconcile repetitive traumatic nightmares with nontraumatic nightmares, dysphoric dreams that do not awaken the dreamer, or with more normative dreams. Based on recent research in cognitive neuroscience, sleep physiology, fear conditioning, and emotional-memory regulation, we propose a multilevel neurocognitive model that unites waking and sleeping as a conceptual framework for understanding a wide spectrum of disturbed dreaming. We propose that normal dreaming serves a fear-extinction function and that nightmares reflect failures in emotion regulation. We further suggest that nightmares occur as a result of two processes that we term affect load—a consequence of daily variations in emotional pressures—and affect distress—a disposition to experience events with high levels of negative emotional reactivity.     

The Mindbrain and Dreams: An Exploration of Dreaming,Thinking, and Artistic Creation,by Mark J. Blechner,Routledge, Abingdon and New York, 2018, 343 pp.

The American Journal of Psychoanalysis -     

Psychoanalytic Education,Vol. V. Science and Psychoanalysis Edited by Jules H. Masserman

This article uses a psychoanalytic ego-psychological framework to examine the regression experienced by an individual group member and the defenses mobilized to counter it, focusing in particular on the defensive functions of constituting leadership somewhere in the group. The leader, regarded as an internal object in the member's object world, is hypothesized to be a combination of projected and personified part-objects and at the same time an integrating whole object. Various phenomena of group life are discussed from this viewpoint, notably the lability of the relationship with the leader, the externalization of various endopsychic regulations, and the conditions supporting the defensive utility of the leader for the group member. The foundation for the emergence of social roles and consensual perception of the group and its leadership becomes apparent. A strictly intrapsychic view is maintained throughout.     

Psychoanalysis and Neuroscience in Dialogue: Commentary on Paper by Arnold H. Modell

Arnold H. Modell has been engaged in an ongoing effort to advance psychoanalysis as well as to integrate psychoanalytic theory and relevant domains of science, particularly neuroscience, with psychoanalytic practice. He has been articulating a biology and construction of meaning and the role of metaphor as he attempts to understand the relationship between mind and brain. Modell strives to understanding how “matter becomes imagination,” as well as the relationship between the first-person psychological unconscious and the third-person neurophysiological unconscious. The latter, according to Modell, is interpreted by a personal “autobiographical self” and given meaning. This discussion of Modell's theories will include historical and contemporary attempts to understand how “matter becomes imagination.” Although there is a growing neuroscience research base for articulating the reverse, i. e., “how imagination becomes matter,” the present author will focus on the project Modell h as placed before himself and his audience. The role of consciousness in the brain-mind interface, mirror neuron systems and intersubjectivity will be discussed. Clinically, the role of trauma's effects on memory and metaphor as well as the defensive functions of non-relatedness and counter-dependency will be examined within the wider context of the very rich and subjectively meaningful journey of matter becoming imagination.     

Psychoanalysis and University in Brazil: Possibilities and Limits of This Articulation

The goal of this article is to clarify some of the aspects concerning the academic teaching and research that is carried out in the field of psychoanalysis in the Brazilian Universities, versus the transmission and training in psychoanalytic institutions. The author describes how psychoanalysis is present in the Brazilian university context, from undergraduate to graduate studies, and also points out perspectives regarding the future of psychoanalysis in Brazil.     

Psychoanalysis and the Education of the Child by Gerald H. J. Pearson

A conceptualization is presented which encourages a renewed exploration of the way in which psychiatric patients discuss their medications in the group therapy setting. It is suggested that process-oriented group therapiststend to harbor subtle prejudices which may inhibit examination of this material. If we listen to medication-related discourse more carefully, we find that patients disclose important information about hopes and fears about treatment, self-efficacy, attitudes about control and authority, and other sensitive or disowned parts of experience. The process of interactions about medicines often reveals interpersonal difficulties, particularly around intimacy. Suggestions for intervening more effectively with this type of material are presented. The importance of medication attributions in revealing curative fantasies is discussed.