Working With Dreams in Group Counseling: Advantages and Challenges

Various challenges exist in the use of dreams in group counseling. Obscure and complex dream symbols and images, intricacies of the dream interpretation process, and a lack of counselor training in dreams are among the restrictions that limit the application of dreams in groups. At the same time, dreams constitute a universal human experience that is intriguing and compelling. Dreams offer a potential in group counseling for advancing the understanding of group members, promoting cohesiveness among group participants, and stimulating therapeutic group-member interactions.     

Are delusional contents replayed during dreams?

The relationship between dream content and waking life experiences remains difficult to decipher. However, some neurobiological findings suggest that dreaming can, at least in part, be considered epiphenomenal to ongoing memory consolidation processes in sleep. Both abnormalities in sleep architecture and impairment in memory consolidation mechanisms are thought to be involved in the development of psychosis. The objective of this study was to assess the continuity between delusional contents and dreams in acutely psychotic patients. Ten patients with a single fixed and recurring delusional content were asked to report their dreams during an acute psychotic break. Sixteen judges with four different levels of acquaintance to the specific content of the patients’ delusions were asked to group the dreams, expecting that fragments of the delusional thought would guide the task. A mathematical index (f, t) was developed in order to compare correct groupings between the four groups of judges. Most judges grouped the dreams slightly above chance level and no relevant differences could be found between the four groups [F(3, 12) = 1.297; p = n.s.]. Scoring of dreams for specific delusional themes suggested a continuity in terms of dream and waking mentation for two contents (Grandiosity and Religion). These findings seem to suggest that at least some delusional contents recur within patients’ dreams. Future studies will need to determine whether such continuity reflects ongoing consolidation processes that are relevant to current theories of delusion formation and stabilization.     

Linking psychological need experiences to daily and recurring dreams

The satisfaction of individuals’ psychological needs for autonomy, competence, and relatedness, as conceived from a self-determination theory perspective, is said to be conducive to personal growth and well-being. What has been unexamined is whether psychological need-based experiences, either their satisfaction or frustration, manifests in people’s self-reported dream themes as well as their emotional interpretation of their dreams. A cross-sectional study (N?=?200; M age?=?21.09) focusing on individuals’ recurrent dreams and a three-day diary study (N?=?110; M age?=?25.09) focusing on daily dreams indicated that individuals experiencing psychological need frustration, either more enduringly or on a day-to-day basis, reported more negative dream themes and interpreted their dreams more negatively. The contribution of psychological need satisfaction was more modest, although it related to more positive interpretation of dreams. The discussion focuses on the role of dreams in the processing and integration of psychological need-frustrating experiences.     

Self-reported effects of dreams on waking-life creativity: an empirical study

The authors studied the self-rated effect of dreams on creativity in participants who were not selected for creative abilities. Students (N = 444) and online respondents (N = 636) answered a questionnaire about dreams and creative dreams. In addition, the students completed several personality measures and creativity scales. Results indicated that dreams that stimulated waking-life creativity played a considerable role in the lives of ordinary people (about 8% of all dreams). Examples reported by the online participants fell into 4 categories: (a) dream images used for art, work, or similar areas; (b) dreams that solved a problem; (c) dreams that provided the impetus to do something that the dreamer otherwise had difficulty doing; and (d) dreams containing emotional insights. The main factors influencing frequency of creative dreams were dream recall frequency and the thin boundaries personality dimension. Future researchers should use diary techniques to study the effects of dreams on waking life and should develop techniques to increase the frequency of creative dreams that might be valuable as aids for people in creative jobs.     

Will students pass a competitive exam that they failed in their dreams?

We tested whether dreams can anticipate a stressful exam and how failure/success in dreams affect next-day performance. We collected information on students’ dreams during the night preceding the medical school entrance exam. Demographic, academic, sleep and dream characteristics were compared to the students’ grades on the exam. Of the 719 respondents to the questionnaire (of 2324 total students), 60.4% dreamt of the exam during the night preceding it. Problems with the exam appeared in 78% of dreams and primarily involved being late and forgetting answers. Reporting a dream about the exam on the pre-exam night was associated with better performance on the exam (p = .01). The frequency of dreams concerning the exam during the first term predicted proportionally higher performance on the exam (R = 0.1, p = .01). These results suggest that the negative anticipation of a stressful event in dreams is common and that this episodic simulation provides a cognitive gain.     

Dream appreciation group: A model of stress prevention for medical students

This paper describes a pilot study in stress prevention for medical students, utilizing Montegue Ullman's process in a dream appreciation group. Relevant literature on the use of dreams in a group is reviewed. In this model, group dynamics and interaction are not analyzed, rather the dream holds center stage. The technique of working with dreams in a group is described, and selected vignettes are presented to document the process. This study suggests that in the presence of a supportive group atmosphere, unconscious conflicts can be alleviated or resolved so as to enhance medical students' evolving personal and professional identity.This paper is based on a presentation at the thirty-first winter meeting of the American Academy of Psychoanalysis, Scottsdale, Arizona, December 11, 1987.     

The Ego in Love and Sexuality by Edrita Fried

This paper presents a rationale and step-by-step procedure for the interpretation of dreams in a specifically dream-oriented group. Traditionally, dreams have been used across a broad spectrum of approaches to individual psychotherapy. As group methods have evolved, the group context has emerged as a particularly favorable medium for the analysts of dreams. Adherence to the Jungian approach to dream interpretation, together with theoretical insights from dream and imagery research, group research, and behavior modification form the basis of this four-step dream group model. This systematized procedure has utility for the training of professionals in basic psychodynamic dream work, for psychotherapeutic practice, and for research into the efficacy of the model.     

Dreaming under fire: the psyche in times of continuous stress

Continuous stress and trauma are manifested in dreams, the study of which can expand our knowledge concerning unconscious reactions to trauma and efforts of coping with continuous traumatic situations. In our research we asked people living under continuous threat of rocket attacks to record their dreams and their associations to them during four consecutive weeks. We collected 609 dreams from 44 women and 18 men (age range 14-62). The dreams submitted were analysed according to the Jungian approach in the light of the information and associations presented by the subjects. Full dream series of dreamers from each group were analysed in an attempt to capture the depth-psychological experience of living and dreaming under fire. The most frequent themes found were: ‘concrete vs. symbolic', ‘togetherness', ‘active ego', ‘fear and anxiety', ‘shadow' and ‘personal issue'. The subjects were divided into three age groups. Differences between the occurrences of themes were examined. On the unconscious level our results showed that the adolescents group seemed to be the most vulnerable to the stress situation (preponderance of concrete dreams), the mature adults group was the least influenced by it (preponderance of symbolic dreams and of the ‘personal issue' theme) and the young adults group made the greatest psychological efforts for coping (preponderance of ‘active ego' theme). We noted few anima figures appearing in the men's dreams, while animus figures appeared in the women's dreams. In another study undertaken immediately after one of the recent wars in Gaza we collected dreams of Israelis living in the south of Israel who were under heavy daily rocket attacks, and dreams of Palestinians living in the West Bank. The most significant difference we found between the groups was a preponderance of symbolic dreams among the Palestinians, as opposed to a preponderance of concrete trauma dreams among the Israeli group living on the Gaza border. In both groups we found archetypal symbols of evil. In conclusion, dreams can help us detect emotional distress, even when subjects seem ‘ok'. Early detection and working with dreams can help prevent the severity of delayed PTSD.     

Dreams,Katharsis and Anxiety

Over the centuries, the importance and the nature of the relationship of “inside” and “outside” in human experience have shifted, with consequences for notions of mind and body. This paper begins with dreams and healing in the Asklepian tradition. It continues with Aristotle’s notions of psuche and how these influenced his conception of katharsis and tragedy. Jumping then to the 17th century, we will consider Descartes’ focus on dreams in his theories of thinking. Finally, we will turn explicitly to Freud’s use of dreams in relation to his theories of anxiety, of psychic processes and of the Oedipus Complex.     

Using dream interpretation to resolve group developmental impasses

This paper focuses on the use of dream interpretation in psychoanalytic group psychotherapy. One of the goals of the paper is to demonstrate that the kinds of dreams, manifestly about the group, offered at various points in the life history of the group, are influenced by, and, in turn, influence developmental phases in group. Dream interpretation also helps the therapist to identify emerging developmental themes in the group-as-a-whole as well as illuminate developmental impasses and resistances of the group. The second goal of this paper is to demonstrate how interpretations of these dreams can help lessen resistance and help the group to resolve the impasse. The paper first reviews some basic principles and approaches to dream interpretation in a group setting and then elucidates typical phases in group development. Two extended case examples are presented to illustrate how dream interpretation may be utilized to help the group move beyond the impasse.     

Inducing lucid dreams by olfactory-cued reactivation of reality testing during early-morning sleep: A proof of concept

The reliable induction of lucid dreams is a challenge in lucid dream research. In a previous study by our research group we were able to induce in about 50% of the participants a lucid dream in a single sleep laboratory night by combining a wake-up-back-to-bed sleep protocol and a mnemonic technique. In the present study, we extended our previous procedure by additional presentation of an odor during sleep to reactivate memory traces about reality testing. In total 16 male participants spent a single night in the sleep lab whereas the procedure induced in two participants a lucid dream (12.5%). The induction rate stays below the success rate of our previous study and therefore odor-cueing seems not a promising technique for inducing lucid dreams. Beside the odor presentation, several other methodological changes have been made, which will be discussed and hopefully help further dream engineering to improve induction techniques.     

Social contents in dreams: An empirical test of the Social Simulation Theory

Social Simulation Theory (SST) considers the function of dreaming to be the simulation of social events. The Sociality Bias and the Strengthening hypotheses of SST were tested. Social Content Scale (SCS) was developed to quantify social events. Additionally, we attempted to replicate a previous finding (McNamara et al., 2005, Psychological Science) of REM dreams as predisposed to aggressive, and NREM dreams to prosocial interactions.Further, we investigated the frequency and quality of interactions in late vs early REM and NREM dreams. Data consisted of wake, REM and NREM home dream reports (N = 232, 116, 116, respectively) from 15 students. Dreams overrepresented social events compared to wake reports, supporting the Sociality Bias hypothesis. However, the Strengthening Hypothesis was not supported. We weren’t able to replicate the McNamara et al. finding, and no time of night effect was found. While SST gained partial support, further research on social contents in dreams is required.     

Adventure in Psychiatry by Denis V. Martin: Milieu Therapy in Schizophrenia by Kenneth L. Artiss

Dream work in therapeutic environments is reviewed, exploring the benefits and limitations of dreams. The application of dreams to groups and the impact of the work on group process and interaction is discussed. The integration of dream-work models within various group psychotherapeutic approaches is examined. A meta-classification of dream work concludes the review.     

Dreaming during a pandemic: Low incorporation of COVID-19-specific themes and lucidity in dreams of psychiatric patients and healthy controls

The present study examined the impact of the COVID-19 pandemic on the emotional quality of dreams, the incorporation of pandemic-related themes, and the occurrence of lucid dreaming. Dream reports and lucidity ratings of psychiatric outpatients (n = 30) and healthy controls (n = 81) during two lockdowns in Germany were compared to those of healthy controls (n = 33) before the pandemic. Results confirmed previous reports that pandemic-specific themes were incorporated into dreams. Overall, however, incorporation into dreams was rare. Contrary to expectations, psychiatric outpatients did not differ from controls in the frequency of dream incorporation of pandemic-related content. Moreover, incorporation was independent of psychiatric symptoms and loneliness. Loneliness was, however, associated with threat-related content, suggesting that it represents a risk for bad dreams but not for crisis-specific dream incorporation. Regarding lucid dreaming, both groups had similar scores for its underlying core dimensions, i.e., insight, control, and dissociation, during the two lockdowns. Scores for control and dissociation but not insight were lower compared to the pre-pandemic sample. Our working hypothesis is that REM sleep during lockdowns intensified as a means of increased emotional consolidation, rendering the associated mental state less hybrid and thereby less lucid.     

God Talks to Me in My Dreams: The occurrence and significance of children's dreams about God

This paper is a summary of research into 9-11 year old's dreams about God. It is a qualitative study of three schools. The research shows that dreaming about God is not uncommon amongst this age group, and is not restricted to believers. The divine dreams are often quite different in essence to ordinary dreams and play a significant role in the spiritual and/or religious lives of the dreamer. A fear of ridicule from peers, and of dismissal from adults in many cases forces the child to keep their dreams and other spiritual experiences within, but a need to share was evident. The number of boys reporting divine dreams was significantly lower compared to girls indicating a possible gender issue which teachers need to be aware of. The subject provides a powerful key to unlock the door to children's expression of their inner world.     

Comparison of “rap” groups with traditional group therapy in the treatment of Vietnam combat veterans

An estimated 500,000–700,000 veterans suffer from posttraumatic stress disorder characterized by mental flashbacks of the war, recurrent dreams of the trauma, repetitive, intrusive thoughts of the war, irritability, generalized anxiety and difficulty relating to others. For many years, these individuals went undiagnosed and, except for rap groups, untreated. The rap groups were formed to talk about the war in a general debriefing process during the early 1970s. Rap groups failed to focus on the individual pathology, but, instead, provided a forum to refashion value and meaning in the veterans' lives. Recently, more traditional forms of group therapy have been used to help treat individuals suffering from posttraumatic stress disorder secondary to the Vietnam war. This paper discusses the unique features of traditional group therapy with Vietnam veterans.     

On the analysis of defenses in dreams

This paper deals with a particular analytic approach to the clinical use of dreams: the analysis of defenses in dreams. Clinical vignettes are used to demonstrate various ways that defenses can be depicted in dreams and the manner in which the patient's attention may be drawn to those defenses. Dreams can offer an especially vivid view of defenses and hence can heighten patients' emotional conviction about the nature of their conflicts.     

Dreams: Fifty Years and Counting

I have been following my dreams since I was a child. Jung says that a single dream may give the dreamer a lot of information; however, a series of dreams over time will show where the dreamer needs to do additional work, where and how the dreamer's life may be headed, and how the dreamer is dealing with this knowledge that comes from a realm of wisdom that is both numinous and mysterious. In my life, spirit has become a profound partner by pointing me in directions that were not conscious to me. I have had a wonderful opportunity to work with a fellow dream worker for the past ten years. We use active imagination and amplification until the meaning of the dream becomes clearer. Often our dreams produce parallel images, feelings, and actions, which to my eye confirms the deeper psychic connection we all have with one another. I have used images to capture the impact of the dreams on my psyche, and poetry to confirm and augment the deeper level of wisdom that unfolds in our dreams. Dream interpretation can only encourage dreamers to allow themselves to become comfortable with working with their dream material, but does not necessarily show them the final answers.     

Oneiric activity and the analytical process A semiotic perspective on Willy Baranger's theory of dreams1

This author reconsiders, from a semiotic perspective, the theoretical and technical ideas developed by Willy and Madeleine Baranger, especially W. Baranger's views on the function of dreams, the status of oneiric symbols and the further clinical‐technical use of dreams in the context of the intersubjective dynamic fi eld, together with the basic unconscious fantasy that emerges in the analytic situation. She attempts to relate the Barangers' ideas to others arising from Peirce's analytic semiotics that would support a triadic conceptualization of dreams. The need to incorporate a pragmatic view of communication and of the processes of production of sense as contributions to dream metapsychology and interpretation in the case of non‐neurotic patients is particularly emphasized. On the basis of the hypothesis of a described series of triads underlying the production and retelling of dreams, the acknowledgment of these produced/told dreams as intentional signs allows the presence of a continuous process of semiosis to be proposed. The author introduces clinical material to illustrate the communicative value of dreams through the textual analysis of the report and accompanying associations of three dreams. Such analysis takes a linguistic pragmatics approach that examines those aspects of meaning not accounted for by a restricted semantic theory.     

Medical student dreams about medical school: The unconscious developmental process of becoming a physician

This paper is a report on a collection of almost four hundred dreams of medical students and postgraduate trainees with the manifest content about medical training. It is a unique dream collection from a defined population that experiences a developmental sequence of observable, reality events. The reality events appear in the manifest content of the dreams along with their symbolic alterations. The dreams are used as a psychodynamic database. The data may illustrate which reality experiences seem psychologically formative, their emotional developmental sequences and their specific emotional content. This is a pilot project exploring whether dream material collected from a discrete task group might give information about a group's emotional adaptation. The dreams seem to show an unconscious developmental process in response to medical training and becoming a physician that unfolds in overlapping stages as trainees learn to master skills and tolerate care-giving responsibility for human life. A progressive, unconscious hero-healer fantasy seems to form. It becomes elaborated in masochistic and then sadistic fantasies. These fantasies are evoked by, and used as a defense against, inevitable but painful anxieties of emotional adaptation to medical education experiences.