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- J. Allan Hobson (2002). Sleep and Dream Suppression Following a Lateral Medullary Infarct: A First-Person Account. Consciousness and Cognition 11 (3):377-390.
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All five target articles are of high quality and very stimulating for the field. Several factors such as dream report length and NREM/REM differences, may be affected by the waking process (transition from sleep to wakefulness) and the recall process. It is helpful to distinguish between a model for REM sleep regulation and a physiological model for dreaming. A third model accounting for cognitive activity (thought-like dreaming) can also be of value. The postulated adaptive function of dreaming in avoidance learning does not seem very plausible because the two major basic assumptions (specificity of dream content and benefit of negative dreams) are not clearly supported by modern dream research: The critique of studies investigating memory consolidation in REM sleep is justified. Future studies integrating the knowledge of memory processes and sleep research will shed more light on the role of sleep, especially REM sleep in memory consolidation. [Hobson et al.; Nielsen; Revonsuo; Solms; Vertes & Eastman].
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Two meta-analyses of pharmacological research are presented, demonstrating that psychoactive drugs have consistent effects on EEG and sleep outside of their effects on REM sleep, and demonstrating that drugs other than those affecting sleep neurotransmitter systems and REM sleep can also alter reported nightmare occurrence. These data suggest that the neurobiology data terrain outside activation-synthesis may include sleep and dream electrophysiology, cognitive reports of dreaming, effects of alterations in consciousness on dreaming, immunology and host defense, and clinical therapies for sleep disorders.
Definitions of dreaming are not required to map formal features of mental activity onto brain measures. While dreaming occurs during all stages of sleep, intense dreaming is largely confined to REM. Forebrain structures and many neurotransmitters can contribute to sleep and dreaming without negating brainstem and aminergic-cholinergic control mechanisms. Reductionism is essential to science and AIM has considerable heuristic value. Recent findings support sleep's role in learning and memory. Emerging technologies may address long-standing issues in sleep and dream research.
The target articles on sleep and dreaming are discussed in terms of the concept of search activity integrating different types of behavior, body resistance, REM sleep/dream functions, and the brain catecholamine system. REM sleep may be functionally sufficient or insufficient, depending on the dream scenario, the latter being more important than the physiological manifestation of REM sleep. REM sleep contributes to memory consolidation in the indirect way. [Nielsen; Revonsuo; Solms; Vertes & Eastman].
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The biological theories of dreaming provide no explanation for the transduction from neuronal discharge to dreaming or waking consciousness. They cannot account for the variability in dream content between individuals or within individuals. Mind-brain isomorphism is poorly supported, as is dreaming's link to REM sleep. Biological theories of dreaming do not provide a function for dreaming nor a meaning for dreams. Evolutionary views of dreaming do not relate dream content to the current concerns of the dreamer and using the nightmare as the paradigm dream minimizes the impact of poor sleep on adaptations. [Hobson et al.; Nielsen; Revonsuo; Solms].
The validity of dream recall is discussed. What is the relation between the actual dream and its later reflection? Nielsen proposes differential sleep mentation, which is probably determined by dream accessibility. Solms argues that REM sleep and dreaming are double dissociable states. Dreaming occurs outside REM sleep when cerebral activation is high enough. That various active sleep states correlate with vivid dream reports implies that REM sleep and dreaming are single dissociable states. Vertes & Eastman reject that REM sleep is involved in memory consolidation. Considerable evidence for this was obtained by REM deprivation studies with the dubious water tank technique. [Nielsen; Solms; Vertes & Eastman].
Discussion of J. Allan Hobson, Sleep and dream suppression following a lateral medullary infarct: A first-person account
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