Posted in
Posted in

Dreams as Healing: The Remarkable Resilience Afforded by the Dreams of Ukrainian Refugee Women

Polish researcher finds that our dreams can provide psychological support when we need it most.

When Russia invaded Ukraine in February 2022, it triggered one of Europe’s largest refugee movements in recent history. Among the millions who fled, countless women carried not just hastily packed belongings, but profound psychological wounds from witnessing war’s devastation. Yet in this darkness, an unexpected source of healing emerged: their dreams.

A recent qualitative study reveals how many of these women’s nighttime experiences became powerful tools for processing trauma and building resilience. Dr. Wojciech Owczarski of the University of Gdansk conducted interviews with 50 Ukrainian refugee women in Poland, documenting over 200 of their dreams. The findings offer new insights into the remarkable capacity for self-healing that those in the most traumatic situations are able to access through their dreams.

While most of the women reported nightmarish dreams that reflected the devastation of their war experiences, the majority (60%) also reported having positive dreams that led them to be more hopeful. In all, 23% of the reported dreams were considered adaptive or helpful to the dreamer in some way.

 

The Science Behind Healing Dreams

Previous dream research suggests that our minds use dreams to regulate emotions through “hyper-connectivity” – a process of weaving traumatic experiences into the broader tapestry of our memories to help process difficult events. However, Owczarski’s research revealed a more nuanced and multifaceted healing process at work.

The study identified five distinct categories of healing dreams among Ukrainian refugees:

  1. Dreams of Return: Many women experienced dreams of being back in Ukraine or reuniting with loved ones. One participant shared, “I often dream about my home in Ukraine. There are my husband, our friends and neighbors with me… After waking up I am calm and happy that at least in a dream I could be at home.”
  2. Pleasant Dreams: Some women reported vivid, sensory dreams filled with joy, delight and a sense of power. A particularly striking account came from a woman who dreamed she was a panther: “I ran with such a specific animal step. It was wonderful, I felt strength, power and lightness. After waking up, I felt a surge of energy and great joy.”
  3. Metaphorical Dreams: These dreams often contained powerful symbolic imagery that offered hope and meaning. One woman described dreaming of a bombed city where “small flowers started to grow from the ashes.” She understood immediately that this represented life’s persistence even in destruction.
  4. Good Omen Dreams: Some women found comfort in dreams they interpreted as positive signs for the future, often based on personal or cultural dream symbolism.
  5. Problem-Solving Dreams: These dreams helped women make difficult decisions about their new lives, such as whether to settle permanently in Poland or plan for eventual return to Ukraine.

A Deeper Understanding of Trauma and Resilience

Perhaps the study’s most striking finding was that the most traumatized women reported beneficial dreams more frequently than others. Among those diagnosed with PTSD and experiencing severe symptoms, 83% reported having adaptive dreams, compared to just 43% among less traumatized refugees. This suggests that our dreams may provide additional psychological support when we need it most.

Cultural and Clinical Implications

The research has important implications for both trauma treatment and our understanding of dream function. While traditional therapy often focuses on processing trauma during waking hours, these findings suggest that dreams play a key role in emotional healing. The study also highlights the importance of considering cultural context in trauma treatment, as many women found meaning in their dreams through both personal and cultural interpretations.

One particularly moving example illustrates this healing process. Three days after arriving in Poland, a woman dreamed of her grandfather who had died before the war. In her dream, he appeared young and vibrant, simply hugging her and smiling without words. She woke feeling deeply peaceful and optimistic, the dream serving as a bridge between past security and future hope.

This research opens new avenues for understanding both trauma recovery and the function of dreams. As we continue supporting Ukrainian refugees and others affected by conflict, incorporating these insights into trauma treatment could enhance healing approaches. It might prompt trauma therapists to inquire more often into clients’ dream lives. The study found that even in our most vulnerable moments, our dreams often point us toward healing and integration.

References

 Owczarski, W. (2025). Adaptive effects of the dreams of Ukrainian female refugees to Poland after February 24, 2022: Some remarks on the emotion-regulation theories of dreaming. International Journal of Dream Research, XX(X), 1-10.

#UkrainianRefugees #DreamResearch #TraumaHealing #Resilience #Psychology #MentalHealth

Have you ever experienced dreams that helped you process difficult experiences? How do you think understanding these dream mechanisms might help in supporting trauma survivors?

Posted in
Posted in

Experts Reach Consensus on CBT for Nightmares

Tackle the most intense, vivid and distressing nightmare first. Pick up helpful themes in the dreams. Pay attention to sleep hygiene and learn to relax before falling asleep. Consider cultural beliefs. And treat both trauma-related nightmares and those with no known origin the same way. These are a few of the main recommendations from an expert panel on cognitive behavioral nightmare treatment, paving the way for clarity in a field historically mired by complexity and confusion.

We know that nightmare treatment works well in most cases, and that cognitive-behavioral therapy (CBT) approaches have been well supported by empirical research. Despite this, there have been many sources of confusion about how to apply these treatments. To name two: clinical trials have yielded mixed results, and treatment components used in these studies were not consistent, but rather varied and nuanced.

To help resolve the confusion, a group of nightmare treatment experts met three times in 2021 and 2022 with the goal of reaching a consensus on protocols for CBT applied to nightmares (CBT-N) for adults. The project was funded by the US Department of Defense, and the result is a paper (Pruiksma et al. 2025) and a free online training for mental health professionals: CBTNightmares.org

The panel included experts in sleep medicine, nightmare treatment and nightmare research. The group reviewed existing literature and also drew on their collective expertise to create a standardized CBT-based treatment protocol and training. Although there are limitations to this new version of CBT-N, it is a starting place with clearly-defined terms and common ground upon which to stand going forward.

CBT-N includes many elements of the mostly deeply-researched protocol for nightmare treatment, Imagery Rehearsal Therapy (IRT). Exposure, Relaxation, and Rescription Therapy (ERRT) also features prominently, in particular with respect to exposure to the nightmare material and relaxation training. Because nightmare disorder is also implicated in sleep disturbances, sleep hygiene (CBT for insomnia or CBT-I) also forms part of the treatment.

 

Highlights of the New CBT-N Protocol

Trauma vs idiopathic nightmares.
Nightmares are defined as distressing, well-remembered dreams that cause awakening and clinically significant impairment. Research has clearly delineated a difference between nightmares related to trauma, and idiopathic nightmares with no clear origin. However, clinicians can treat both of these types of nightmares with the same techniques. One caveat: with trauma-related nightmares that closely replicate the trauma to which they refer, it is important to clarify that you are treating the nightmare and not the trauma itself – and to highlight any differences, however small, between the dream and the actual event.

Consider cultural beliefs
Not everyone who suffers from nightmares will be an appropriate candidate for CBT-N. There are many and diverse beliefs and practices around dreams that must be considered. When in doubt, therapists might want to consult with spiritual or community leaders to ensure they are offering treatment consistent with the patient’s beliefs and values.

Relaxation training and sleep efficiency
Relaxation training is now considered an essential component of both insomnia and nightmare treatment because of the link established between parasympathetic activity and disturbed dreaming. The panel recommends relaxation training early in the treatment process, and daily practice for patients. Sleep hygiene is also considered an important aspect of treatment because insomnia and nightmares are inherently linked. Helpful sleep habits include consistent bedtime, a wind-down period before bed, and no screen time or stimulating substances before turning in for the night.

Exposure to the nightmare: “Leverage the strongest approach”
One clear and potentially controversial recommendation from the panel is that the target nightmare to work with first should be the most frequent, vivid and distressing one. In CBT-N, exposure takes the form of writing the nightmare down in first-person, present-tense and to include as much detail and sensory information as possible, including thoughts and feelings that arise. Grammar, wording and legibility are not important, but maximum exposure to the nightmare content is encouraged – unless the patient declines or has limited time for treatment.

One of the reasons for choosing the most intense nightmares is that helpful treatment effects appear to generalize from these powerful dreams to less intense ones – but not the other way around. In addition, nightmare treatment is typically short-term (6 one-hour sessions are recommended), and then patients are able to complete the steps on their own. Therefore, the experts reasoned, it’s best to work with the worst dreams while there is in-person support. In addition, the practice helps patients build tolerance for difficult emotion, giving the dreamer a greater sense of mastery over their nightmare material. If patients are unclear about which dream to choose, the more recent and clearly-recalled is suggested.

The rescripting process: Pick up helpful themes
It has been established that a sense of mastery and control over nightmares helps reduce the distress they cause. Therapists are encouraged to help the dreamer identify supportive themes in their dreams, such as trust, safety, power and control, self esteem and connection and use these themes in their new version of the nightmare. They are asked to write the rescripted version in first person, present tense, and include detail, emotion and thoughts that arise. They are specifically asked to provide a link between the new version and the nightmare. Before going to sleep, and after relaxation practice, they are asked to review the rescription for ten minutes each night (and also during the day if they wish).

 

Future directions and some caveats

With a clear protocol and defined steps and terms, there can now be more standardization in nightmare treatment and research. One area that was flagged for further clarification is how best to approach the treatment of comorbid nightmares and PTSD. There are arguments for treating the nightmares first and vice versa, and for now, cases should be considered on an individualized basis. More research is also needed into nuances of treatment, such as dosage, and how to combine treatment elements with medication and with other helpful approaches (such as lucid dreaming and other methods not based on CBT). There is also the question of how to treat those with cultural beliefs that clash with CBT-N, as well as those with the inability to visualize (aphantasia).

Although a consensus has been reached among CBT experts about how best to treat nightmares given what we now know, there is still a lack of clarity about which specific elements of the treatment are essential; more dismantling studies that test discrete elements could help. CBT-N begins with education about sleep hygiene and, if applicable, psychoeducation about trauma, followed the core elements of exposure and rescripting – both done by writing the dream or new dream ending in as much detail as possible.

Authors of CBT-N suggest that users of this protocol to be experienced in delivering CBT, and not all therapists follow this orientation, nor do all patients respond well to it. About one-third of patients are not helped by CBT-N, so there is a need for other approaches. Therapists can adapt key treatment elements to other methods (as I have done with embodied experiential dreamwork practices for treating nightmares). The authors note that the recommendations “are not intended to signal that other treatment approaches are not useful or viable” but rather, are offering clarity and consistency by combining the most effective CBT-based methods into one standard protocol.

Clearly, there are many outstanding questions in the complex field of nightmare treatment. However, this consensus statement and free training are huge steps forward, addressing two of the main issues: confusion and compexity around treatment protocols, and lack of available training.

 

Pruiksma, K. E., Miller, K. E., Davis, J. L., Gehrman, P., Harb, G., Ross, R. J., … & Peterson, A. L. (2025). An Expert Consensus Statement for Implementing Cognitive Behavioral Therapy for Nightmares in Adults. Behavioral Sleep Medicine, 1-19. https://doi.org/10.1080/15402002.2024.2437634

Posted in
Posted in

Anxiety Dominated our Dreams in 2024 with a Spike During US Election

Were anxiety and fear predominant dream emotions for you in 2024? If so, you’re not alone. More than 70% of the 13,000 dreams collected in 2024 by the Dream Decoder app featured fearful or anxious emotions, revealing how deeply modern life’s stressors may be resonating within us. On the brighter side, as the year unfolded, the dreams began to shift toward themes of personal growth and self-discovery.

This is one of the notable findings Chinese computer scientist Yoazhi Wang shared in his report summarizing the dreams collected and analysed on an AI-assisted app he developed to share with interested dreamers. When asked if the prevalence of anxiety dreams reflects a general characteristic of dreaming, or is more of a reflection of current events, Wang said this is hard to determine with just one year of data. “However, the challenges of modern life and significant social events can undoubtedly influence people’s dreams. For example, our database shows a noticeable spike in anxiety-related dreams during the US election period.”

Another surprising pattern is the large number of relationship-focused dreams. “That stood out to me personally, because I usually dream about exploring entirely new environments or scenarios that don’t exist in real life,” said Wang.

Here are the most notable statistics from the past year: Fear and anxiety were reflected in 72% of dreams. Themes of love and relationships, including romance, connection and family were featured in 30% of dreams. Growth and transformation was another dominant theme, reflected in 13% of recorded dreams. Wang said, “As fear receded in the latter half of the year, growth and exploration dreams rose, showcasing a collective shift toward optimism and resilience.”

 

Most Dream Scenarios are Threatening

The two most common scenarios — the classic nightmare themes of being chased or attacked — dominated the dream landscape. Being lost or disoriented, often symbolized as being in an unknown house, was also a common dream theme. Physical limitations (being unable to move) and experiences of social anxiety (being late, naked, back in high school – or maybe all of these at once) rounded out the list of the most common dream scenarios recorded last year by Dream Decoder. The top ten most common symbols, in order, were: house, mother, car, friend, home, water, friends, darkness, crying and father.

 

Dreaming by Season

Another interesting feature of dreams recorded by the app in the past year is that they appear to change with the seasons. In 2024:

  • Winter brought introspection, with dreams of home and family dominating.
  • Spring inspired exploration, with themes of discovery and new beginnings.
  • Summer was an emotional high, marked by anxiety and dreams of social connection.
  • Fall painted a picture of transformation, with growth-oriented dreams taking center stage.

This seasonal rhythm suggests that as the world changes around us, so does the tone and content of our dreams.

 

People Are at the Heart of Our Dreams

Three out of four dreams in 2024 featured people at their core. Family, friends, and relationships emerged as dominant themes. The frequency of symbols like “mother,” “father,” and “friend” emphasizes the deep social ties that shape our subconscious. These connections weren’t always harmonious. Scenarios involving conflict, betrayal, or anxiety around social situations (like being late or public speaking) featured prominently.

 

Origins and Future Plans
When asked about the origins of Dream Decoder, Wang said, “I’ve always had vivid dreams and a strong curiosity about the subconscious behind them. When ChatGPT emerged, I realized AI could help interpret and analyze these dreams in a meaningful way. That’s when I decided to develop this tool. Over time, I found I had gathered so much dream data that I could analyze it on a larger scale, which sparked my interest in examining patterns across a broader population. Ultimately, my main goal is to help people understand themselves better and improve their lives by uncovering the deeper layers of their dreams and subconscious.”

Wang initially plans to make AI-assisted dream analysis available on a personal level so users can see their own dream patterns. In the future, more self-discovery features will be added, such as allowing users to record their personal interpretations and compare them with AI’s perspective. As well, Wang said, “I believe there are countless exploratory and imaginative dream experiences. My hope is to help people express these more vividly, for example by generating images that capture the essence of their dream worlds.”

While the focus is currently on individuals who want to track their dreams for self-discovery and creativity, the platform may also serve researchers and dreamwork professionals. Wang said, “I notice that the data I’ve gathered differs from many existing research collections, which often involve a relatively small group of highly dedicated individuals logging numerous dreams. In contrast, my data comes from a wider base of users, each typically recording fewer entries. I believe both approaches offer valuable perspectives.”

 

About Dream Dictionaries

The Dream Decoder app offers a list of potential ways to interpret symbols and elements that most often appear in dreams. I shared my deep suspicion of dream dictionaries with Wang, and he agreed that “static symbols are not sufficient for a comprehensive dream analysis. Every dream is unique to the individual and their circumstances at a specific time” However, he believes artificial intelligence, combined with the collection of dream reports over time, can mitigate over-simplication of dream symbols.

“A key limitation of current AI is that it can know every theory about dreams but nothing about the dreamer or their current context. Without this connection, it cannot provide truly meaningful interpretations.” However, Wang said, “tracking dreams over time can reveal patterns of relevance to individual dreamers. And for reports like this one, which analyze large populations, dream symbols and themes remain critical as they enable a data-driven approach to uncover nuanced patterns.”

He noted that most people do not seem to care for nuanced interpretations anyway. “On our platform, only about 1% of visitors to the dream dictionary pages choose to explore AI-based personalized interpretations. I think this may reflect some aspect of human nature.”

 

Interpreting the Bigger Picture

What can we take away from this detailed analysis of 2024’s dreamscape? Wang reached the following conclusions:

– Dreams are emotional mirrors that reflect not just individual struggles but the collective challenges and growth of a society.

– Our subconscious adapts: The shift from anxiety to growth-oriented dreams suggests that our minds are wired to seek resolution and resilience.

– Symbols and emotions are universal yet personal: While certain symbols appear consistently across dreams, their interpretation often depends on individual context.

 

You can check out the full report here: https://dreamdecoder.me/research/dream-report-2024.

Posted in
Posted in

Trauma Nightmares and Mental Health: Realistic Dreams a Key Warning Sign

A veteran who dreams about being back in the thick of an intense battle, or a car accident victim who repeatedly wakes up from a nightmare just before what feels like a potentially fatal impact… dreams that create vivid and direct experience of someone’s most traumatic memories are clinical red flags. A new study offers even more support for us to take such dreams seriously.

We already know that nightmares about traumatic events are in a category of their own: they are linked to both PTSD and higher suicide risk. In a recent study (Richards et al. 2025) which examines how nightmares relate to mental health outcomes, one factor emerged as particularly significant: the replicative quality of trauma nightmares. Those who work with trauma should make a habit of asking how closely nightmare content matches the actual traumatic event, and pay particular attention to dreams that feel like an exact replay of terrifying memories.

The notion that replicative dreams indicate unprocessed trauma is not new – dream researchers have already noted that when dreams move along the continuum from real-life replay to more dreamlike and unrealistic, this is an indication of trauma recovery. This latest study strongly supports what we already know and also tests a new data collection method for researchers.

 

The Study

A research team at UCSF and the San Francisco VA Medical Center studied 103 trauma-exposed adults who experienced at least one nightmare per week. Using a custom designed mobile app, participants logged their nightmare experiences over three weeks, rating various characteristics including how closely their dreams replicated their actual trauma experiences. The results revealed compelling patterns that could help clinicians better assess and respond to nightmare-related distress.

While several nightmare characteristics were associated with negative outcomes, the replicative nature of trauma nightmares stood out as uniquely predictive of suicidal ideation, even when controlling for depression. This suggests that when patients report dreams that closely mirror their traumatic experiences, clinicians should be particularly alert to potential suicide risk.

 

What makes this finding significant for clinical practice?

Not all trauma nightmares are created equal. In Richards’ study, the characteristics of participant nightmares varied considerably. Some were only loosely connected to trauma through emotional resonance, while others replayed traumatic events in vivid detail. This variation proved meaningful – the more closely a nightmare replicated the actual trauma, the stronger its association with negative outcomes.

The researchers found that different nightmare characteristics predicted different clinical concerns. For instance, nightmare duration and post-dream arousal (difficulty returning to sleep) were strongly linked to next-day mood disturbance. However, replicative quality emerged as the strongest predictor of both PTSD symptom severity and suicidal ideation. Every instance of reported active suicidal ideation came from participants with PTSD.

This pattern makes intuitive sense when we consider the nature of trauma processing. Dreams that exactly replay traumatic events may represent a failure of the natural dream process to integrate and metabolize traumatic memories. Instead of the typical dream-like transformation of daily experiences, the contents of replicative nightmares remain raw and unprocessed. Rather than being incorporated into the associative web of normal memory, these unmetabolized events have an always-current quality that can create a sense of despair in those who experience them.

For clinicians, these findings point to the importance of carefully assessing nightmare content, not just frequency or intensity. When working with trauma survivors who experience nightmares, consider asking:

– How similar are the nightmares to the actual traumatic event(s)?

– Do they replay the trauma exactly, or are elements changed/symbolic?

– Has the content of trauma nightmares evolved over time?

 

We May Need to Broaden Our Clinical Definition of Nightmares

The study revealed that only about 17-18% of reported distressing dreams met the full diagnostic criteria for nightmares as defined in DSM-5 (awakening with full alertness and detailed recall). This suggests we may need to broaden our clinical attention beyond classical nightmares to include other forms of trauma-related disturbing dreams. In my practice, I treat client dreams as nightmares if they experience them as such, and I do not insist on the awakening criteria.

Why might highly replicative nightmares be especially concerning? One theory is that they represent a particularly devastating form of re-traumatization. Unlike daytime intrusive memories, which patients can often manage with learned coping strategies, nightmares strike when we are least able to employ conscious coping methods. The exact replay of trauma during sleep may intensify feelings of helplessness and hopelessness.

 

Mobile App Simplifies Data Collection

The study’s findings also highlight the promise of mobile technology in nightmare assessment. The app-based sleep diary yielded rich data about nightmare characteristics with high temporal precision. This suggests that similar tools could help clinicians track nightmare patterns and evolution during treatment.

For clinicians working with trauma survivors, this research underscores the importance of detailed nightmare assessment as part of routine care. Beyond simply asking about nightmare frequency or distress, exploring the replicative quality of nightmares may provide crucial clinical insights and help guide treatment planning and risk assessment. When it comes to trauma nightmares, content matters and dreams that closely mirror traumatic experiences need to be treated.

 

Richards, A., Santistevan, A., Kovnick, M., Orlova, P., Yack, L., Berg, E., Pracar, S., Metzler, T., Neylan, T., & Woodward, S. (2025). Distressing Dreams in Trauma Survivors: Using a sleep diary mobile app to reveal distressing dream characteristics and their relationship to symptoms and suicidal ideation in trauma-exposed adults. Sleep Advances. Advance online publication. https://doi.org/10.1093/sleepadvances/zpae099

Posted in
Posted in

Living in the Mind’s Darkness: Understanding Aphantasia

In my work is an experiential and dream therapist, I often invite my clients to enter their dreams, allowing their nocturnal imagery to re-form in their mind’s eye. Most people I ask can do this quite easily, and some produce a virtual torrent of imagery. But not everyone can, and I used to think of this as an ability that varies but can be developed. What I have recently discovered is that there are some people born without the ability to visualize memories, imaginary scenes or future scenarios. Interestingly, this condition, called aphantasia, does not prevent people from dreaming, but their ability to voluntarily bring images to mind is absent.

Do you have aphantasia? When you close your eyes and try to picture a sunset, what do you see? For most of us, a mental canvas springs to life – gorgeous hues of glowing red and orange spread across the horizon. But for roughly 2-5% of the population, this simple act of visualization is impossible. For those with aphantasia, the mind’s eye is effectively blind. And with it, some of their ability to process emotion appears to be affected as well.

One proposed function of imagery, used often by therapists, is to render memories, dreams and thoughts more emotionally evocative through sensory simulation. Wicken and colleages (2019) tested this theory using aphantasics. “After using multi-method verification of aphantasia, we show that this condition, but not the general population, is associated with a flat-line physiological response to frightening written, but not perceptual scenarios.” This finding supports imagery’s critical role in evoking and processing emotion.

 

Aphantasia: A broad spectrum

The term aphantasia was coined by cognitive neurologist Professor Adam Zeman in 2015. Zeman (2024) places the vividness of ability to create internal imagery on a spectrum – from those who have no ability to visualize to those who experience hyperphantasia, an unusual abundance of mental imagery. He notes increasing evidence that aphantasics have some distinctive traits such as reduced autobiographical memory and face recognition, a greater interest in scientific occupations, and a greater propensity for autism. He suggests variation in neural connectivity may be the cause. Interestingly, those with aphantasia still experience dream imagery – possibly because our nocturnal imaginings are largely involuntary.

Zeman wrote: “Despite the profound contrast in subjective experience between aphantasia and hyperphantasia, the effects on everyday functioning are subtle – lack of imagery does not imply lack of imagination.”

 

Picture a safe place…

Meet Sarah (name changed), an architect who discovered her aphantasia during a particularly awkward moment in therapy. “My therapist asked me to close my eyes and picture my safe place. I sat there for what felt like an eternity, trying to explain that while I understood the concept of creating the image of a warm, protected place, I couldn’t actually ‘see’ one. She thought I was being resistant to the treatment. That’s when I realized I was different from most people.”

The irony of an architect who can’t visualize buildings isn’t lost on Sarah. “People assume I must be in the wrong profession, but I’ve developed other ways to think about space and design. I work with physical models and CAD software. My inability to visualize actually makes me more methodical and precise in my approach.” This notion is supported by research that shows visual working memory tasks are not impaired in those with aphantasia, they simpy use different strategies to work through questions most of us would visualize.

 

Causes unclear, but treatment not necessary

The scientific community is still unraveling the many outstanding mysteries of aphantasia. It appears to be linked to reduced connectivity between the frontal and visual networks in the brain. But the cause of this disconnection is not clear. Most cases appear to be congenital, while others develop after trauma or injury. Dr. Rebecca Keogh’s (2018) research at the University of New South Wales suggests there might be a genetic component, though the inheritance pattern remains unclear.

The condition exists on a spectrum. Some aphantasics report complete inability to generate any sensory imagery – not just visual, but auditory, olfactory, and tactile as well. Others might have partial imagery abilities or can experience involuntary images in dreams, despite being unable to consciously conjure them while awake.

Currently, there is no established treatment for aphantasia, primarily because it’s not classified as a disorder or disability. Aphantasics excel in fields from science to literature. For example Craig Venter, one of the first scientists to sequence the human genome, is aphantasic. His inability to visualize didn’t prevent him from making groundbreaking scientific discoveries.

The discovery of aphantasia has sparked fascinating philosophical questions about consciousness, creativity, and the nature of thought itself. How essential is mental imagery to human experience? Can abstract thinking compensate for the lack of visual imagination? These questions are driving new research in cognitive science and challenging our assumptions about how the mind works.

Perhaps the most intriguing aspect of aphantasia is how it remained largely unrecognized until recently. People with aphantasia often assume everyone experiences thought the same way they do – through conceptual understanding rather than mental imagery. It’s like discovering that while you’ve been watching a black and white TV all your life, others have been watching in color. For those curious about their own visualization abilities, researchers have developed various assessment tools, including the VVIQ (Vividness of Visual Imagery Questionnaire). However, measuring something as subjective as mental imagery remains challenging.

As we advance our knowledge of aphantasia, the focus shouldn’t be on “fixing” what isn’t broken, but rather on understanding and accommodating different ways of thinking. Sarah puts it eloquently: “Having aphantasia isn’t like missing a limb – it’s more like being left-handed in a right-handed world. Once you figure out your own way of doing things, it stops being an obstacle and becomes just another part of who you are.”

 

References:

Arcangeli, M. (2023). Aphantasia demystified. Synthese201(2), 31.

Blomkvist, A., & Marks, D. F. (2023). Defining and ‘diagnosing’aphantasia: Condition or individual difference? Cortex169, 220-234.

Blomkvist, A. (2023). Aphantasia: In search of a theory. Mind & Language38(3), 866-888.

Dance, C. J., Ipser, A., & Simner, J. (2022). The prevalence of aphantasia (imagery weakness) in the general population. Consciousness and Cognition97, 103243.

Dawes, A. J., Keogh, R., Andrillon, T., & Pearson, J. (2020). A cognitive profile of multi-sensory imagery, memory and dreaming in aphantasia. Scientific reports10(1), 10022.

Keogh, R., & Pearson, J. (2018). The blind mind: No sensory visual imagery in aphantasia. Cortex, 105, 53-60.

McKelvie, S. J. (1995). The VVIQ and beyond: Vividness and its measurement.

Whiteley, C. M. (2021). Aphantasia, imagination and dreaming. Philosophical Studies178(6), 2111-2132.Wicken, M., Keogh, R., & Pearson, J. (2019). The critical role of mental imagery in human emotion: Insights from aphantasia. biorxiv, 726844.

Zeman, A., Dewar, M., & Della Sala, S. (2015). Lives without imagery – Congenital aphantasia. Cortex, 73, 378-380.

Zeman, A. (2024). Aphantasia and hyperphantasia: exploring imagery vividness extremes. Trends in Cognitive Sciences.

Posted in
Posted in

Peering Into the ‘Black Box’ of Dreaming

How Technology is Making Our Dream Worlds More Accessible and Malleable

One aspect of dreams that makes them so mysterious is that they are notoriously difficult to study. While those who dream vividly or lucidly can accurately report their detailed dream content, most of us imperfectly capture fragments of our dreams and are left with a sense that there was so much more in our dream than we could capture. The longer we wait to document a dream, the more distorted and incomplete the dream report is likely to be.

As someone who works with dreams in clinical practice, this is not necessarily a problem. I have found that the most striking dream elements, those that break through sleep and enter consciousness, are often the most important dream events to process in sessions. Forgetting is like a natural editing process. Those with high recall who dream frequently and vividly tend to have too much material, and it can be overwhelming to sort through it all. Interestingly, when we do experiential dreamwork with highly active dreamers, their dream lives tend to quiet down – possibly because as we re-enter and metabolize dreams while awake, there is less emotional processing needed at night.

But I digress… while dream clinicians are less concerned about how closely dream reports reflect actual dreams, those who study dreams themselves really do need completeness and accuracy. Researchers have tried many ways to open up the ‘black box’ of dreaming, and with the help of a confluence of technologies, they are starting to have success.

In a review article, Remy Mallett and colleagues (2024) describe the most important current advancements for capturing, manipulating and studying dreams. Some of these ideas may apply clinically as well, especially for those who want to recall more dreams or learn how to change their dream content (more on this later). The article states, “these innovations herald a new era in dream science.” The review identifies three main areas of advancement that, taken together, are helping dream researchers to move beyond the limitations of subjective post-sleep reports to embrace more objective and scientifically rigorous approaches.

New Ways to Observe Dreams in Real Time

The first is observable dreaming, which represents a significant breakthrough in our ability to “witness” dreams as they occur. Through neural decoding techniques, researchers can now identify dream content by analyzing brain activity patterns. This approach is complemented by real-time reporting through lucid dreaming, enabling direct communication with dreamers during their dream experiences. As well, physiological measures such as eye movements and muscle activity are providing valuable insights into dream content, offering objective markers of subjective experiences.

Engineering Changes in Dreams While Dreaming

Dream engineering, the second major advance, introduces methods to actively influence and shape dream content. Through sensory stimulation during sleep, researchers can now guide dream narratives in specific directions. Targeted Memory Reactivation (TMR) has emerged as one promising technique, allowing for the strategic activation of specific memories or associations during sleep to influence dream content. For example, a recent study was able to use sound to enhance the effects of Imagery Rehearsal Therapy (IRT) – which basically involves rescripting the ending of nightmares. The reseachers paired piano chords with the dreamer’s imagined new dream ending, then played it back during the dreaming phases of sleep, and this improved the results of IRT (Schwartz et al., 2022).

Lucid dreaming serves as another powerful tool for dream manipulation, enabling participants to consciously direct their dream experiences. There has been increasing success in using technology to prompt lucid dreaming, a process called Targeted Lucidity Reactivation. The process includes pre-sleep conditioning to create a ‘lucidity mindset,’ a state of mind in which one is more likely to question the nature of their experience and ask, am I dreaming? When a sound associated with this mindset is played during REM/dream sleep, lucidity is triggered more often, even in novice lucid dreamers. Recently, this process was tailored for at home use via a phone app, and the results were impressive – tripling the incidence of lucidity in participants.

Analysis of Large Dream Databases

The third breakthrough comes in the form of computational analysis, which is transforming how we process and understand dream data. Big data approaches are revealing previously undetectable patterns in large collections of dream reports. Natural language processing tools are automating the analysis of dream content, making it possible to process vast amounts of dream narratives efficiently and systematically. Network analysis of dream reports has shown particular promise in clinical applications, potentially aiding in the diagnosis and treatment of various psychological conditions.

Clinical Applications

These advances offer strong potential for therapeutic applications. The article discusses particularly promising developments in the treatment of nightmares and PTSD. By combining traditional approaches like Imagery Rehearsal Therapy with dream engineering techniques, clinicians may have more effective tools for addressing sleep-related psychological distress. The ability to influence dream content directly could revolutionize how we approach trauma-related sleep disturbances and other dream-related psychological challenges.

What makes these advances particularly exciting is their complementary nature. While dream engineering provides tools for manipulating dream content, computational analysis helps us understand the patterns that emerge from these manipulations, and observable dreaming techniques offer ways to validate findings. This triangulation of methods strengthens the scientific validity of dream research and opens new avenues for understanding the relationship between dreaming and psychological well-being.

Challenges and Caveats

Several significant challenges remain in the field. The reliability of lucid dream induction remains inconsistent, limiting the broader applicability of this technique. Questions persist about whether findings from lucid dream research can be generalized to non-lucid dreams, which represent the majority of dream experiences. Current technology, while advancing rapidly, still has precision limitations that affect the ability to decode and influence dream content with high accuracy. Additionally, there are ongoing discussions about how best to assess dream incorporation – that is, how to measure the extent to which specific elements appear in dreams.

Looking forward, the field appears poised for further advances, spurred by the development of more sophisticated neural decoding techniques, improved methods for dream manipulation, and more powerful computational tools. While this is excellent for deepening the understanding of dreaming, I wonder how much manipulation of our dreams is truly helpful – or if the resulting dreams truly represent dreaming in its ‘wild’ state.

Are Hybrid States Authentic Dreaming?

When something like waking consciousness is added to dreaming, and we are aware of and able to manipulate our dream content, what results is a hybrid state of consciousness that is no longer natural dreaming. As someone who appreciates the healing power of dreams, even the intense ones, I have some concern about processes that shift the dream into something more palateable, possibly skipping the very processes the dream is trying to engender.

When I expressed this concern to Mallet, the article’s lead author, he said he tends to agree: everything in moderation. There is clearly a balance to be struck here, because anything that provides nightmare sufferers with some relief and restful sleep is a good thing.

Still, just because we can manipulate or become lucid in our dreams does not mean we should always do so. A study hot off the press (Carr et al., 2024) shows that caution and more information is needed. The researchers surveyed 1332 people about their dreams and mental health symptoms and found that the interaction between nightmares and lucid dreaming was a significant predictor of depressive symptoms. They also found that lucid dreaming predicts poor sleep quality, stress and anxiety, but that these latter symptoms could be accounted for by nightmares alone.

With a mix of caution and optimism, I welcome the advances researchers are making to better understand dreams. The pace of technological change is brisk, and it’s exciting to see the various new avenues it allows the study of dreams to take. So much of value can be learned. However, I am dubious about the prospect of opening up and altering our dream worlds too much – they are private, deep nocturnal experiences that have something of a wild nature I am reluctant to fully capture and tame.

 

References

Carr, M., Youngren, W., Seehuus, M., Semin, R., Angle, E., & Pigeon, W. R. (2024). The Effects of Lucid Dreaming and Nightmares on Sleep Quality and Mental Health Outcomes. Behavioral Sleep Medicine, 1-8.

Konkoly, K. R., Whitmore, N. W., Mallett, R., Mazurek, C. Y., & Paller, K. A. (2024). Provoking lucid dreams at home with sensory cues paired with pre-sleep cognitive training. Consciousness and Cognition125, 103759.

Mallett, R., Konkoly, K. R., Nielsen, T., Carr, M., & Paller, K. A. (2024). New strategies for the cognitive science of dreaming. Trends in Cognitive Sciences.

Schwartz, S., Clerget, A., & Perogamvros, L. (2022). Enhancing imagery rehearsal therapy for nightmares with targeted memory reactivation. Current Biology32(22), 4808-4816.

Posted in
Posted in

Why We Forget Our Dreams: A New Perspective

One of the most enduring paradoxes in the field of dream research is the mystery of dream amnesia. Why do we forget most of our dreams, even though they’re often vivid, emotionally charged, and potentially important for our survival? A recent paper by Zhao and colleagues offers an elegant solution to this puzzle.

Here’s the conundrum: Many scientists believe dreams serve crucial biological functions, helping us rehearse responses to threats and practice social interactions. These experiences can be incredibly vivid and emotionally intense – yet most of us can barely remember our dreams unless we wake up right in the middle of one. This seems counterintuitive. If dreams are so important, shouldn’t we remember them clearly?

The answer lies in understanding how different types of memory work in our brains. The researchers propose that forgetting our dreams isn’t a bug – it’s a feature. Here’s why: If we retained vivid memories of our dreams, we might confuse them with real experiences. Imagine having a heated argument with your partner in a dream and waking up angry at them for something that never actually happened. Not ideal, right?

But here’s the clever part – while we may forget the specific content of our dreams, the skills and behaviors we practice during them can still benefit us. Think about it like learning to ride a bike: you don’t need to remember every practice session to maintain the skill. Similarly, when we rehearse dealing with threats or social situations in our dreams, our brains can retain the practical lessons without keeping the specific dream memories.

This explains why dream amnesia makes sense from an evolutionary perspective. Our brains suppress the explicit, narrative memories of dreams to avoid confusion with real events, while preserving the implicit learning and skill development that occurred during the dream.

The system isn’t perfect – sometimes dreams do break through this forgetting mechanism, particularly when they’re highly emotional or frightening — most nightmares are easily recalled for example. But biological systems don’t need to work perfectly to be beneficial. The key is that dream amnesia helps us maintain a clear distinction between our dreaming and waking experiences while still allowing us to benefit from the practice and learning that occurs during our dreams. This group of reseachers are clear proponents of the idea that a major purpose of dreams is simulation. Other possible functions include memory consolidation, emotion processing and creative inspiration.

This new way of explaining dream amnesia provides a fresh perspective on the value of our forgotten dreams. Even though we may not remember them, our nightly adventures may continue to shape our skills and behaviors in subtle but important ways. So the next time you wake up with only fragments of a dream remaining, don’t worry about having lost the details. Possibly, as Zhao and collegaues suggest, the benefits of your dream experiences stay with you long after the memories fade.

 

Zhao, J., Schoch, S. F., Valli, K., & Dresler, M. (2024). Dream function and dream amnesia: dissolution of an apparent paradox. Neuroscience and biobehavioral reviews, 105951.

Posted in
Posted in

Influencing Dream Content and Creativity

Fascinating new research that confirms what creative minds like Salvador Dalí and Thomas Edison intuited long ago – the drowsy period as we drift off to sleep can supercharge our creative abilities. Researchers from MIT and Harvard (Horowitz et al., 2020, 2023) demonstrated that deliberately influencing dreams during sleep onset (known as N1 sleep or hypnagogia) can significantly boost creative thinking.

Using a sensor-laden glove called Dormio, that detects when people enter this generative sleep stage, the team conducted an targeted dream incubation (TDI) experiment in which they prompted participants think about trees as they dozed off. The results were remarkable. People who had tree-related dreams during sleep onset performed far better on subsequent creativity tests compared to those who stayed awake or slept without the tree suggestion. Even more intriguingly, the more that participants incorporated trees into their drowsy dreams, the more creative their later responses became.

In the hypnagogic state, our usual mental boundaries become more permeable and fluid, allowing novel ideas and strange combinations of thoughts to emerge. The research has shown that our minds naturally make broader, more distant connections between concepts during sleep onset. What is significant about this study is that it’s the first to demonstrate a direct causal link between specific dream content and enhanced creativity. Previous research has demonstrated that sleep boosts creative problem-solving, but this study shows that we can actually guide our dreams to offer creative new ideas and solutions in specific areas of inquiry.

The implications are exciting. The study shows what many of us dream afficionados already understand – that it’s possible to harness your sleep onset period to enhance creative thinking around specific questions. While more research is needed to fully understand how long these effects last and how they might apply to different types of problems, this study lends credence to the idea that ‘sleeping on it’ really does help us find solutions not available to our waking minds.

For those interested in experimenting with this yourself, the key period is that drowsy state just as you’re falling asleep. While you may not have access to the Dormio device, simply holding a specific problem or theme in mind as you drift off could spark creative insights. Dormio detects alterations in sleep states and offers timely prompts to capture a whole series of pre-sleep dream images. It then records verbal N1 dream reports immediately. If we wait until morning to write our liminal reams down, most of these early images will be forgotten. So taking a cue from this research, try using a smartphone to record verbal dream reports as soon as you are awake enough to become aware of them. You may find you record many dreams throughout the night, not only in sleep onset, and develop a fuller picture of your creative dreaming mind.

Dali and Edison were known to deliberately harness the dreams from sleep onset by napping in a chair with an object in their hands that would clatter to the floor as soon as the muscle relaxation in early sleep released the object. The noise would wake them up and they would then record dreams that became fodder for inventions for Edison and surreal images for Dali.

The next frontier in creativity research may well be in understanding how to better utilize these unique states of consciousness that we all experience every night. As this study shows, our dreams might hold more practical value than we ever imagined.

What are your experiences with creative insights during sleep onset? I’d love to hear about them in the comments below.

The paper describes Dormio, a novel device designed to study and influence dream content during the hypnagogic period (sleep onset). The device uses sensors to detect when users are falling asleep and delivers targeted audio prompts to influence dream content, a process called targeted dream incubation (TDI).

The researchers conducted a study with 49 participants divided into sleep and wake conditions, with and without prompting to think about “trees.” The Dormio device monitored heart rate, finger muscle tension, and electrodermal activity to detect sleep onset. When sleep was detected, the device would wake participants and ask them to report their mental experiences before providing new prompts.

Key findings:

  • 67% of prompted sleep condition reports contained references to trees
  • Only 3% of unprompted sleep condition reports mentioned trees
  • 52% of prompted wake condition reports mentioned trees
  • 0% of unprompted wake condition reports mentioned trees

The device successfully demonstrated its ability to influence dream content during sleep onset. Dream reports showed increasing bizarreness and immersion with subsequent awakenings, while maintaining the targeted theme.

The research builds on previous studies showing that dream content can predict post-sleep memory enhancement and that sensory input during sleep can influence memory consolidation. While other techniques like Targeted Memory Reactivation (TMR) have shown that presenting sensory cues during sleep can enhance memory consolidation, Dormio provides a way to study the subjective experience of memory processing during sleep.

The researchers suggest several potential applications for Dormio and TDI:

  • Studying the causal relationship between dream content and memory consolidation
  • Enhancing creativity through directed dream experiences
  • Understanding the role of dreams in processing daily experiences
  • Investigating memory formation and integration during sleep

Limitations of the study include:

  • Limited age range of participants
  • Lack of polysomnographic validation of sleep stages
  • Reliance on subjective dream reports
  • Use of only one incubation theme (“tree”)

The researchers emphasize that while they can demonstrate correlation between dream incorporation and memory processing, they cannot yet prove whether dreaming itself causes memory consolidation or is simply a reflection of underlying processes.

The Dormio device represents a new tool for studying dreams and consciousness that is more accessible than traditional sleep lab equipment. It enables controlled manipulation of dream content, which could help answer fundamental questions about the role of dreams in memory, creativity, and cognitive processing.

The authors propose future studies using Dormio to investigate whether deliberately inducing specific dream content can enhance learning and memory consolidation, potentially opening new avenues for cognitive enhancement through dream engineering.

 

Horowitz, A. H., Cunningham, T. J., Maes, P., & Stickgold, R. (2020). Dormio: A targeted dream incubation device. Consciousness and cognition83, 102938.

Horowitz, A. H., Esfahany, K., Gálvez, T. V., Maes, P., & Stickgold, R. (2023). Targeted dream incubation at sleep onset increases post-sleep creative performance. Scientific reports13(1), 7319.

Posted in
Posted in

Do Dreams Predict the Future?

I was recently asked this question by Women’s Health magazine, and it led to some interesting further reading and provocative thoughts.

An amazing half of people asked will say they had a precognitive dream at some point in their lives. Does this mean dreams can predict the future? So far, there is no scientific evidence to back this statement up – and it may be impossible to actually run such an experiment. However, there are many possible explanations which point to the nature of dreaming itself.

What researchers have found is that most precognitive dreams are retrospective, meaning we recognize them as prescient after the fact. When you do the opposite – track dreams and then see if what we dream about actually comes to pass, the instances of precognition drop dramatically. However, there are still many astounding stories of dreams predicting events that actually happen.

I was once on a radio show, and a caller told me a story about a lifelong recurrent dream: they were rounding a curve in the highway and suddenly, there was a huge slide ahead that had washed out the road. He said one day, he found himself on this familiar stretch of road, and instinctively braked before the turn. The road indeed was washed away, and he credits the dream for saving his life.

Here is a quick survey of possible explanations:

  • Dreams are future-oriented simulations that depict likely scenarios; some of them may be accurate.
  • Our bodies and our subconscious are adept at picking up subtle early cues about things that matter to us such as our health and relationships.
  • Statistically speaking, given the sheer number of dreams, it is impossible not to have precognitive dreams. (For more on this, see Matt Walker’s podcast: https://podcasts.apple.com/us/podcast/76-precognitive-dreaming/id1578319619?i=1000659367737)
  • Dreams are our connection to the wider world of psyche and operate outside the bounds of rationality and linear time.

Notice that all of these could be true, although the last item asks us to step outside of the rational, evidence-based perspective that dominates our culture.  This bias toward what is visible and measurable has demoted dreams to the sidelines (even in psychology), and yet there remains a yearning to connect with their wider wisdom. So many people I encounter wish for a deeper connection to their dreaming lives and a way to make sense of them.  I suspect this us why I am often asked questions that point to the mysterious nature of dreaming. I typically search for the answers from both within the realm of science and also from those who relate to dreams as sacred, and not bounded by what can be seen and measured.

As luck would have it, as I was writing this short post, I picked up a new book, The Dreaming Way by Toko-pa Turner. In it, she eloquently offers her perspective on the purpose of dreaming: as a bridge between physical and sacred realities, a bridge that she says has “fallen into disrepair.” When dreams are viewed as sacred communication from the imaginal realm, they are taken seriously, as pointing to one’s deeper life purpose, and potentially as prophetic. Ancient texts from many cultures (including Greek philosophy, the Bible, the Upanishads) feature accounts of important, prophetic dreams.

The biggest problem with precognitive dreams is that you don’t know they are actually predicting something until after the fact. Still, because of the ability of our subconscious mind to pick up early warning signs, I suggest acting on any dreams that seem insistent, especially if they are pointing to potentially serious issues with your health or emotional life. Many people have credited such dreams with saving their life by pointing to a malignant cancer or other serious illness.

With other dreams that seem like warnings, it’s hard to know how to respond. A friend who was about to go on a road trip dreamt of not one, but several massive car crashes. She asked if this meant she should postpone her trip (she did). However, the dream could have been a metaphor for other things: at a personal level, a loss of control, or relational conflict. At the collective level, a portent of danger or disaster?

In general, I advocate for all of us to develop a deeper relationship with our dreaming worlds. When we have a sense of the ongoing trajectory of our dreaming lives, what they are telling us or asking of us can become much clearer. Whether you adopt the rational or sacred view of dreams, or bridge them both, viewing dreams as depictions of a possible future is a valid approach that invites reflection and possible course correction.

Posted in
Posted in

Psychedelic Medicine and Dreams: A conversation with Katherine Lawson

The use of psychedelic substances as therapeutic agents is a trend with great promise, and a work in progress. There is an exciting but nascent body of research on efficacy and best practices, and there remains many legal and ethical obstacles.  In the meantime, the use of plant medicines is growing like a weed – quickly, organically and not always in the most desirable way.

“It’s the wild West,” says Dr. Katherine Lawson, a pioneer in using embodied dreamwork practices to facilitate integration of psychedelic experiences. She notes that since people are using plant medicines anyway, and have been for ages, there is a need to help facilitators offer safe, constructive and respectful ways to help clients prepare for and integrate their experiences. This is why she founded Awake in the Dream School.

 

Psychedelic Therapies Show Promise

Anecdotally, Lawson has witnessed dramatic changes in her clients as a result of the use of plant medicine, and in a much shorter time frame than is typical with more traditional talk therapy. “One of the main reasons for that, is that while you are under the influence of the medicine (in this example, MDMA), you do not have much access to shame, fear and guilt. And if you are a skilled facilitator, you can help your client go back and heal things that are not approachable in normal waking consciousness, with all the layers of protective mechanisms. Those are gone. Your clients can see things so differently — from a loving, empathic perspective. That’s the gift of these medicines.”

Research backs this up and is demonstrating the efficacy of these substances in addressing conditions like depression, anxiety, PTSD, and addiction (Carhart-Harris & Goodwin, 2017; Mithoefer et al., 2018; Palhano-Fontes et al., 2019). The proposed mechanisms of action for psychedelics in therapeutic settings include their ability to reduce negative cognitive biases, enhance emotional processing, and promote neuroplasticity (Rucker et al., 2018).

Studies have shown that a single dose of psilocybin can produce rapid and sustained reductions in depressive and anxiety symptoms in patients with life-threatening cancer (Griffiths et al., 2016). MDMA-assisted psychotherapy has demonstrated promising results in the treatment of PTSD, with participants experiencing significant and lasting improvements in symptoms (Mithoefer et al., 2018). Psychedelics may also facilitate mystical-type experiences that can lead to profound personal insights and shifts in worldview, which some researchers believe can catalyze lasting positive changes in attitudes, mood, and behavior (Carhart-Harris & Goodwin, 2017).

The research on psychedelics is still in its early stages, and more large-scale, rigorous clinical trials are needed to establish their efficacy and safety profiles. The specialized nature of psychedelic-assisted therapy, which often involves extensive preparation, guidance during the experience, and integration support, can also limit accessibility and scalability.

 

Education Needed

Lawson has been working with users of plant medicine for a decade, and has learned much about the incredible potential for transformation these substances can bring about. But there is also much of concern in practices stemming from lack of knowledge, desire for a quick fix, and in the worst cases, dangerous and unethical practices. She established her school to educate mental health professionals who want to help those taking psychedelic substances to prepare for the journey and integrate the experiences afterwards. She said without these crucial pre- and post-journey steps, the experience can be no different from taking a drug trip – amazing, terrifying or anything in between.

She does not work with any of the substances directly, nor does she teach about how to administer the medicine and support the actual experiences (‘trip-sitting’). This is because so many of the substances are illegal. And yet there is a grey area, because they are also widely accessible. “The National Institute of Health (NIH) estimates 50 million Americans have interacted with these medicines since 2021, and that figure is probably very low,” according to Lawson.

 

Adapting Dreamwork for Integration

As someone who teaches embodied experiential dreamwork to therapists, I was particularly intrigued by how Dr. Lawson has adapted dreamwork techniques to support the integration of plant medicine journeys. She was one of the early providers of integration sessions via MAPS, the Multidisciplinary Association for Psychedelic Studies.

Over the past decade, Dr. Lawson has worked with hundreds of individuals navigating psychedelic experiences and has used her depth of experience to develop a training program to equip practitioners with the skills to support this process. A key distinction in her approach is the emphasis on preparation and integration, rather than facilitating the psychedelic journeys themselves. Her training, for those in the mental health and wellness industries, educates facilitators on 8 different medicines – learning what to expect and how to support clients through the experience. Lawson, said the specific substance and the nature of its use can vary so widely – from deep ceremonial practice to recreational highs. Most often, therapeutic plant medicine experiences are offered in facilitated group or one-on-one guided sessions.

The core post-session integration practice Lawson teaches is based on Embodied Imagination as developed by Dutch psychoanalyst Robert Bosnak. She has found that working with psychedelic visions requires some adaptation. “There’s an intensity to it, there’s a possession by it that’s got a different quality than a dream,” she explained. “If you guide someone back into their dream in a hypnagogic state, they always have a certain awareness of being in a dual state of consciousness. But with a psychedelic experience, for a while, they’re just in it — you can still guide them, but you might have to be more assertive, more directive.”

Another key difference, according to Dr. Lawson, is the need to be particularly mindful of scope of practice and ethical boundaries when working with clients who have had intense psychedelic experiences. “There’s a lot of people out there abusing the power imbalance that’s implicit in serving these medicines,” she said. “So we really lean into things like being trauma-informed and understanding contraindications.” Acute adverse effects can include anxiety, panic, and psychotic episodes, particularly in individuals with a history of mental health conditions (Carbonaro et al., 2016).

Overall, Dr. Lawson’s approach seems to strike an important balance — honoring the profound potential of psychedelics for healing and transformation, while also recognizing the need for skilled, ethical, and trauma-informed support. As someone who has seen the benefits of dreamwork in clinical practice, I’m intrigued by the possibilities of integrating these modalities to help clients navigate their most profound experiences.

To learn more about Awake in the Dream School and Dr. Lawson’s work, check out awakeinthedream.co  For those on my email list, Lawson has generously offered a 10% discount on her 6-month certification program if you use this code upon checkout: AWAKE-Drleslieellis

 

References

Carbonaro, T. M., Bradstreet, M. P., Barrett, F. S., MacLean, K. A., Jesse, R., Johnson, M. W., & Griffiths, R. R. (2016). Survey study of challenging experiences after ingesting psilocybin mushrooms: Emphasis on context and impairment. Journal of Psychopharmacology, 30(12), 1268-1278. https://doi.org/10.1177/0269881116662634

Garasic, M. D., & Lavazza, A. (2021). Moral and social reasons to access psychedelic-assisted psychotherapy. BMC Medical Ethics, 22(1), 1-11. https://doi.org/10.1186/s12910-021-00588-x

Griffiths, R. R., Johnson, M. W., Carducci, M. A., Umbricht, A., Richards, W. A., Richards, B. D., … & Klinedinst, M. A. (2016). Psilocybin produces substantial and sustained decreases in depression and anxiety in patients with life-threatening cancer: A randomized double-blind trial. Journal of Psychopharmacology, 30(12), 1181-1197. https://doi.org/10.1177/0269881116675513

Mithoefer, M. C., Feduccia, A. A., Jerome, L., Mithoefer, A., Wagner, M., Walsh, Z., … & Doblin, R. (2018). MDMA-assisted psychotherapy for treatment of PTSD: study design and rationale for phase 3 trials based on pooled analysis of six phase 2 randomized controlled trials. Psychopharmacology, 235(11), 3137-3144. https://doi.org/10.1007/s00213-018-4988-2

Palhano-Fontes, F., Barreto, D., Onias, H., Andrade, K. C., Novaes, M. M., Pessoa, J. A., … & Araújo, D. B. (2019). Rapid antidepressant effects of the psychedelic ayahuasca in treatment-resistant depression: a randomized placebo-controlled trial. Psychological Medicine, 49(4), 655-663. https://doi.org/10.1017/S0033291718001356

Rucker, J. J., Iliff, J., & Nutt, D. J. (2018). Psychiatry & the psychedelic drugs. Past, present & future. Neuropharmacology, 142, 200-218. https://doi.org/10.1016/j.neuropharm.2017.12.040