Frosch J
Int J Psychoanal Psychother. 1976;5:39-63.
The author surveys psychoanalytic contributions to the relationship between dreams and psychosis as well as adding some of his own observations. He uses as his frame of reference questions relating to the similarities between dreams and psychosis, whether there are psychotic dreams and whether dreams may presage psychosis. There seemed to be some general consensus that the answers to these questions were positive, depending upon the frames of reference used, i.e., whether one referred to the topographical or structural model of the mind, the level of ego cathexis, the function of the ego vis-a-vis reality, etc. Most contributors felt that a dream taken out of context from the overall clinical situation would be difficult to evaluate as either presaging or representing a psychosis despite the fact that many dreams may appear which are suggestive.
作者审视了精神分析学对梦与精神病之间关系的贡献，并补充了一些自己的观察结果。他以与梦和精神病之间的相似性、是否存在精神病性的梦以及梦是否可能预示精神病相关的问题作为参照框架。对于这些问题的答案似乎存在一些普遍的共识，即答案是肯定的，但这取决于所使用的参照框架，也就是说，取决于人们是参照心理的地形学或结构模型、自我投注的水平、自我相对于现实的功能等等。大多数贡献者认为，尽管可能会出现许多具有暗示性的梦，但脱离整体临床情境来解读的梦很难被评估为预示或代表着精神病。
