Maladaptive daydreaming: Evidence for an under-researched mental health disorder

This study explores the recently described phenomenon of Maladaptive Daydreaming (MD) and attempts to enhance the understanding of its features. It documents the experiences of 340 self-identified maladaptive daydreamers who spend excessive amounts of time engaged in mental fantasy worlds, in comparison to 107 controls. Our sample included a total of 447 individuals, aged 13–78, from 45 countries who responded to online announcements. Participants answered quantitative and qualitative questions about their daydreaming habits and completed seven questionnaires assessing mental health symptoms. Findings demonstrated that MD differs significantly from normative daydreaming in terms of quantity, content, experience, controllability, distress, and interference with life functioning. Results also demonstrated that Maladaptive Daydreamers endorsed significantly higher rates of attention deficit, obsessive compulsive and dissociation symptoms than controls. In sum, findings suggested that MD represents an under-acknowledged clinical phenomenon that causes distress, hinders life functioning and requires more scientific and clinical attention.     

Helping the heart grow fonder during absence: Daydreaming about significant others replenishes connectedness after induced loneliness

People are known to engage in behaviours aimed at replenishing social connectedness after their sense of belonging is threatened. We explored whether the mental strategy of daydreaming about significant others could have similar effects by acting as an imaginary substitute when loved ones are unavailable. Following a loneliness induction, participants (N = 126) were asked to either daydream about a significant other, daydream about a non-social scenario or complete a control task. Social daydreamers showed significantly increased feelings of connection, love and belonging compared to non-social daydreamers and control participants. Consistent with the proposition that social daydreaming replenished connectedness, social daydreamers also behaved more pro-socially and expressed less of a desire to interact with others after daydreaming. These findings demonstrate that through imagination, social daydreaming can replenish connectedness providing a potential strategy for enhancing socio-emotional well-being.     

Daydreaming and curiosity: stability and change in gifted children and adolescents

Developmental differences in daydreaming and curiosity based on cross-sectional data have been reported, but longitudinal data are lacking. Patterns of longitudinal stability and change in two intellectual styles, daydreaming and curiosity, in gifted children and adolescents are described in this paper. Seventy-four intellectually gifted children attended a special program during two consecutive summers. Self-reports of their frequency of and attitudes toward daydreaming and two measures of their curiosity were obtained each year. The findings suggest a pattern of both change and stability in intellectual styles over time. Measures which tap the content of daydreams changed over time, but measures of process or ways of relating to the environment, such as curiosity and frequency of daydreaming, were fairly stable.     

Daydreaming to navigate the social world: What we know,what we don't know,and why it matters

A substantial portion of daily life is spent daydreaming—that is, engaged in thought independent of, and unrelated to, goals in the external environment. We argue that this naturally occurring, unconstrained cognition is a vital, but currently underappreciated, form of social cognition that enables navigation of the social world. First, we present the results of a meta‐analysis of neuroimaging studies which illustrate the shared neural basis of daydreaming and social cognition (including regions of the anterior temporal lobes and the posterior cingulate cortex). Second, we review evidence regarding the frequency, correlates, and adaptive outcomes of social daydreaming, cumulative findings that point to the adaptive value of imaging others during this offline state. We end by encouraging cross‐fertilization between daydreaming research and domains of social psychology (goal pursuit, social interactions, and close relationships), which we hope will foster mutually beneficial directions for understanding the role that unconstrained thinking plays in social life.     

Hysterectomy and autonomy

Hysterectomy (or hysterectomy with oophorectomy) is the most frequently performed major surgery in the United States, affecting approximately 700,000 women each year (Easterday, 1983). There has long been interest in the psychological effects of these surgeries. However, apart from the concern that some hysterectomies may be unnecessary (Pearse, 1976), there has been little attention to bioethical issues relating to hysterectomy. Physicians and nurses are ethically obligated to respect the woman who may have a hysterectomy by treating her as an autonomous agent. Informed consent within the context of a decision for hysterectomy should include balanced information and supportive exploration of the woman's values, goals, and life plan. Care of the patient should assist her adjustment, thereby also promoting her autonomy. Physician attitudes toward hysterectomy and the hysterectomy patient can have a major influence on patient self-determination.     

Development and validation of the Maladaptive Daydreaming Scale (MDS)

This study describes the development of the Maladaptive Daydreaming Scale (MDS), a 14-item self-report instrument designed to gauge abnormal fantasizing. Our sample consisted of 447 English-speaking individuals from 45 different countries. A 3-correlated-factors model best presented the underlying dimensions Yearning, Kinesthesia and Impairment, capturing related rewarding experiences as well as psychological impairment of maladaptive daydreaming. MDS scores were associated with obsessive–compulsive behavior and thoughts, dissociative absorption, attention deficit, and high sense of presence during daydreaming, but less with psychotic symptoms. The MDS and its subscale demonstrated good validity, sound internal consistency and temporal stability and discriminated well between self-identified individuals with and without maladaptive daydreaming. Considering the instrument’s high sensitivity and specificity levels, it seems an excellent measure for future investigation of MD that will, hopefully, shed light on the etiology and psycho-biological mechanisms involved in this mental condition, as well as on the development of effective MD treatment methods.     

The Analyst’s Bodily Sensations as Important Information in Clinical Work

ABSTRACT

Analysts use many different methods and therapeutic tools to understand the associations and struggles of their patients. This article suggests that, in addition to other matters we pay attention to for this purpose, it is useful for analysts to also pay attention to physical sensations that they might experience either during a session, or at other times when they are thinking about their work with the patient. I believe that the analyst’s solid familiarity with her own life history and conflicts, helps the analyst understand why her body experienced particular sensations when it did, and what, if anything, this adds to her understanding of her patient. Such understanding can then be shared with the patient, to deepen and enhance the analytic work. I also caution against a casual misuse of such a process.     

How daydreaming relates to life satisfaction, loneliness, and social support: the importance of gender and daydream content

Daydreaming appears to have a complex relationship with life satisfaction and happiness. Here we demonstrate that the facets of daydreaming that predict life satisfaction differ between men and women (Study 1; N=421), that the content of daydreams tends to be social others (Study 2; N=17,556), and that who we daydream about influences the relation between daydreaming and happiness variables like life satisfaction, loneliness, and perceived social support (Study 3; N=361). Specifically, daydreaming about people not close to us predicts more loneliness and less perceived social support, whereas daydreaming about close others predicts greater life satisfaction. Importantly, these patterns hold even when actual social network depth and breadth are statistically controlled, although these associations tend to be small in magnitude. Individual differences and the content of daydreams are thus important to consider when examining how happiness relates to spontaneous thoughts.     

The daydreamer: Exploring the personality underpinnings of daydreaming styles and their implications for well-being

In the present research, we looked at how positive-constructive daydreaming, guilty-dysphoric daydreaming, and poor attentional control associate with both broad (i.e., openness to experience) and specific (i.e., introspection) personality traits. A second aim was to determine how daydreaming styles were associated with psychological well-being. Across four studies, 1081 undergraduate (studies 1, 2, and 4) and MTurk (study 3) participants completed online questionnaires. A fixed-effect meta-analysis revealed that introspection was a significant predictor of both positive and negative daydreaming styles, but not a consistent predictor of poor attentional control. Positive-constructive daydreaming was more strongly associated with personal growth, purpose in life, and positive affect; guilty-dysphoric daydreaming was associated with depressive symptoms, negative affect, and lower psychological well-being, while poor attentional control was associated with lower positive well-being. Although correlational, these results demonstrate the usefulness of examining the experience and content of recurrent daydreaming and mind-wandering styles to further understand well-being.     

On the alleged memory-undermining effects of daydreaming

In three experiments, we examined the memory-undermining effects of daydreaming for (un)related stimuli. In Experiments 1 and 2, we tested whether daydreaming fosters forgetting of semantically interrelated material and hence, catalyzes false memory production. In Experiment 3, we examined the memory effects of different daydreaming instructions. In Experiment 1, daydreaming did not undermine correct recall of semantically interrelated words, nor did it affect false memories. In Experiment 2, we again failed to find that daydreaming exerted memory-undermining effects a. In Experiment 3, no memory effects were obtained using different daydreaming instructions. Together, our studies fail to show appreciable memory-undermining effects of daydreaming.     

The frequency of involuntary autobiographical memories and future thoughts in relation to daydreaming,emotional distress,and age

We introduce a new scale, the Involuntary Autobiographical Memory Inventory (IAMI), for measuring the frequency of involuntary autobiographical memories and involuntary future thoughts. Using the scale in relation to other psychometric and demographic measures provided three important, novel findings. First, the frequency of involuntary and voluntary memories and future thoughts are similarly related to general measures of emotional distress. This challenges the idea that the involuntary mode is uniquely associated with emotional distress. Second, the frequency of involuntary autobiographical remembering does not decline with age, whereas measures of daydreaming, suppression of unwanted thoughts and dissociative experiences all do. Thus, involuntary autobiographical remembering relates differently to aging than daydreaming and other forms of spontaneous and uncontrollable thoughts. Third, unlike involuntary autobiographical remembering, the frequency of future thoughts does decrease with age. This finding underscores the need for examining past and future mental time travel in relation to aging and life span development.     

Acquired dyslexia in Spanish: a review and some observations on a new case of deep dyslexia

Readers and writers of Spanish use an orthography that is highly transparent. It has been proposed that readers of Spanish can rely on grapheme-phoneme correspondences, alone, to access meaning or phonology from print. In recent years, a number of case studies have yielded evidence inconsistent with this idea. We review these studies with particular focus on those that report evidence for reading based on direct lexical mappings between print, orthographic representations, and meaning or phonology. We report a new case of acquired literacy impairment in Spanish, MJ, who presents a pattern of preserved abilities and deficits symptomatic of deep dyslexia. The patient is unable to read nonwords, but can read a substantial number of words. Her reading is characterized by the production of semantic, visual, and derivational errors. We argue that MJ has a deficit in her lexical selection ability, common to both her reading and her naming problems. We propose that MJ, and the other cases we review, demonstrate that lexical reading is adopted by skilled readers even in a transparent language.     

Dissociation and self-awareness in directed daydreaming

Self-awareness, as the ability to be the observer of one's own cognitive. affective, and volitional states, was explored in directed daydreaming. Self-awareness of varying complexity and depth was found in the dissociated ego states, which were experienced as relatively discontinuous with each other in space and time, and discontinuous with the subjects' usual experience of a cohesive self. An extreme expression of shallow self-awareness was found for a few subjects who reported a fantasy with no experience of a self. The most elaborate form of self-awareness, coconsciousness , was found for the majority of subjects in the two-ego state group, where both of their ego states were associated with an identity feeling, and where one ego state evidenced full awareness of the thoughts and feelings of the other state. Coconsciousness was found to be a prerequisite for deep self-awareness in directed daydreaming.     

The symbolic and concrete: Psychotic adolescents in psychoanalytic psychotherapy

Unique disturbances in symbolisation are characteristic of the pathology of schizophrenia. Drawing on the case vignette of a psychotic adolescent, the author discusses theoretical problems in the symbolisation process in general and then in psychosis, in particular the relation between 'concretism' as a thought disorder and other psychotic defences. The ability to symbolise on the one hand and to maintain sufficiently stable ego boundaries on the other hand are examined in their relation. The author's clinical experience supports her hypothesis that there is a close relationship between the impairment of the symbolisation process in the adolescent or adult psychotic patient and his/her inability to engage in symbolic play as a child. Special attention is paid to the role of early trauma and consequent pathology of object relations for disturbances of symbolic play in childhood. Regression to concrete thinking is understood as the chance of the psychotic patient to give some meaning to reality in an unreal, delusional world and as his/her last chance to communicate at all. Conclusions are drawn for psychoanalytic techniques in the treatment of patients who are deeply regressed in this respect. Special attention is given to the particular circumstances and challenges of adolescence and to providing psychoanalytic psychotherapy to adolescent psychotic patients.     

Sexual fantasizing in males and females

Sexual fantasizing during intercourse, masturbation, and nonsexual activity was examined in 30 males and 30 females, American students at Tel-Aviv University. Each subject responded individually to questionnaires involving general background information, sexual activity, daydreaming frequency and attitudes toward daydreaming, and a sexual fantasy scale. The results indicated that virtually no man or woman denied having sexual fantasies. Any observable sex differences were in kind rather than amount of fantasy. Women had more submission fantasies, whereas men reported more performance fantasies. This difference was interpreted as reflecting social sexual stereotypes. In support of a cognitive skill model, it was found that sexual fantasizing proliferates along with increases in both sexual and daydreaming experience. Sexual passivity was related to a greater degree of fantasizing during sex. On the whole, the findings suggest that sexual fantasizing is a universal occurrence which in itself is not necessarily related to psychopathology.     

Mentally ill or mentally handicapped? A longitudinal study of severe learning disorder

SUMMARY

In the course of some eighteen months of psychoanalytic psychotherapy, a young woman of twenty-seven once deemed braindamaged at the age of seven years, has shown herself capable of sustaining once weekly psychotherapy. Against all expectations she has taken responsibility for her own attendance, travelling by public transport alone to her sessions. She has also taken initiatives in relation to finding work for herself.

Psychotherapy has disclosed a significant component of autism in the personality which is resorted to regularly and which seems to drag the patient into a passive acceptance of half-life which she tries not to mind. In the course of her sessions the patient has come to take more notice of her predicament and to mind more about the dissatisfactions which she experiences.

The case presented here is considered to have the characteristics of a particular group of adolescents. These are often described as “just slow” and are brought for psychiatric or psychological attention by desperate parents urgently concerned about the working future of their children.

These are individuals of whom the original definition of mental handicap contained in the Mental Health Act 1913 “a state of arrested or incomplete development of mind” would seem to offer as honest, appropriate and meaningful an assessment as the formal I.Q. score introduced in 1959. Unlike the latter, it is an assessment based on a concept of mental development. Assessment by I.Q. score has led to emphasis on training to compensate for the supposed loss of functioning and also to notions like “training for development” and “education from birth”.

In the case described here it was the abandonment of training aims and approaches which produced a dramatic improvement in the well-being of the patient and her family. Treatment is now fostering the potential in this woman to bring her own mind into action and to support in her, her own wish for personal development.     

Digital daydreaming: Introducing the spontaneous smartphone checking scale

Smartphones are a ubiquitous part of many people's lives, but little is known about their impact on everyday thought processes. Here we introduce the spontaneous smartphone checking scale (SSCS)—which measures the tendency to direct attention toward one's smartphone, unpreceded by external prompts (e.g., notifications, or alerts) and with no specific conscious goal in mind, as a parallel to mind-wandering directed toward internal thoughts. The SSCS showed good psychometric properties and construct validity. It separated from measures of daydreaming and mind-wandering by not loading on dimensions related to self-consciousness, reflection, and rumination, but instead loading highly on a factor associated with other aspects of digital communication and concerns about public appearance on social media. This suggests that spontaneous smartphone checking serves different mental and social functions than internally generated spontaneous thought processes. We discuss possible long-term effects of spontaneous smartphone checking taking up time for internally generated spontaneous thoughts.     

Cognitive and personality characteristics of worriers

Worriers and nonworriers from a college population were compared on the Imaginal Processing Inventory, the Self-Consciousness scale, and the Sandler-Hazari Obsessionality Inventory. Subjects from both groups also engaged in either brief relaxing or stressful imagery. Before the imagery task, measures of cognitive activity were obtained from periods of relaxed wakefulness, focused attention and anagram performance. After the imagery task, focused attention and anagrams measures were repeated. Worriers reported a more negative daydreaming style, greater difficulty with attentional control, and greater obsessional symptoms, public self-consciousness and social anxiety. On thought sampling measures obtained during relaxed wakefulness periods and rated by objective judges, and on self-report measures obtained during the focused attention task, worriers evidenced significantly more negatively affect-laden cognitive intrusions. No differences were found on anagram performance, and imagery condition did not influence any measure, suggesting that instructed fear images are insufficient to initiate worrisome episodes.     

Seeing without the occipito-parietal cortex: Simultagnosia as a shrinkage of the attentional visual field

Following bi-parietal lesions patient AT showed a severe inability to relocate her attention within a visual field which perimetry proved to be near-normal. An experimental approach with tasks testing visuo-spatial attention demonstrated a shrinkage of A.T.'s attentional visual field. With her visual attention narrowed to a kind of functional tunnel vision, the patient exhibited simultanagnosia (Wolpert, 1924), a symptom previously described in 1909 by Balint under the label of Psychic paralysis of "Gaze". In striking contrast AT showed an efficient and effortless perception of complex natural scenes, which, according to recent work in normal subjects, necessitate few if any attentional resources.     

Positive and negative mind wandering: an assessment of their relationship with mindfulness and metacognition in university students / Divagación mental positiva y negativa: evaluando su relación con la atención plena y la metacognición en estudiantes universitarios

Abstract

This article reports the results of an initial study whose purpose was to create a mind wandering scale in Spanish through documenting evidence of its validity. Then, it presents the results of a second study that develops correlation and regression analysis on the relationship between positive and negative mind wandering, mindfulness, metacognition and frequency of daydreaming. Positive mind wandering has a positive correlation with all the mindfulness facets and metacognition scales, with the exception of the Academic Difficulties scale. Negative mind wandering has a negative correlation with all the mindfulness facets and metacognition scales, with two exceptions: Observing, which is uncorrelated with Negative Mind Wandering, and Academic Difficulties, which correlates positively. Likewise, the study allowed a preliminary identification of how positive and negative mind wandering — as well as facets of mindfulness — predict different metacognition scales. Upon examination of interaction effects, three significant — negative — effects were detected between positive mind wandering and the frequency of daydreaming when predicting (i) Independent Thinking, (ii) Academic Self-efficacy and (iii) Metacognitive Strategies. This suggests that, for these three response variables, the positive effects associated with positive mind wandering decrease as the frequency of daydreaming increases.