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[Is awakening only a dream?]

M Grosclaude1

  • 1Laboratoire EPPM (Equipe Psychologie Clinique Psychopathologie, Milieu Médical, Université Louis Pasteur, Strasbourg.

Agressologie: Revue Internationale De Physio-Biologie Et De Pharmacologie Appliquees Aux Effets De L'Agression
|January 1, 1993
PubMed
Summary

Patients frequently describe intensive care and coma experiences as "dreams." This research explores whether this subjective "dream" perception aligns with clinical terms like delirium or signifies a distinct psychical experience during awakening, impacting therapeutic approaches.

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Area of Science:

  • Neurology
  • Psychiatry
  • Critical Care Medicine

Context:

  • Patients in intensive care units (ICUs) and those recovering from coma often report their experiences as dream-like.
  • This subjective description is frequently noted in clinical research and patient narratives.

Purpose:

  • To investigate the nature of the patient's reported
  • dream
  • experience during intensive care and coma.
  • To determine if this subjective experience corresponds to established clinical states such as delirium, confusion, or onirism.
  • To explore the hypothesis that these experiences represent a unique psychical state.

Summary:

  • The study examines the common patient assertion that intensive care and coma experiences are like dreams.
  • It questions whether this subjective report aligns with objective clinical descriptors (onirism, confusion, delirium) or represents a distinct psychical phenomenon.
  • The author proposes a hypothesis regarding this unique psychical status and its implications.

Impact:

  • Understanding the subjective experience of intensive care and coma can refine diagnostic criteria for altered mental states.
  • This research may lead to improved therapeutic strategies tailored to the specific psychical experiences of patients.
  • Findings could enhance patient care and communication by bridging the gap between subjective patient reports and clinical observation.

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