Insight and dissociation in lucid dreaming and psychosis

  • Dreams and psychosis share several important features regarding symptoms and underlying neurobiology, which is helpful in constructing a testable model of, for example, schizophrenia and delirium. The purpose of the present communication is to discuss two major concepts in dreaming and psychosis that have received much attention in the recent literature: insight and dissociation. Both phenomena are considered functions of higher order consciousness because they involve metacognition in the form of reflective thought and attempted control of negative emotional impact. Insight in dreams is a core criterion for lucid dreams. Lucid dreams are usually accompanied by attempts to control the dream plot and dissociative elements akin to depersonalization and derealization. These concepts are also relevant in psychotic illness. Whereas insightfulness can be considered innocuous in lucid dreaming and even advantageous in psychosis, the concept of dissociation is still unresolved. The present review compares correlates and functions of insight and dissociation in lucid dreaming and psychosis. This is helpful in understanding the two concepts with regard to psychological function as well as neurophysiology.

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Author:Ursula Voss, Armando D’Agostino, Luca Kolibius, Ansgar Klimke, Silvio Scarone, J. Allan Hobson
Pubmed Id:
Parent Title (English):Frontiers in psychology
Publisher:Frontiers Research Foundation
Place of publication:Lausanne
Contributor(s):Sascha-Michael Benjamin Fink
Document Type:Article
Year of Completion:2018
Date of first Publication:2018/11/12
Publishing Institution:Universitätsbibliothek Johann Christian Senckenberg
Release Date:2018/12/27
Tag:EEG; REM sleep; affective disorder; consciousness; delirium; dreaming; lucid dreaming; psychosis
Issue:Art. 2164
Page Number:9
First Page:1
Last Page:9
Copyright © 2018 Voss, D’Agostino, Kolibius, Klimke, Scarone and Hobson. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
Institutes:Psychologie und Sportwissenschaften / Psychologie
Dewey Decimal Classification:1 Philosophie und Psychologie / 15 Psychologie / 150 Psychologie
Open-Access-Publikationsfonds:Psychologie und Sportwissenschaften
Licence (German):License LogoCreative Commons - Namensnennung 4.0