A Clinician's Guide to Dream Therapy (2nd Edition)

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Month: May 2025

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Relational Nightmares: Unfinished Business of the Heart

Our dreams, especially our nightmares, are not isolated from our waking lives. Rather, they often mirror our deepest emotional patterns and interpersonal wounds. Emerging research on relational nightmares, defined as disturbing dreams involving interpersonal conflict, loss, or rejection, has found a consistent link to insecure attachment styles, particularly the fearful and anxious types. This makes intuitive sense. As social creatures, we are profoundly affected by our relationships, and when those relationships are fraught, our sleep and dreams can become haunted by unresolved distress.

This dynamic is apparent in my work with dreams. Clara’s story is a vivid illustration. Years after leaving a damaging relationship with John, a charismatic but emotionally volatile partner, she continued to have distressing dreams about him. These dreams didn’t feature overt terror, but were saturated with emotional darkness, feelings of powerlessness, humiliation, and longing. Clara kept wondering, “I’m so over him. Why do I keep having these awful dreams about him?”

The research provides a compelling answer: insecure attachment, particularly the fearful and anxious types (Belfiore & Pietrowsky, 2017; Reed & Rufino, 2019), tends to linger in the psyche and the body, infiltrating both dreams and waking life, even when we think we’ve moved on. People with fearful attachment both crave closeness and fear rejection, a push-pull dynamic that can be emotionally exhausting (Mikulincer & Shaver, 2016).

In dreams, these unresolved tensions often take symbolic form. Clara’s dreams were not about John, per se, but about the unhealed attachment patterns he activated. They featured recurring themes of being in danger or distress. In her nightmares, Clara would often find herself in trouble in the wilderness, trapped on a high ledge, for example, or injured and unable to get herself to safety. John would enter the scene, and she would feel hopeful, relieved, expectant of his help. But he would see her in distress and continue on his way without offering any help at all. This always came as a hurtful shock in the dream and she’d wake with a fresh sense of the painful memories of the increasing distance and cruelty she experienced in relationship with him.

In my work with challenging dreams, I also see themes of family conflict that vary dramatically. Some dreams, on the surface, may not seem overly serious—things like not being invited to a baby shower, or being at a family dinner table where everyone else is served a sumptuous meal, but the dreamer is given an empty plate. These dreams can be darker as well, depicting the dreamer imprisoned in the basement, or silenced at gunpoint. They are not necessarily pointing to literal entrapment or violence, but rather to the very real and deep distress we humans feel at being left out or unseen. Themes of loss and grief also feature prominently in relational nightmares (Lemyre et al., 2019).

Studies confirm the connection between dreams and attachment. In both clinical and nonclinical populations, those with insecure attachment styles, especially the fearful type, report more frequent and distressing nightmares than securely attached individuals. Emotional intensity, conflict, and themes of abandonment, betrayal, or being unloved often appear in these dreams, closely echoing the waking preoccupations and attachment wounds of the dreamer (Reed & Rufino, 2019; Sándor et al., 2018).

Recent work by Kelly and Kim (2024) takes this one step further by exploring “relational nightmares”—those centered on themes like rejection, humiliation, deceit, and emotional abandonment. Their research supports the continuity hypothesis of dreaming, which proposes that our dream content reflects the same emotional and relational issues that preoccupy us during waking life (Hall & Nordby, 1972; Schredl, 2015). They found that attachment anxiety in particular predicted relational nightmares, and that this effect was moderated by mentalization, which is the capacity to reflect on and understand one’s own and others’ emotional states. Those with high attachment anxiety and low mentalization were especially prone to relational nightmares (Kim & Kelly, 2024).

Dreams also tend to amplify emotional residue that hasn’t found resolution in waking life. As shown in a qualitative study of nightmare sufferers, interpersonal concerns like past relationship breakups, social isolation, and fear of rejection were common triggers for nightmares. These dreams often carried persistent emotional weight throughout the day and influenced how participants perceived themselves and others (Lemyre et al., 2019).

Other research suggests that the emotional tone of dreams—how negative or positive they feel—is also linked to attachment. One study found that anxious attachment was associated with more negatively toned dreams, and this effect was mediated by trait anxiety and depression (Sándor et al., 2018).

Taken together, this growing body of evidence suggests that when we repeatedly dream of someone who hurt us, it’s not because we haven’t let go of the person. Rather, it’s because the emotional imprints of that relationship, particularly those tied to attachment insecurity, remain active. Dreams, especially nightmares, may be the mind’s way of reprocessing those imprints. They can be seen as a cry for the need to tend to persistent attachment wounds. Such dreams are a good target for the effective nightmare treatment practice of imagining the dream forward to a better place.

Clara’s question about why she continues to have nightmares about John can be answered with both compassion and science. Attachment dynamics are deep rivers in our psyche, linked to health, well-being and even survival. And dreams are where the unfinished business of the heart continues to express itself.

 

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References

Belfiore, L. A., & Pietrowsky, R. (2017). Attachment styles and nightmares in adults. Dreaming, 27(1), 59–67. https://doi.org/10.1037/drm0000045

Hall, C., & Nordby, V. (1972). The individual and his dreams. Signet.

Kelly, W. E., & Kim, H. (2024). Attachment insecurities and relational nightmares: Mentalization matters. Dreaming, 34(4), 372–385. https://doi.org/10.1037/drm0000284

Lemyre, A., St-Onge, M., & Vallières, A. (2019). The perceptions of nightmare sufferers regarding the functions, causes, and consequences of their nightmares, and their coping strategies: A qualitative study. International Journal of Dream Research, 12(2), 35–45. https://doi.org/10.11588/ijodr.2019.2.63708

Mikulincer, M., & Shaver, P. R. (2016). Attachment in adulthood: Structure, dynamics, and change (2nd ed.). Guilford Press.

Reed, J. A., & Rufino, K. A. (2019). Impact of fearful attachment style on nightmares and disturbed sleep in psychiatric inpatients. Dreaming, 29(2), 167–179. https://doi.org/10.1037/drm0000104

Sándor, P., Horváth, K., Bódizs, R., & Konkolÿ Thege, B. (2018). Attachment and dream emotions: The mediating role of trait anxiety and depression. Current Psychology, 37, 1–13. https://doi.org/10.1007/s12144-018-9890-y

Schredl, M. (2015). Continuity between waking and dreaming: A proposal for a mathematical model. Sleep and Hypnosis, 17(1), 1–7. https://doi.org/10.5350/Sleep.Hypn.2015.17.0101

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Dreams That Connect: How Our Nightly Stories Reflect—and Protect—Our Social Life

Social connection has always been the beating heart of a healthy, fulfilling life. For millennia, philosophers, poets, and scientists have agreed: we thrive in relationship, and we suffer in isolation. Our dreams may have been whispering this truth to us all along.

New research is uncovering the fact that our dreams are profoundly social. Every night, as we slip into sleep, our minds stage encounters, conversations, reunions, and conflicts with people from our lives—sometimes weaving in strangers too. Far from being random nonsense, these nightly stories appear to serve a deeper purpose: keeping us connected, even in the absence of physical presence.

A recent study led by John Balch and colleagues brings this idea vividly to life. Over two weeks, participants recorded their dreams, while researchers tracked their daily interactions and core social networks. The researchers found that dreams were populated with a mix of familiar faces and unknown figures, a nightly gathering of friends, family, and mysterious strangers. But it wasn’t just a reflection of who they’d seen that day. Certain patterns suggested something more deliberate, almost purposeful, was happening in the dreaming mind.

The Social Cast of Our Dreams

Balch’s team discovered that the likelihood of someone appearing in a dream was tied to how much interaction they had with the dreamer during the day—but with an interesting twist. While daily contact generally increased the chance of dreaming about someone, this pattern reversed when it came to close family members like parents and siblings. If participants hadn’t seen their closest loved ones during the day, they were actually more likely to dream about them that night.

In other words, our dreams may compensate for absence, conjuring beloved figures to maintain emotional bonds across distance or time. If you haven’t called your mom in a week, your dreams might bridge that gap for you. Our subconscious, it seems, refuses to let important connections fade quietly.

This insight resonates on an intuitive level. How many times have you dreamt of someone you miss? Or found yourself puzzling over why a long-lost friend appeared in a dream out of nowhere? Perhaps it wasn’t random at all. Perhaps your dreaming mind was tending to your relationship while you slept.

Social Simulation or Mere Reflection?

These findings add fuel to a lively debate in dream research: are dreams functional rehearsals, or just reflections of waking life? The Continuity Hypothesis suggests dreams mirror our daily concerns and activities. Spend the day stressed about work, and your boss might show up in your dreams. Nothing creative, just emotional spillover from the day.

The Social Simulation Theory (SST; Revonsuo et al. 2015) proposes something richer: that dreams actively simulate social interactions to help us maintain, rehearse, and strengthen our relationships. Think of dreams as a low-stakes playground for working out conflicts, nurturing bonds, and exploring emotional territory.

Balch’s research lends support to SST. The fact that we dream more of absent loved ones suggests dreams step in to maintain connection when waking opportunities fall short. Similarly, research has found that even when people experience prolonged social isolation, their dreams remain stubbornly social—populated with family, friends, and familiar figures. It’s as if the brain refuses to accept social deprivation, filling the void with imagined encounters.

This social resilience in dreams aligns with a deeper biological truth: connection isn’t optional for humans, it’s essential.

Dreams, Loneliness, and the Deep Need for Belonging

Modern neuroscience and psychology have caught up to what dreams seem to have been signaling all along. We are wired for connection, and lacking it takes a toll—not just emotionally, but physically. Research shows that chronic loneliness raises the risk of heart disease, stroke, depression, anxiety, and even premature death. Some studies equate the health risk of persistent social isolation with smoking 15 cigarettes a day.

In fact, in 2023, the U.S. Surgeon General issued a stark warning: we are living in an epidemic of loneliness. And it’s killing us—slowly, silently, but profoundly.

Against this backdrop, the social richness of dreams becomes more than an academic curiosity. It is almost like an act of inner resistance. Even when our waking lives fracture our social ties—whether through busyness, conflict, physical distance, or societal disconnection—our dreaming mind keeps the connection alive.

It’s not hard to see why evolution would favor this. Strong social bonds have always been a key to survival. The support of family, friends, and community buffers us against life’s hardships. Conversely, social rupture and isolation leave us vulnerable. Perhaps dreams help us keep our emotional alliances intact, rehearsing forgiveness, reunion, or even imaginary closure. It’s emotional maintenance work we don’t consciously schedule—but our dreams do it anyway.

A Nightly Message Worth Heeding

If dreams indeed help us stay socially tethered, they’re sending us a powerful message—one that extends beyond sleep: tend to your connections. Pay attention to the people who appear, over and over, in your dreams. Reach out to the loved one you haven’t spoken to in months. Nurture friendships you’ve let drift. Your dreaming mind is already doing this work at night; perhaps your waking mind needs to follow its lead.

In this way, our dreams are not just reflections of our relationships, but gentle reminders of what—and who—matters most.

So the next time you wake up from a vivid dream about an old friend, or your childhood home, or a family dinner, pause before you brush it off as random. Consider that your mind may be trying to keep those emotional threads alive, weaving them into the fabric of your inner life so they don’t unravel.

We are, after all, deeply social creatures—even in our sleep.

 

References

Balch, J., Raider, R., Reed, C., & McNamara, P. (2025). Relationship and personality factors predict longitudinal changes in dream content. Scientific Reports15(1), 15531.

Revonsuo, A., Tuominen, J., & Valli, K. (2015). The avatars in the machine: Dreaming as a simulation of social reality. In Open mind. Open MIND. Frankfurt am Main: MIND Group.