E. Hartmann, NIGHTMARE AFTER TRAUMA AS PARADIGM FOR ALL DREAMS - A NEW APPROACH TOTHE NATURE AND FUNCTIONS OF DREAMING, Psychiatry, 61(3), 1998, pp. 223-238
NIGHTMARES, far from being unsuccessful dreams or exceptions to rules
about dreams, can be considered paradigms for all dreaming. They allow
us to follow exactly how a disturbance or perturbation is handled by
the processing systems in our minds. The data considered here consists
of dream series in the weeks and months immediately following trauma
in adults-in other words, nightmares and dreams occurring as the traum
a resolves. It appears the traumatized person may dream first about th
e actual trauma (though not always), then, very quickly, the dreams ap
pear to deal with the dominant emotion. Dreams of being overwhelmed by
a tidal wave or being swept up by a whirlwind are common after almost
any trauma. Clearly, such dreams are not about the sensory input from
the actual trauma. Rather, the dreams are about the dominant emotion.
The dreams contextualize (find a picture context for) the emotional c
oncern. After trauma, the dominant emotion is usually first terror and
fear, then often followed by guilt (such as survivor guilt). This too
is pictured in the dream series. The same pattern of contextualizing
an emotional concern can be seen in stressful situations, in pregnancy
, or in patients whose lives are dominated by one emotion. This patter
n is paradigmatic for all dreams, but it may be difficult to detect in
''ordinary'' dreams, because there may be a number of other relativel
y smaller emotional concerns present, as opposed to the one clear-cut
dominant one (as after trauma). A theory of dreaming is sketched out b
ased on these data which suggests that overall dreaming makes connecti
ons more broadly than waking in the nets of the mind, and that the con
nections are not made randomly but guided by the dreamer's emotional c
oncerns. It is also suggested that the making of connections may be fu
nctional for the organism in the sense of ''weaving in,'' or integrati
ng, new material.