Using dreams in cognitive behavioral psychotherapy: Theory, method, and examples.

Dream analysis can be a fruitful complementary technique in cognitive–behavioral therapy, providing it is based on a theoretical conception of dreaming and an interpretation method that are both compatible with the principles and methodology of CBT. The present paper first presents some aspects of a cognitive conception of dreaming explaining the occurrence and specificities of dream representations by their production processes. The next section describes an interpretation method that gives the patients the opportunity to find some sources and meanings of their dreams. Finally examples are given of the different ways in which the result of a dream interpretation contributed to therapy. Thanks to their condensed and often exaggerated treatment of a theme, dreams often facilitate becoming aware of cognitive distortions and schemas and help to proceed to cognitive restructuring. They also give to the therapists an opportunity to underline the patient’s resources. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Review of The Mind at Night: The New Science of How and Why We Dream.

In this article I review "The Mind at Night: The New Science of How and Why We Dream," written by Andrea Rock. To begin with this book is an exciting journey through modern dream research. Scientific facts, which are skillfully explained, are complemented by personal accounts of well-known researchers in the field obtained through interviews. The diversity of the themes addressed in the book (e.g., sleep and memory, animal research, imaging studies, dream content analysis, consciousness research, creativity, and lucid dreaming) clearly shows the extensive "detective work" the author has accomplished. The major problem I had--as a researcher in this field--was the structure, or the lack of structure, within the book. Because of the way the book is organized, I decided to structure this review along the following themes: REM sleep, REM sleep and dreaming, biology of dreaming, dream content findings, and the integration of dream research into cognitive neuroscience in general. Despite the lack of structure of the book, Andrea Rock has written a wonderful book about modern dream research that is stimulating for researchers as well as for interested lay persons. I recommend it to everyone who is interested in dream research, the old question of the mind-body relationship, or understanding consciousness in general. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Gender differences in dreams: Applications to dream work with male clients.

Differences between the dreams of men and women have been a topic of interest and research in the field of dream science. This article focuses on three such gender differences in dreaming, namely, dream recall frequency, sex of dream character and dream aggression. For each gender difference, a review of literature is presented, along with a discussion of possible causes for the difference between genders. In addition, suggestions are made for applications to clinical practice with a focus on gender-specific dream work strategies for work with male clients. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Review of The dream experience: A systematic exploration..

Reviews the book, The dream experience: A systematic exploration by Milton Kramer (see record 2007-01084-000). This book was written by an exceptional scientist and clinician and is based on 46 years of productive work in the field of dream research and sleep medicine. Milton Kramer presents some preliminary data about two patterns that describe changes in dream content over one night: the progressive-sequential dream pattern and the repetitive-traumatic dream pattern, each illustrated with an example. The first pattern reflects some kind of progression reflecting a successful coping with the problem of the first dream. The second pattern repeats one topic but without introducing successful coping strategies. Milton Kramer's book is a comprehensive overview of dream research over the last 50 years and I recommend it to anyone who is interested in pursuing this field of research. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Comparative efficacy and acceptability of psychotherapies for depression in children and adolescents: A systematic review and network meta‐analysis

Previous meta-analyses of psychotherapies for child and adolescent depression were limited because of the small number of trials with direct comparisons between two treatments. A network meta-analysis, a novel approach that integrates direct and indirect evidence from randomized controlled studies, was undertaken to investigate the comparative efficacy and acceptability of psychotherapies for depression in children and adolescents. Systematic searches resulted in 52 studies (total N=3805) of nine psychotherapies and four control conditions. We assessed the efficacy at post-treatment and at follow-up, as well as the acceptability (all-cause discontinuation) of psychotherapies and control conditions. At post-treatment, only interpersonal therapy (IPT) and cognitive-behavioral therapy (CBT) were significantly more effective than most control conditions (standardized mean differences, SMDs ranged from −0.47 to −0.96). Also, IPT and CBT were more beneficial than play therapy. Only psychodynamic therapy and play therapy were not significantly superior to waitlist. At follow-up, IPT and CBT were significantly more effective than most control conditions (SMDs ranged from −0.26 to −1.05), although only IPT retained this superiority at both short-term and long-term follow-up. In addition, IPT and CBT were more beneficial than problem-solving therapy. Waitlist was significantly inferior to other control conditions. With regard to acceptability, IPT and problem-solving therapy had significantly fewer all-cause discontinuations than cognitive therapy and CBT (ORs ranged from 0.06 to 0.33). These data suggest that IPT and CBT should be considered as the best available psychotherapies for depression in children and adolescents. However, several alternative psychotherapies are understudied in this age group. Waitlist may inflate the effect of psychotherapies, so that psychological placebo or treatment-as-usual may be preferable as a control condition in psychotherapy trials.     

Working with Dreams in Psychotherapy: The Therapists' Perspective

129 therapists completed a 70-item questionnaire about working with dreams in psychotherapy. Almost all therapists (92%) worked with dreams in psychotherapy at least occasionally. Therapists reported that 15% of clients had brought dreams into therapy during the past year. Therapists engaged more in exploratory than insight- or action-oriented activities when working with dreams. They were more likely to work on dreams with clients who had troubling dreams or who were interested in working on dreams, but were unlikely to work on dreams with schizophrenic or psychotic clients. Those clinicians who were more likely to work with dreams had more training, higher estimated dream recall, more positive attitudes toward dreams, and did more personal dream work than clinicians who were not likely to work with dreams.     

Client Reactions to Working With Dreams in Psychotherapy.

A questionnaire about working with dreams was given to 95 clients in ongoing psychotherapy. Results indicated that clients who discussed dreams in therapy (68%) had more positive attitudes toward dreams, higher dream recall, and more therapist encouragement for talking about dreams than clients who did not. Clients reported that therapists used more exploratory than insight or action dream-related activities. The outcome of the dream session was positively related to the therapists' encouragement of dream work and dream-related activities used. Clients who had not discussed dreams in therapy indicated that they had not because there was not enough time in sessions to work on dreams or it had never occurred to them to talk about their dreams in therapy. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Children's Dreams and Nightmares: Emerging Trends in Research.

New manifest content analysis research on children's dreams and nightmares provides insights into how dreaming reveals developmental changes over time. Five culturally diverse research studies were conducted with varied methods for dream collection that included laboratory-collected dreams, as well as written journals, audiotaped dreams, and retrospectively recalled dreams. As children grow older, they are more able to recall dreams, dream narratives increase in length, and dreams are characterized by decreasing levels of passive victimization and have more elaborate character interactions. Age and gender differences in recall, interactions, and gender of dream characters indicate that dream research is a fertile area for studying child development and the changing function of dreams over time. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Explaining the gender difference in dream recall frequency.

A recent meta-analysis showed a substantial and robust gender difference in dream recall frequency of medium effect size, that is, women tend to recall their dreams more often than men. The question arises as to what factors might explain this difference. Two previous studies indicate that interest in dreams plays an important role. The present study found a significant effect of frequency of nocturnal awakenings and interest in dreams on the gender difference in dream recall frequency. In addition, neuroticism and depressive mood were associated with the gender difference on the aspects of a dream recall scale and interest in dreams. Longitudinal studies are necessary to validate the present findings, especially regarding their causality. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Interest in dream interpretation: A gender difference.

Although several studies reported a significant effect with regard to the gender difference in an interest in dreams, the generalizability of these studies is limited because mainly students were recruited as participants. In this study, gender differences with regard to interest in dream interpretation as an indicator of interest in dreams in general have been demonstrated in a representative sample. There was, however, a significant age-gender interaction, indicating that interest in dreams might not be a potent variable for explaining gender differences in dream recall. In future studies, the course of interest in dreams over the life span and any associated gender differences should be investigated using carefully designed scales. (PsycINFO Database Record (c) 2010 APA, all rights reserved)