Abstract:
:Recent studies have shown that the ventral tegmental pathway stimulates both dreaming and drug craving. To investigate a possible clinical link between these two psychic phenomena, psychotherapy notes from the first six months of an addicted patient's treatment were reviewed, together with verbatim notes from the four years of psychoanalysis that followed. Of 240 dreams reported by the patient,58 had manifest content involving the seeking or using of drugs. There was no particular temporal or emotional thematic pattern to these "drug dreams,"which persisted through four and a half years of sobriety. Drug dreams are observable phenomena that reflect both the innate structure of the brain and neural changes produced by exposure to addictive drugs. In some addicted persons, exposure to drugs produces a fixed change in neurological functioning with which they must contend for years, possibly the rest of their lives. Drug craving meets Freud's defining characteristics for a drive: it is a constant pressure, originating from within the organism, to do work, and it constantly demands satisfaction. Because ego and libidinal drives share a common neural pathway, they should not be separated conceptually. Solms's finding (in press) that the activating systems for dreaming and for craving are identical, a finding based on observations of tumor- or stroke-provoked brain lesions, is confirmed by observation of the dreams of a patient whose brain changes were created by drug exposure. This study provides further evidence that the origin of the dream is a wish.
journal_name
J Am Psychoanal Assocjournal_title
Journal of the American Psychoanalytic Associationauthors
Johnson Bdoi
10.1177/00030651010490011101subject
Has Abstractpub_date
2001-01-01 00:00:00pages
75-96issue
1eissn
0003-0651issn
1941-2460journal_volume
49pub_type
杂志文章abstract::The author summarizes and develops some of her viewpoints on the perversions (outlined in several of the books and articles she has written). For her all the perversions, whatever their content, develop against an anal sadomasochistic backdrop. Their aim is to destroy reality. Reality, from a psychosexual perspective,...
journal_title:Journal of the American Psychoanalytic Association
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doi:10.1177/000306519103900205
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journal_title:Journal of the American Psychoanalytic Association
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doi:10.1177/000306518102900303
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journal_title:Journal of the American Psychoanalytic Association
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journal_title:Journal of the American Psychoanalytic Association
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journal_title:Journal of the American Psychoanalytic Association
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journal_title:Journal of the American Psychoanalytic Association
pub_type: 传,历史文章,杂志文章
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journal_title:Journal of the American Psychoanalytic Association
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journal_title:Journal of the American Psychoanalytic Association
pub_type: 传,历史文章,杂志文章
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journal_title:Journal of the American Psychoanalytic Association
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journal_title:Journal of the American Psychoanalytic Association
pub_type: 杂志文章
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pub_type: 传,历史文章,杂志文章
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