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1、CHAPTER1,SectionHH.TheRelationbetweenDreamsandMentalDiseasesWhenwespeakoftherelationofdreamstomentalderangement,wemaymeanthreedifferentthings:(1)aetiologicalandclinicalrelations,aswhenadreamrepresentsorinitiatesapsychoticcondition,oroccurssubsequentlytosuchaconditi
2、on;(2)changeswhichthedream-lifeundergoesincasesofmentaldisease;(3)innerrelationsbetweendreamsandpsychoses,analogieswhichpointtoanintimaterelationship.Thesemanifoldrelationsbetweenthetwoseriesofphenomenawereintheearlydaysofmedicalscience-andareoncemoreatthepresentti
3、me-afavouritethemeofmedicalwriters,aswemaylearnfromtheliteratureonthesubjectcollatedbySpitta,Radestock,Maury,andTissie.RecentlySantedeSanctishasdirectedhisattentiontothisrelationship.*Forthepurposesofourdiscussionitwillsufficemerelytoglanceatthisimportantsubject.*A
4、mongthemorerecentauthorswhohaveoccupiedthemselveswiththeserelationsare:Fere,Ideler,Lasegue,Pichon,RegisVespa,Giessler,Kazodowsky,Pachantoni,andothers.Astotheclinicalandaetiologicalrelationsbetweendreamsandthepsychoses,Iwillreportthefollowingobservationsasexamples:H
5、ohnbaumasserts(seeKrauss)thatthefirstattackofinsanityisfrequentlyconnectedwithaterrifyinganxiety-dream,andthatthepredominatingideaisrelatedtothisdream.SantedeSanctisadducessimilarobservationsinrespectofparanoiacs,anddeclaresthedreamtobe,insomeofthem,"lavraiecausede
6、terminantedelafolie."*Thepsychosismaycometolifequitesuddenly,simultaneouslywiththedreamthatcontainsitseffectiveanddelusiveexplanation,oritmaydevelopslowlythroughsubsequentdreamsthathavestilltostruggleagainstdoubt.InoneofdeSanctis'scasesanintensivelymovingdreamwasac
7、companiedbyslighthystericalattacks,which,intheirturn,werefollowedbyananxiousmelancholicstate.Fere(citedbyTissie)referstoadreamwhichwasfollowedbyhystericalparalysis.Herethedreamispresentedastheaetiologyofmentalderangement,althoughweshouldbemakingastatementequallycon
8、sistentwiththefactswerewetosaythatthefirstmanifestationofthementalderangementoccurredinthedream-life,thatthedisorderfirstbrokethroughinthedream.I
