The psychoanalytic process: recurrent patterns of conflict and changes in ego functions.
Explore the source record for details and available documents.
Adaptation, Psychological↗
SEARCH · Search PubMed
Results for “DREAM complex”
Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.
Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.
The differentiation of an androgynous imago.
Global phobic-obsessive states accompanied by androgynous images broke, with treatment, into alternating phobic and obsessive phases characterized by paternal images in the former and maternal images in the latter. The dynamics of the phobic states related to the patient's wish for and dread of the paternal phallus, complicated by the father's death during a transitional anal period. The dynamics of the obsessive states were related to wishes and fears of destructiveness of or by the maternal insides. The maternal insides were also experienced as both dangerous and life-giving to the father. As the patient worked through her paternal and maternal fantasies, especially in the transference, her fears of the outside world (the father) and her need to control the insides of her home (the mother) markedly diminished. Active and passive-responsive tendencies bound up and distorted in her obsessive and phobic states were able to undergo fuller differentiation and development with regard to both the internal maternal and paternal objects and the ego's modes of relating to them.
Adult↗
Integration of environment and disease into 'omics' analysis.
Over the last decade, 'omics' technologies have been heralded as 'dream toolboxes' that will make revolutionary changes in disease prevention and treatment possible. However, these expectations have yet to be fulfilled. These promises were made and prospects predicted without full appreciation of the intrinsic complexity of common diseases and the significant contribution of environmental factors to disease risk and causation, which have hardly been considered in the omic approaches. The concept of gene-environment interaction, as well as the limitations, difficulties and urgent need to integrate environment into omics analysis are reviewed and discussed.
Delivery of Health Care↗
Psychological aspects of Shakespeare's tempest.
Explore the source record for details and available documents.
Dreams↗
Father and daughter: historical identification, present attachments and the question of passionate involvement.
An extended case description is used to illustrate and explore the notion that some children can identify with parental historical experiences as a defense against oedipal passions and mature involvement. Emphasis is placed on the nature and sequelae of a father-daughter relationship, as a function of the father's Holocaust experiences where he passed as a Christian and his post Holocaust experiences with a daughter born to him after the war. The value of adding analytic group therapy to individual analytic work is also discussed in terms of its significance as a potential activator of otherwise latent material that may lay dormant in the dyadic setting.
Adult↗
[An oneiroid experience during severe acute polyradiculoneuritis].
This study is to present a psychopathological analysis of complex hallucinatory symptoms--without consciousness breaking up in confusional state--occurring in patients with acute Guillain-Barré's syndrome diagnosis requiring neurological intensive care. Finally the patients experience an unitary and closed situation "close to dream without being dream". This experience is corresponding to the semeiology of the "oneiroid experience" (Mayer-Gross, 1924). The "oneiroid experience" appears to be of syndromic nature independent of any etiological and/or nosological classification. But its conceptualization does probably need widening: the oneiroid world appears to be a creation of a primitive function which inserts us in the world before any science or verification.
Acute Disease↗
Lights and lattices and where they are seen.
The article discusses characteristics of internal visual images and is based on personal observations of lucid dream and hypnopompic phenomena. In the context of lucid dreaming there sometimes occur persisting bright lights that do not behave like ordinary dream images. These phenomena appear as areas of light, peripheral light, disks of light, sun-like concentrations of light, and fullness of light. These luminous phenomena remain in a fixed location in my view in spite of any dreamed body movement, may appear in different dreams in the same locations, are not truly representational, and appear to be unrelated to other dream images, visual or otherwise. These stable intense lights remain in a fixed location in relation to an area defined by keeping the head still and moving the eyes. This area is the space that is filled at times by scannable hypnopompic geometrical patterns or scannable hypnagogic complex images. Although space-filling patterns look like they extend like a dome over the eyes, a close examination shows that they have a two-dimensional flatness that reaches over the entire scannable area. The observation of these patterns as flat becomes understandable when we think of the internal image as having no distance or separation from the seeing of the image, that is, as being experienced face on at every point. The flatness of the hypnopompic pattern implies the flatness of all internal images. The experiences translates the flat image to external positions around the eyes. This translation is explained.
Dreams↗
Memory failures, dream illusions and mental malfunction.
Dreams are widely believed to be produced as the brain's memory circuits are reinforced during sleep by self-generated brain waves. Reinforcement maintains synaptic strengths in the 'dedicated' ranges that support circuit functions. Without these activations, turnover of molecules essential for synaptic function would lead to deleterious alterations in, and eventual loss of, memories. The pathological processes underlying many mental disorders appear to exert their deleterious influences by inducing abnormalities in brain waves, largely in slow waves of less than about 14 cycles/s. The pathologically altered slow waves, in turn, cause long-lasting weakening or dysfunction of synapses of affected circuits, frequently resulting in mental disorders and deviant sleep. These abnormalities can be remediated for varying periods by therapies that restore normal brain waves. With many trillions of synapses between billions of neurons in enormously complex circuits needing reinforcement during sleep, the process is susceptible to failures. As a result, some synapses 'normally' weaken or become dysfunctional, accumulating to the greatest extent in old memory circuits. Activation of resulting incompetent circuits during waking may lead to hallucinations and delusions; activation during sleep may lead to dreams with bizarre, incoherent or impossible contents.
Cerebral Cortex↗
The dream of consensus: finding common ground in a bioethical context.
Consensus is the holy grail of bioethics, the lynch pin of the assumption that well informed, well intentioned people may reach generally acceptable positions on ethically contentious issues. It has been especially important in bioethics, where advancing technology has assured an increasing field of complex medical dilemmas. This paper results on the use of a multicriterion decision making system (MCDM) analyzing group process in an attempt to better define hospital policy. In a pilot program at The Hospital for Sick Children, Toronto, a series of small scale focus groups was constituted to examine criteria defining organ transplant eligibility. Criteria were organized hierarchically using the Analytic Hierarchy Process, an MCDM approach, and the resulting data was analyzed using Expert Choice 9.0, software designed to facilitate AHP analysis. Qualitative and quantitative analysis map barriers to practical consensus in a way not previously possible.
Child↗
Unconscious identification fantasies and family prehistory.
Discovery of the fact that a subject identifies in an obvious way with another is at first only the awareness of a present process: involuntary mimesis, obedience to early 'identifying designations' or simple imitation deliberately carried out. Much psychic work remains to be done before we can think of such phenomena as 'screen-identifications'. The psychoanalytic interpretation of these dynamic formations will lead to the resolution of genuine 'identification complexes' through the reconstruction of scenarios which I have named 'unconscious identification fantasies'. These fantasies stage characters from the infantile prehistory and family saga of a subject who may be compelled to live out in his behaviour, symptoms, dreams, or even sometimes delusions, episodes pertaining to the past existence of the 'ego's visitors' linked to the most archaic processes that constitute the personality.
Adult↗
The influence of Cervantes on the future creator of psychoanalysis.
Our work is intended to recreate the origins of the 'future creator of psychoanalysis'. Cervantes had a decisive influence on Freud. Don Quixote occupied a central place during a period which we consider to be crucial in the creation of psychoanalysis; we refer to the summer of 1883 during which Freud confessed to Martha that he had become more interested in this book than in brain anatomy. In this work, Cervantes delves in-depth into problems which he had set out in The Colloquy of the Dogs, read by Freud in his adolescence when he was learning Spanish and which confronted some of the great psychoanalytic themes such as reality-fantasy, language, instinct and reason, traumatic situations, 'family romance', etc. These themes appear in a psychoanalytically structured dialogue in which one of the dogs, Berganza, tells his life story (in the form of catharsis) to the other dog, Cipión, with whom Freud identified himself. Basically, it is the psychotherapeutic model that Freud used with his own hysterical patients. Another dialogue which was essential for Freud was that of Don Quixote and Sancho Panza, due to the following major reasons (as well as others): For the clear discrimination between reality and fantasy as well as their interplay. Because madness is presented as a complex phenomenon, but intelligible in terms of human motives. For the penetrating description of the transition in Don Quixote from mania to depression. Because at that moment of his life, Freud himself was living through a personal conflict between his dreams of carrying out some scientific feat and the demands of attending to his mundane necessities.
Austria↗
The cognitive neuroscience of sleep: neuronal systems, consciousness and learning.
Sleep can be addressed across the entire hierarchy of biological organization. We discuss neuronal-network and regional forebrain activity during sleep, and its consequences for consciousness and cognition. Complex interactions in thalamocortical circuits maintain the electroencephalographic oscillations of non-rapid eye movement (NREM) sleep. Functional neuroimaging affords views of the human brain in both NREM and REM sleep, and has informed new concepts of the neural basis of dreaming during REM sleep -- a state that is characterized by illogic, hallucinosis and emotionality compared with waking. Replay of waking neuronal activity during sleep in the rodent hippocampus and in functional images of human brains indicates possible roles for sleep in neuroplasticity. Different forms and stages of learning and memory might benefit from different stages of sleep and be subserved by different forebrain regions.
Animals↗
Freud's father conflict: the history of a dynamic.
Explore the source record for details and available documents.
Attitude to Death↗
Alpha power modulation during periods with rapid oculomotor activity in human REM sleep.
Alpha activity attenuation (blocking) over occipital regions is an electrophysiological index of cortical activation associated with visual attention and waking mental imagery. The present work focused on exploring whether the human REM background alpha activity was modulated, attending to tonic- (without rapid oculomotor activity) and phasic-REM periods (with a prominent burst of REMs). The obtained results revealed that the background alpha activity showed a decreased spectral power over occipital brain regions during phasic-REM in comparison with tonic-REM periods. This result suggests an active visual processing caused by the complex mental imagery generated during periods of oculomotor activity in human REM sleep.
Adult↗
Assessment and follow-up in psychoanalysis.
Explore the source record for details and available documents.
Adult↗
Complex hallucinatory state occurring postsurgery: a case report.
A patient had unpleasant complex hallucinatory activity beginning 36 h postsurgery that lasted 48 h. Closing the eyes precipitated a flood of visual imagery that immediately roused the patient and prevented sleep. The imagery was predominantly visual, but there were auditory and narrative components suggesting a relationship to dreaming. An electroencephalogram showed that the hallucinatory activity was related to a recurring sequence of drowsiness, a few vertex slow waves, a myoclonic jerk, and arousal. Morphine was a prime suspect as the causative agent. The basic disturbance probably lay in the sleep-dream system. The syndrome has not been fully defined in the past.
Aged↗
Temporal lobe epilepsy, sleep and arousal: stereo-EEG findings.
By means of combined surface and depth EEG recordings (32 channels) and split-screen video-monitoring (infra red light), complete all-night sleep studies were carried out in drug-resistant epileptics suffering from complex partial seizures. These data were supplemented by (1) all-night sleep recordings from three patients who had chronically implanted electrodes in the periaqueductal grey matter because of severe pain problems, and (2) incomplete sleep recordings (day-time or only partial night) from other drug-resistant epileptics, who underwent chronic stereo-electroencephalographic (SEEG) examination in view of the surgical therapy. The following questions of importance were studied and the results were compared between different patient groups. 1. Relationship between overt clinical seizures or subclinical seizure discharges and the time course of night sleep. 2. Topic behavior of the epileptogenic area and different propagation phenomena of interictal spikes and ictal seizure discharges in different sleep stages. 3. Influence of arousal on the average spike incidence of any location with special attention to the different (slow and fast) components of the K-complex and their association with spiky elements, thus testing the hypothesis that the K-complex might serve as a vehicle for the seizure discharge. 4. Incidence and time-relationship of seizure discharges with clinical overt awakenings.
Adult↗
Computerization of a diagnostic imaging department: a way of managing the health care complexity.
Today, while the potentialities for communication networks and an increasingly sophisticated and widespread technology, have made social participation in the planet's events (global village) simultaneous, at the same time the human language is undergoing an ever increasing fragmentation and differences are not communicable. In medicine, the impossible communication of fragmentation has created a gap between society and science, health care service and patients, primary people's needs and superspecializations etc., that cannot be bridged. In this alarming situation, which poses economic, ethical and philosophical problems, difficulties in the organization and management have become even more pressing in an economic and administrative system which requires effectiveness and efficiency of the health care system. Departmental automation, in our case of the department of "Diagnostic imaging" and of the hospital system as a whole, may supply an adequate tool to "users-operators-administrators" for the management of the patient and of his/her illness through the integration and correlation between information, complementary resources, interaction between health operators and administrators. Diagnostic imaging is undoubtedly a complex and important crossroads for the patient and for the disease and computerization can markedly contribute in terms of "service efficiency", "intervention effectiveness" "quality assurance". In health care services, especially in a university setting, "information and knowledge packages" for education and research should be available. This "feasible dream" can come true only if dreamt by all. This means that operators responsible for the patient and the illness must be involved in a radical change of environment and behavior.
Humans↗