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The Meaning of Dreams in the Psychotic State

Theoretical Considerations and Clinical Applications

Bibliographic Data

ID8972151
AuthorsPaola Capozzi (corresponding author), Franco De Masi, Francode Masi
Year2001
Volume82
Issue5
Pages933-952
Publication date2001-10-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueThe International Journal of Psychoanalysis (JOURNAL)
Journal identifiersISSN: 0020-7578 • E-ISSN: 1745-8315
PublisherTaylor & Francis (PUBLISHER • GB)
DOI10.1516/h4x5-52fm-8fwn-gq52
PMID11723959
OpenAlexW2150574800
LanguageEN
Citations received11
References cited6

The authors consider that the Freudian theory of dreams is not directly applicable to psychotic and borderline patients with their constantly varying states of mental integration. Because these patients' dreams lack associations, the usual psychoanalytic approach cannot be used to ascertain their meaning. After reviewing the literature on the specific quality of dreams in the psychotic state, the authors point out that such dreams have nothing to do with the metaphorical language of the dream work but instead express the concreteness of the hallucinatory construction. For this reason, a dream's meaning may fail to be understood by the patient even if it seems clear to an observer. Yet the analyst's reception of a 'psychotic dream' is a unique and essential source of valuable information on the manner of construction of the delusional system, allowing analytic work on the psychotic nucleus. In the authors' view, such dreams may help the analyst and the patient--while still lucid--to acquire insight, thus affording a stable foundation for emergence from psychosis. The paper includes some case histories, in one of which a psychotic female patient is enabled by work on dreams to reconstruct a psychotic episode and thereby to ward off an imminent fresh lapse into psychosis

Cognition · Cognitive psychology · Concreteness · Delusion · Dream · Epistemology · Freudian slip · Meaning (existential · Nothing · Psychiatry · Psychoanalysis · Psychoanalytic theory · Psychosis · Psychotherapist · Reality testing · Schizophrenia (object-oriented programming · Mental Health and Psychiatry · Philosophy · Psychoanalysis and Psychopathology Research · Psychology · Psychotherapy Techniques and Applications

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    Open Access•Heinz Weiß•The International Journal of…•2002

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  • The interpretation of dreams.

    Sigmund Freud, Joyce Crick et al.•The interpretation of dreams•1913

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    Open Access•Jean-Michel Quinodoz, Jean‐Michel Quinodoz•The International Journal of…•1999

  • The Unconsciousand Psychosis

    Open Access•Franco de•The International Journal of…•2000

  • Dreams and Psychosis

    Open Access•John E Mack•Journal of the American…•1969

Unique citing works11
Citations per year0,46
Citation span2002 - 2025 (24)
Citation velocityrecent
Highly citedNo
Citation typesNeutral: 11

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