Dreams are very different from waking life, but it is extremely difficult clearly to define in what the difference consists.When we are dreaming, we are nearly always convinced that we are awake, and in some cases real experiences have been mistaken for dreams.
Nor can we say that the moral reason loses all control in our sleep.It does indeed sometimes happen that good men in their dreams seem to do without the slightest compunction horribly wicked deeds, but, on the other hand, even the dreamer sometimes hears the voice of conscience.The origin of dreams may in many cases be traced to internal or external causes.The limitations of space may also vanish into nothing, so that we seem to travel the most distant parts of the universe with the rapidity of thought.Our imagination gains in some cases such complete control over our reason that we can contemplate all such contradictions to our ordinary experience without the least feeling of wonder. It is impossible to assert as a universal rule that in a dream nothing, however extraordinary, can surprise us.This article includes a discussion of possible pathomechanisms and differential diagnoses of nightmares.Approaches to management include behavioral or psychological treatment programs as well as pharmacotherapy including drugs such as gabapentin and prazosin.Unfortunately he was interrupted in the middle of his task by a visitor, after whose departure he could remember no more, so that the poem is only a fragment.Not only the imagination but also the reason has been known to do good work in dreams. Jain is a consultant in neurology and has no relevant financial relationships to disclose.) Antonio Culebras MD, editor. Culebras of SUNY Upstate Medical University at Syracuse received an honorarium from Jazz Pharmaceuticals for a speaking engagement.) Originally released August 22, 1995; last updated September 16, 2018; expires September 16, 2021 This article includes discussion of nightmares, distressed dreaming, disturbed dreaming, dream anxiety attacks, and incubus.The foregoing terms may include synonyms, similar disorders, variations in usage, and abbreviations.