Ogden Thomas H
Int J Psychoanal. 2003 Feb;84(Pt 1):17-30. doi: 10.1516/00207570360509655.
In this paper, the author explores the phenomenon of not being able to dream (as opposed to not being able to remember one's dreams) from three different vantage points. First, from the point of view of psychoanalytic theory, he discusses Bion's idea that the work of dreaming creates the conscious and unconscious mind (and not the other way around). A person who cannot dream is unable to generate differentiable conscious and unconscious experience and, consequently, lives in a psychic state in which he is unable to differentiate waking from sleeping, dreaming from perceiving. The author then approaches the problem of the inability to dream from the perspective achieved by a literary work. He discusses a Borges fiction that creates, in a singularly artful way, the experience of not being able to dream. Finally, the author utilises the vantage point of a detailed account of a clinical experience to explore what it means not to be able to dream. He describes an initial state characterised by the patient's proliferation of unutilisable 'psychic noise' which, over a period of years, led to the analyst's experiencing 'reverie-deprivation' and brief periods of countertransference psychosis. Two analytic sessions are presented and discussed in which psychological work was done that contributed to an enhanced capacity on the part of both patient and analyst for genuine dreaming - both in sleep and in analytic reverie states.
在本文中，作者从三个不同的视角探讨了无法做梦这一现象（与无法记住梦境相对）。首先，从精神分析理论的角度来看，他讨论了比昂的观点，即做梦的过程创造了意识和潜意识思维（而非相反）。一个无法做梦的人无法产生可区分的意识和潜意识体验，因此，生活在一种精神状态中，在这种状态下，他无法区分清醒与睡眠、做梦与感知。作者接着从一部文学作品所达成的视角来探讨无法做梦的问题。他讨论了博尔赫斯的一部小说，该小说以一种独特巧妙的方式营造了无法做梦的体验。最后，作者利用对一次临床经历的详细描述这一视角来探究无法做梦意味着什么。他描述了一种初始状态表现为患者大量产生无法利用的“精神噪音”，在数年时间里，这导致分析师体验到“幻想剥夺”以及短暂的反移情性精神病发作。文中呈现并讨论了两次分析会谈，在这两次会谈中所进行的心理工作有助于增强患者和分析师在睡眠及分析幻想状态下进行真正做梦的能力。
