Serious disturbances of the internal organs apparently act as inciters of dreams in a considerable number of persons. Attention is quite generally called to the frequency of anxiety dreams in the diseases of the heart and lungs; indeed this relation of the dream life is placed so conspicuously in the foreground by many authors that I shall here content myself with a mere reference to the literature. (Radestock,54 Spitta,64 Maury, M. Simon, Tissié.) Tissié even assumes that the diseased organs impress upon the dream content their characteristic features. The dreams of persons suffering from diseases of the heart are generally very brief and terminate in a terrified awakening; the situation of death under terrible circumstances almost always plays a part in their content. Those suffering from diseases of the lungs dream of suffocation, of being crowded, and of flight, and a great many of them are subject to the well-known nightmare, which, by the way, Boerner has succeeded in producing experimentally by lying on the face and closing up the openings of the respiratory organs. In digestive disturbances the dream contains ideas from the sphere of enjoyment and disgust. Finally, the influence of sexual excitement on the dream content is perceptible enough in every one̕s experience, and lends the strongest support to the entire theory of the dream excitation through organic sensation.
Moreover, as we go through the literature of the dream, it becomes quite obvious that some of the authors (Maury,48 Weygandt75) have been led to the study of dream problems by the influence of their own pathological state on the content of their dreams.
The addition to dream sources from these undoubtedly established facts is, however, not as important as one might be led to suppose; for the dream is a phenomenon which occurs in healthy persons – perhaps in all persons, and every night – and a pathological state of the organs is apparently not one of its indispensable conditions. For us, however, the question is not whence particular dreams originate, but what may be the exciting source for the ordinary dreams of normal persons.
But we need go only a step further to find a dream source which is more prolific than any of those mentioned above, which indeed promises to be inexhaustible in every case. If it is established that the bodily organs become in sickness an exciting source of dreams, and if we admit that the mind, diverted during sleep from the outer world, can devote more attention to the interior of the body, we may readily assume that the organs need not necessarily become diseased in order to permit stimuli, which in some way or other grow into dream pictures, to reach the sleeping mind. What in the waking state we broadly perceive as general sensation, distinguishable by its quality alone, to which, in the opinion of the physicians, all the organic systems contribute their shares – this general sensation at night attaining powerful efficiency and becoming active with its individual components – would naturally furnish the most powerful as well as the most common source for the production of the dream presentations. It still remains, however, to examine according to what rule the organic sensations become transformed into dream presentations.
The theory of the origin of dreams just stated has been the favourite with all medical authors. The obscurity which conceals the essence of our being – the “moi splanchnique,” as Tissié terms it – from our knowledge and the obscurity of the origin of the dream correspond too well not to be brought into relation with each other. The train of thought which makes organic sensation the inciter of the dream has besides another attraction for the physician, inasmuch as it favours the etiological union of the dream and mental diseases, which show so many agreements in their manifestations, for alterations in the organic sensations and excitations emanating from the inner organs are both of wide significance in the origin of the psychoses. It is therefore not surprising that the theory of bodily sensation can be traced to more than one originator who has propounded it independently.
A number of authors have been influenced by the train of ideas developed by the philosopher Schopenhauer in 1851. Our conception of the universe originates through the fact that our intellect recasts the impressions coming to it from without in the moulds of time, space, and causality. The sensations from the interior of the organism, proceeding from the sympathetic nervous system, exert in the day-time an influence on our mood for the most part unconscious. At night, however, when the overwhelming influence of the day̕s impressions is no longer felt, the impressions pressing upward from the interior are able to gain attention – just as in the night we hear the rippling of the spring that was rendered inaudible by the noise of the day. In what other way, then, could the intellect react upon these stimuli than by performing its characteristic function? It will transform the stimuli into figures, filling space and time, which move at the beginning of causality; and thus the dream originates. Scherner,58 and after him Volkelt,72 attempted to penetrate into closer relations between physical sensations and dream pictures; but we shall reserve the discussion of these attempts for the chapter on the theory of the dream.
In a study particularly logical in its development, the psychiatrist Krauss39 found the origin of the dream as well as of deliria and delusions in the same element, viz. the organically determined sensation. According to this author there is hardly a place in the organism which might not become the starting point of a dream or of a delusion. Now organically determined sensations “may be divided into two classes: (1) those of the total feeling (general sensations), (2) specific sensations which are inherent in the principal systems of the vegetative organism, which may be divided into five groups: (a) the muscular, (b) the pneumatic, (c) the gastric, (d) the sexual, (e) the peripheral sensations (p. 33 of the second article).”
The origin of the dream picture on the basis of the physical sensations is conceived by Krauss as follows: The awakened sensation evokes a presentation related to it in accordance with some law of association, and combines with this, thus forming an organic structure, towards which, however, consciousness does not maintain its normal attitude. For it does not bestow any attention on the sensation itself, but concerns itself entirely with the accompanying presentation; this is likewise the reason why the state of affairs in question should have been so long misunderstood (p. 11, etc.). Krauss finds for this process the specific term of “transubstantiation of the feeling into dream pictures” (p. 24).
That the organic bodily sensations exert some influence on the formation of the dream is nowadays almost universally acknowledged, but the question as to the law underlying the relation between the two is answered in various ways and often in obscure terms. On the basis of the theory of bodily excitation the special task of dream interpretation is to trace back the content of a dream to the causative organic stimulus, and if we do not recognise the rules of interpretation advanced by Scherner,58 we frequently find ourselves confronted with the awkward fact that the organic exciting source reveals itself in the content of the dream only.
A certain agreement, however, is manifested in the interpretation of the various forms of dreams which have been designated as “typical” because they recur in so many persons with almost the same contents. Among these are the well-known dreams of falling from heights, of the falling out of teeth, of flying, and of embarrassment because of being naked or barely clad. This last dream is said to be caused simply by the perception felt in sleep that one has thrown off the bedcover and is exposed. The dream of the falling out of teeth is explained by “dental irritation,” which does not, however, of necessity imply a morbid state of excitation in the teeth. According to Strümpell,66 the flying dream is the adequate picture used by the mind to interpret the sum of excitation emanating from the rising and sinking of the pulmonary lobes after the cutaneous sensation of the thorax has been reduced to insensibility. It is this latter circumstance that causes a sensation related to the conception of flying. Falling from a height in a dream is said to have its cause in the fact that when unconsciousness of the sensation of cutaneous pressure has set in, either an arm falls away from the body or a flexed knee is suddenly stretched out, causing the feeling of cutaneous pressure to return to consciousness, and the transition to consciousness embodies itself psychically as a dream of falling. (Strümpell, p. 118). The weakness of these plausible attempts at explanation evidently lies in the fact that without any further elucidation they allow this or that group of organic sensations to disappear from psychic perception or to obtrude themselves upon it until the constellation favourable for the explanation has been established. I shall, however, later have occasion to recur to typical dreams and to their origin.
From comparison of a series of similar dreams, M. Simon63 endeavoured to formulate certain rules for the influence of the organic sensations on the determination of the resulting dream. He says (p. 34): “If any organic apparatus, which during sleep normally participates in the expression of an affect, for any reason merges into the state of excitation to which it is usually aroused by that affect, the dream thus produced will contain presentations which fit the affect.”
Another rule reads as follows (p. 35): “If an organic apparatus is in a state of activity, excitation, or disturbance during sleep, the dream will bring ideas which are related to the exercise of the organic function which is performed by that apparatus.”
Mourly Vold73 has undertaken to prove experimentally the influence assumed by the theory of bodily sensation for a single territory. He has made experiments in altering the positions of the sleeper̕s limbs, and has compared the resulting dream with his alterations. As a result he reports the following theories:-
1. The position of a limb in a dream corresponds approximately to that of reality, i. e. we dream of a static condition of the limb which corresponds to the real condition.
2. When one dreams of a moving limb it always happens that one of the positions occurring in the execution of this movement corresponds to the real position.
3. The position of one̕s own limb may be attributed in the dream to another person.
4. One may dream further that the movement in question is impeded.
5. The limb in any particular position may appear in the dream as an animal or monster, in which case a certain analogy between the two is established.
6. The position of a limb may incite in the dream ideas which bear some relation or other to this limb. Thus, e. g., if we are employed with the fingers we dream of numerals.
Such results would lead me to conclude that even the theory of bodily sensation cannot fully extinguish the apparent freedom in the determination of the dream picture to be awakened.[6]
IV. Psychic Exciting Sources. – In treating the relations of the dream to the waking life and the origin of the dream material, we learned that the earliest as well as the latest investigators agreed that men dream of what they are doing in the day-time, and of what they are interested in during the waking state. This interest continuing from waking life into sleep, besides being a psychic tie joining the dream to life, also furnishes us a dream source not to be under-estimated, which, taken with those stimuli which become interesting and active during sleep, suffices to explain the origin of all dream pictures. But we have also heard the opposite of the above assertion, viz. that the dream takes the sleeper away from the interests of the day, and that in most cases we do not dream of things that have occupied our attention during the day until after they have lost for the waking life the stimulus of actuality. Hence in the analysis of the dream life we are reminded at every step that it is inadmissible to frame general rules without making provision for qualifications expressed by such terms as “frequently,” “as a rule,” “in most cases,” and without preparing for the validity of the exceptions.
If the conscious interest, together with the inner and outer sleep stimuli, sufficed to cover the etiology of the dreams, we ought to be in a position to give a satisfactory account of the origin of all the elements of a dream; the riddle of the dream sources would thus be solved, leaving only the task of separating the part played by the psychic and the somatic dream stimuli in individual dreams. But as a matter of fact no such complete solution of a dream has ever been accomplished in any case, and, what is more, every one attempting such solution has found that in most cases there have remained a great many components of the dream, the source of which he was unable to explain. The daily interest as a psychic source of dreams is evidently not far-reaching enough to justify the confident assertions to the effect that we all continue our waking affairs in the dream.
Other psychic sources of dreams are unknown. Hence, with the exception perhaps of the explanation of dreams given by Scherner,58 which will be referred to later, all explanations found in the literature show a large gap when we come to the derivation of the material for the presentation pictures, which is most characteristic for the dream. In this dilemma the majority of authors have developed a tendency to depreciate as much as possible the psychic factor in the excitations of dreams which is so difficult to approach. To be sure, they distinguish as a main division of dreams the nerve-exciting and the association dreams, and assert that the latter has its source exclusively in reproduction (Wundt,76 p. 365), but they cannot yet dismiss the doubt whether “they do not appear without being impelled by the psychical stimulus” (Volkelt,72 p. 127). The characteristic quality of the pure association dream is also found wanting. To quote Volkelt (p. 118): “In the association dreams proper we can no longer speak of such a firm nucleus. Here the loose grouping penetrates also into the centre of the dream. The ideation which is already set free from reason and intellect is here no longer held together by the more important psychical and mental stimuli, but is left to its own aimless shifting and complete confusion.” Wundt, too, attempts to depreciate the psychic factor in the stimulation of dreams by declaring that the “phantasms of the dream certainly are unjustly regarded as pure hallucinations, and that probably most dream presentations are really illusions, inasmuch as they emanate from slight sensory impressions which are never extinguished during sleep” (p. 338, etc.). Weygandt75 agrees with this view, but generalises it. He asserts that “the first source of all dream presentations is a sensory stimulus to which reproductive associations are then joined” (p. 17). Tissié68 goes still further in repressing the psychic exciting sources (p. 183): “Les rêves d̕origine absolument psychique n̕existent pas”; and elsewhere (p. 6), “Les pensées de nos rêves nous viennent de dehors…”
Those authors who, like the influential philosopher Wundt, adopt a middle course do not fail to remark that in most dreams there is a co-operation of the somatic stimuli with the psychic instigators of the dream, the latter being either unknown or recognised as day interests.
We shall learn later that the riddle of the dream formation can be solved by the disclosure of an unsuspected psychic source of excitement. For the present we shall not be surprised at the over-estimation of those stimuli for the formation of the dream which do not originate from psychic life. It is not merely because they alone can easily be found and even confirmed by experiment, but the somatic conception of the origin of dreams thoroughly corresponds to the mode of thinking in vogue nowadays in psychiatry. Indeed, the mastery of the brain over the organism is particularly emphasized; but everything that might prove an independence of the psychic life from the demonstrable organic changes, or a spontaneity in its manifestations, is alarming to the psychiatrist nowadays, as if an acknowledgment of the same were bound to bring back the times of natural philosophy and the metaphysical conception of the psychic essence. The distrust of the psychiatrist has placed the psyche under a guardian, so to speak, and now demands that none of its feelings shall divulge any of its own faculties; but this attitude shows slight confidence in the stability of the causal concatenation which extends between the material and the psychic. Even where on investigation the psychic can be recognised as the primary course of a phenomenon, a more profound penetration will some day succeed in finding a continuation of the path to the organic determination of the psychic. But where the psychic must be taken as the terminus for our present knowledge, it should not be denied on that account.
(d) Why the Dream is Forgotten after Awakening. – That the dream “fades away” in the morning is proverbial. To be sure, it is capable of recollection. For we know the dream only by recalling it after awakening; but very often we believe that we remember it only incompletely, and that during the night there was more of it; we can observe how the memory of a dream which has been still vivid in the morning vanishes in the course of the day, leaving only a few small fragments; we often know that we have been dreaming, but we do not know what; and we are so well used to the fact that the dream is liable to be forgotten that we do not reject as absurd the possibility that one may have been dreaming even when one knows nothing in the morning of either the contents or the fact of dreaming. On the other hand, it happens that dreams manifest an extraordinary retentiveness in the memory. I have had occasion to analyse with my patients dreams which had occurred to them twenty-five years or more previously, and I can remember a dream of my own which is separated from the present day by at least thirty-seven years, and yet has lost nothing of its freshness in my memory. All this is very remarkable, and for the present incomprehensible.
The forgetting of dreams is treated in the most detailed manner by Strümpell.66 This forgetting is evidently a complex phenomenon; for Strümpell does not explain it by a single reason, but by a considerable number of reasons.
In the first place, all those factors which produce forgetfulness in the waking state are also determinant for the forgetting of dreams. When awake we are wont soon to forget a large number of sensations and perceptions because they are too feeble, and because they are connected with a slight amount of emotional feeling. This is also the case with many dream pictures; they are forgotten because they are too weak, while stronger pictures in proximity will be remembered. Moreover, the factor of intensity in itself is not the only determinant for the preservation of the dream pictures; Strümpell, as well as other authors (Calkins), admits that dream pictures are often rapidly forgotten, although they are known to have been vivid, whereas among those that are retained in memory there are many that are very shadowy and hazy. Besides, in the waking state one is wont to forget easily what happened only once, and to note more easily things of repeated occurrence. But most dream pictures are single experiences[7], and this peculiarity equally contributes towards the forgetting of all dreams. Of greater significance is a third motive for forgetting. In order that feelings, presentations, thoughts and the like, should attain a certain degree of memory, it is important that they should not remain isolated, but that they should enter into connections and associations of a suitable kind. If the words of a short verse are taken and mixed together, it will be very difficult to remember them. “When well arranged in suitable sequence one word will help another, and the whole remains as sense easily and firmly in the memory for a long time. Contradictions we usually retain with just as much difficulty and rarity as things confused and disarranged.” Now dreams in most cases lack sense and order. Dream compositions are by their very nature incapable of being remembered, and they are forgotten because they usually crumble together the very next moment. To be sure, these conclusions are not in full accord with the observation of Radestock54 (p. 168), that we retain best just those dreams which are most peculiar.
According to Strümpell, there are still other factors effective in the forgetting of dreams which are derived from the relation of the dream to the waking state. The forgetfulness of the waking consciousness for dreams is evidently only the counterpart of the fact already mentioned, that the dream (almost) never takes over successive memories from the waking state, but only certain details of these memories which it tears away from the habitual psychic connections in which they are recalled while we are awake. The dream composition, therefore, has no place in the company of psychic successions which fill the mind. It lacks all the aids of memory. “In this manner the dream structure rises, as it were, from the soil of our psychic life, and floats in psychic space like a cloud in the sky, which the next breath of air soon dispels” (p. 87). This is also aided by the fact that, upon awakening, the attention is immediately seized by the inrushing sensory world, and only very few dream pictures can withstand this power. They fade away before the impressions of the new day like the glow of the stars before the sunlight.
As a last factor favouring the forgetting of dreams, we may mention the fact that most people generally take little interest in their dreams. One who investigates dreams for a time, and takes a special interest in them, usually dreams more during that time than at any other; that is, he remembers his dreams more easily and more frequently.
Two other reasons for the forgetting of dreams added by Bonatelli (given by Benini3) to those of Strümpell have already been included in the latter; namely, (1) that the change of the general feeling between the sleeping and waking states is unfavourable to the mutual reproductions, and (2) that the different arrangement of the presentation material in the dream makes the dream untranslatable, so to speak, for the waking consciousness.
It is the more remarkable, as Strümpell observes, that, in spite of all these reasons for forgetting the dream, so many dreams are retained in memory. The continued efforts of the authors to formulate laws for the remembering of dreams amounts to an admission that here too there is something puzzling and unsolved. Certain peculiarities relating to the memory of dreams have been particularly noticed of late, e. g., that a dream which is considered forgotten in the morning may be recalled in the course of the day through a perception which accidentally touches the forgotten content of the dream (Radestock,54 Tissié68). The entire memory of the dream is open to an objection calculated to depreciate its value very markedly in critical eyes. One may doubt whether our memory, which omits so much from the dream, does not falsify what it retained.
Such doubts relating to the exactness of the reproduction of the dream are expressed by Strümpell when he says: “It therefore easily happens that the active consciousness involuntarily inserts much in recollection of the dream; one imagines one has dreamt all sorts of things which the actual dream did not contain.”
Jessen36 (p. 547) expresses himself very decidedly: “Moreover we must not lose sight of the fact, hitherto little heeded, that in the investigation and interpretation of orderly and logical dreams we almost always play with the truth when we recall a dream to memory. Unconsciously and unwittingly we fill up the gaps and supplement the dream pictures. Rarely, and perhaps never, has a connected dream been as connected as it appears to us in memory. Even the most truth-loving person can hardly relate a dream without exaggerating and embellishing it. The tendency of the human mind to conceive everything in connection is so great that it unwittingly supplies the deficiencies of connection if the dream is recalled somewhat disconnectedly.”
The observations of V. Eggers,20 though surely independently conceived, sound almost like a translation of Jessen̕s words: “…L̕observation des rêves a ses difficultés spéciales et le seul moyen d̕eviter toute erreur en pareille matière est de confier au papier sans le moindre retard ce que l̕on vient d̕éprouver et de remarquer; sinon, l̕oubli vient vite ou total ou partiel; l̕oubli total est sans gravité; mais l̕oubli partiel est perfide; car si l̕on se met ensuite à raconter ce que l̕on n̕a pas oublié, on est exposé à compléter par imagination les fragments incohérents et disjoints fourni par la memoire…; on devient artiste à son insu, et le récit, periodiquement répété s̕impose à la créance de son auteur, qui, de bonne foi, le présente comme un fait authentique, dûment établi selon les bonnes méthodes…”
Similarly Spitta,64 who seems to think that it is only in our attempt to reproduce the dream that we put in order the loosely associated dream elements: “To make connection out of disconnection, that is, to add the process of logical connection which is absent in the dream.”
As we do not at present possess any other objective control for the reliability of our memory, and as indeed such a control is impossible in examining the dream which is our own experience, and for which our memory is the only source, it is a question what value we may attach to our recollections of dreams.
(e) The Psychological Peculiarities of Dreams. – In the scientific investigation of the dream we start with the assumption that the dream is an occurrence of our own psychic activity; nevertheless the finished dream appears to us as something strange, the authorship of which we are so little forced to recognise that we can just as easily say “a dream appeared to me,” as “I have dreamt.” Whence this “psychic strangeness” of the dream? According to our discussion of the sources of dreams we may suppose that it does not depend on the material reaching the dream content; because this is for the most part common to the dream life and waking life. One may ask whether in the dream it is not changes in the psychic processes which call forth this impression, and may so put to test a psychological characteristic of the dream.
No one has more strongly emphasized the essential difference between dream and waking life, and utilised this difference for more far-reaching conclusions, than G. Th. Fechner25 in some observations in his Elements of Psychophysic (p. 520, part 11). He believes that “neither the simple depression of conscious psychic life under the main threshold,” nor the distraction of attention from the influences of the outer world, suffices to explain the peculiarities of the dream life as compared with the waking life. He rather believes that the scene of dreams is laid elsewhere than in the waking presentation life. “If the scene of the psychophysical activity were the same during the sleeping and the waking states, the dream, in my opinion, could only be a continuation of the waking ideation maintaining itself at a lower degree of intensity, and must moreover share with the latter its material and form. But the state of affairs is quite different.”
What Fechner really meant has never been made clear, nor has anybody else, to my knowledge, followed further the road, the clue to which he indicated in this remark. An anatomical interpretation in the sense of physiological brain localisations, or even in reference to histological sections of the cerebral cortex, will surely have to be excluded. The thought may, however, prove ingenious and fruitful if it can be referred to a psychic apparatus which is constructed out of many instances placed one behind another.
Other authors have been content to render prominent one or another of the tangible psychological peculiarities of the dream life, and perhaps to take these as a starting point for more far-reaching attempts at explanation.
It has been justly remarked that one of the main peculiarities of the dream life appears even in the state of falling asleep, and is to be designated as the phenomenon inducing sleep. According to Schleiermacher61 (p. 351), the characteristic part of the waking state is the fact that the psychic activity occurs in ideas rather than in pictures. But the dream thinks in pictures, and one may observe that with the approach of sleep the voluntary activities become difficult in the same measure as the involuntary appear, the latter belonging wholly to the class of pictures. The inability for such presentation work as we perceive to be intentionally desired, and the appearance of pictures which is regularly connected with this distraction, these are two qualities which are constant in the dream, and which in its psychological analysis we must recognise as essential characters of the dream life. Concerning the pictures – the hypnogogic hallucinations – we have discovered that even in their content they are identical with the dream pictures.
The dream therefore thinks preponderately, but not exclusively, in visual pictures. It also makes use of auditory pictures, and to a lesser extent of the impressions of the other senses. Much is also simply thought or imagined (probably represented by remnants of word presentations), just as in the waking state. But still what is characteristic for the dream is only those elements of the content which act like pictures, i. e. which resemble more the perceptions than the memory presentations. Disregarding all the discussions concerning the nature of hallucinations, familiar to every psychiatrist, we can say, with all well-versed authors, that the dream hallucinates, that is, replaces thoughts through hallucinations. In this respect there is no difference between visual and acoustic presentations; it has been noticed that the memory of a succession of sounds with which one falls asleep becomes transformed while sinking into sleep into an hallucination of the same melody, so as to make room again on awakening, which may repeatedly alternate with falling into a slumber, for the softer memory presentations which are differently formed in quality.