This is helpful in understanding the two concepts with regard to psychological function as well as neurophysiology. The present review compares correlates and functions of insight and dissociation in lucid dreaming and psychosis. Whereas insightfulness can be considered innocuous in lucid dreaming and even advantageous in psychosis, the concept of dissociation is still unresolved. These concepts are also relevant in psychotic illness.

Lucid dreams are usually accompanied by attempts to control the dream plot and dissociative elements akin to depersonalization and derealization. Insight in dreams is a core criterion for lucid dreams. Both phenomena are considered functions of higher order consciousness because they involve metacognition in the form of reflective thought and attempted control of negative emotional impact. The purpose of the present communication is to discuss two major concepts in dreaming and psychosis that have received much attention in the recent literature: insight and dissociation. 5Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, United Statesĭreams and psychosis share several important features regarding symptoms and underlying neurobiology, which is helpful in constructing a testable model of, for example, schizophrenia and delirium.4Department of Psychiatry, Psychiatry Heinrich-Heine-Universität Düsseldorf, Düsseldorf, Germany.

3Department of Health Sciences, Università degli Studi di Milano, Milan, Italy.

2VITOS Hochtaunus Klinik, Psychiatrisches Krankenhaus, Friedrichsdorf, Germany.

1Psychology, Johann Wolfgang Goethe-Universität Frankfurt am Main, Frankfurt, Germany.Ursula Voss 1,2*†, Armando D’Agostino 3†, Luca Kolibius 1,2, Ansgar Klimke 1,4, Silvio Scarone 3 and J.

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