Warnes H
Psychother Psychosom. 1976;27(2):65-75. doi: 10.1159/000286998.
The functions and dysfunctions of slow wave sleep and of REM sleep and its associated dreams have a tremendous significance in understanding the psychosomatic model of illness and in establishing preventive strategies. Ten patients suffering from a variety of psychosomatic illnessess spent 3-4 nights sleeping at the Dream Laboratory. A psychiatric evaluation was carried out and those suffering from schizophrenia, severe depression, acute stage of physical illness and organic deficits were not accepted for the study. It was postulated that increased psychosomatic 'penetrance' as measured by poverty of fantasy life, feelings of helplessness, absence of dream reports, vacant and contrived emotional expression and poor psychological mindedness would be correlated with psychological test results (IPAT anxiety Scale and Zung Depression Rating Scale), manifest dream content analysis and particular REM and stage 4 deficit. The higher psychosomatic 'penetrance' in our study was not found in all patients with a psychosomatic diagnosis but rather in those patients suffering from ulcerative colitis. The degree of 'penetrance' was related to specific physiological, psychological and interpersonal parameters. Based on these findings a spectrum of clinical and physiological criteria of selection for particular therapeutic intervention was presented.
慢波睡眠、快速眼动睡眠及其相关梦境的功能与功能失调，对于理解身心疾病模型及制定预防策略具有重大意义。十名患有各种身心疾病的患者在梦境实验室睡了三到四个晚上。进行了精神病学评估，患有精神分裂症、重度抑郁症、身体疾病急性期和器质性缺陷的患者不被纳入该研究。据推测，通过幻想生活匮乏、无助感、无梦境报告、空洞做作的情感表达和心理领悟力差所衡量的身心“渗透性”增加，将与心理测试结果（IPAT焦虑量表和zung抑郁评定量表）、显性梦境内容分析以及特定的快速眼动睡眠和第四阶段缺陷相关。在我们的研究中，并非所有身心疾病诊断患者都有较高的身心“渗透性”，而是溃疡性结肠炎患者才有。“渗透性”程度与特定的生理、心理和人际参数相关。基于这些发现，提出了一系列针对特定治疗干预的临床和生理选择标准。
