III. _Internal (Organic) Physical Excitation._—If we are disposed to

seek dream sources not outside, but inside, the organism, we must

remember that almost all our internal organs, which in their healthy

state hardly remind us of their existence, may, in states of

excitation—as we call them—or in disease, become for us a source of the

most painful sensations, which must be put on an equality with the

external excitants of the pain and sensory stimuli. It is on the

strength of very old experience that, _e.g._, Strümpell[66] declares

that “during sleep the mind becomes far more deeply and broadly

conscious of its connection with the body than in the waking state, and

it is compelled to receive and be influenced by stimulating impressions

originating in parts and changes of the body of which it is unconscious

in the waking state.” Even Aristotle[1] declares it quite possible that

the dream should draw our attention to incipient morbid conditions which

we have not noticed at all in the waking state owing to the exaggeration

given by the dream to the impressions; and some medical authors, who

were certainly far from believing in any prophetic power of the dream,

have admitted this significance of the dream at least for the

foretelling of disease. (Compare M. Simon, p. 31, and many older

authors.)

Even in our times there seems to be no lack of authenticated examples of

such diagnostic performances on the part of the dream. Thus Tissié[68]

cites from Artigues (_Essai sur la Valeur séméiologique des Réves_), the

history of a woman of forty-three years, who, during several years of

apparently perfect health, was troubled with anxiety dreams, and in whom

medical examination later disclosed an incipient affection of the heart

to which she soon succumbed.

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 one’s 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] Weygandt[75]) 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 day’s 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

Krauss[39] 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, &c.). 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. Simon[63] 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 Vold[73] 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 sleeper’s 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 one’s 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.[I]

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, &c.). Weygandt[75] 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). Tissié[68] goes still further in repressing

the psychic exciting sources (p. 183): “Les rêves d’origine absolument

psychique n’existent 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,[J] 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 Radestock[54] (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 Benini[3]) 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.

The Interpretation of Dreams · 第 3 / 50 段