Case report. The uncinate focus and dreaming.
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Biomedical subjects
Publications and source records attributed to A W Epstein.
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Dreaming may be altered by cerebral hemispheric disease. A woman who sustained a probable left posterior cerebral artery thrombosis, with right homonymous hemianopsia and alexia, had virtual cessation of dreaming for at least 9 months. Four individuals with temporal lobe epilepsy experienced recurrent painful (frightening) dreams, which in two patients showed features identical to seizures. Sleep recordings showed abnormalities in all four, including rhythmic temporal epileptiform activity during REM sleep. Lesions in parieto-occipital loci may interfere with production of the visual imagery required for dreaming (negative symptom in the Jacksonian sense) while epileptic activity in temporal loci may produce painful repetitive dream imagery (positive symptom).
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Direct observations of behavior evoked by a fetish object (wet shoe) in one patient are reported. The intrinsic qualities of an object endowing it with fetish power are reported. The intrinsic qualities of an object endowing it with fetish power are examined. Such qualities may be related to human perceptual preferences, a product of phylogeny, stemming from such factors as the primate interest in body parts and extracorporeal objects. The capicity to relate to an inanimate object including the assimilation of the object by variedmotor acts reflects the crucial role of objects (tools) in hominid evolution. Also phylogenetically based is the human capacity to assign mutiple meanings to an object.
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Studies of familial psychopathology, specifically of "imperative ideas and actions", indicate a frequent transgenerational occurrence. These affectively highly charged complexes (memories) are encoded, it is speculated, across generations by a genetic mechanism.