Open Door Review III

=&.4$'2!$,!1#1532*2B!! We used two different methods for qualitative analysis of narratives of dreams that are related to two different theoretical backgrounds and have relatively strict rules for application which limit possible subjective interpretations. Both methods have earlier been applied for analyzing different clinical phenomena (e.g. psychosis, suicide, depression). They proved to be useful for the systematic evaluation of traumatic dreams as well as for evaluating processing of memories and affects with intrusive re-experiencing and reactive avoidance – observable in dream narratives – phenomena that can be understood as the core of the clinical dynamics of the posttraumatic stress disorder. „Replica dreams“ . Most of our subjects did report dreams and all those dreams were at some extent related to traumatic (war-related) experiences. This was the case for subjects from the experimental group (individuals with current PTSD at the time of assessment) as well as for the referential group (healthy individuals who were exposed to war-related stressors). But one of important results was that in all narratives (except one, which could be understood as an artifact) traumatic material was transformed by the dream work. This speaks against the view of traumatic dreams as „pure replicas” of the past presenting un-integrated memories and brings us closer to the understanding of traumatic dreams as complex processes which more or less successfully aim at integrating traumatic experience into the mind’s normal communicative and problem-solving way of working. Positive and negative outcome . One of the aims of our research was to explore the differences in the structure of dreaming of two groups (subjects with and without current PTSD). We are in the process of finalizing analysis of all dreams collected during the research. By the April 2013 we will be able to report the summary of main differences and probably will be able to describe main trends, qualitatively and quantitatively. Currently, we were able to demonstrate (19) that the referential group dream specimen is characterized by higher level of symbolic and relational quality than the dream specimen of the experimental group, and that they differ in security regulation, capacity to solve problems, and involvement with others (good feelings, positive relations). Affect regulation and involvement with others . By looking at the dreams of the traumatized subjects in light of the results of the Moser method, disturbances of affect-regulation become apparent. Those disturbances reflect the dreamer’s inability to get involved with others in the dream scenario because of anxieties, especially annihilation anxiety, evoked by such involvement. The Moser dream coding method reveals that, the security principle overrules the involvement principle in these dreams. This finding could be further elaborated to help us understand one of the basic features of PTSD – detachment from others, as a defensive strategy to avoid overwhelming affects. G$#.1/.\! Vladimir Jovi 0 , MD, PhD, IAN Center for Rehabilitation of Torture Victims, Belgrade, Serbia Sverre Varvin. MD, Dr. Philos. Norwegian Centre for Violence and Traumatic Stress Studies, Oslo, Norway Bent Rosenbaum, MD, DMSci, Psychiatric University Centre Copenhagen, Psychiatry of the Capital Region of Denmark. Professor, Institute of Psychology, University of Copenhagen.

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