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Wilson, E., Jr. (1992). Revue Fran├žaise De Psychanalyse. XLVIII, 1984: On the Dreams of Patients with Somatic Illness. Pierre Marty. Pp. 1143-1161.. Psychoanal Q., 61:142.

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Psychoanalytic Electronic Publishing: Revue Française De Psychanalyse. XLVIII, 1984: On the Dreams of Patients with Somatic Illness. Pierre Marty. Pp. 1143-1161.

(1992). Psychoanalytic Quarterly, 61:142

Revue Française De Psychanalyse. XLVIII, 1984: On the Dreams of Patients with Somatic Illness. Pierre Marty. Pp. 1143-1161.

Emmett Wilson, Jr.

While some patients with somatic illness maintain they have no dreams, others report several different types of dreams. These include simple "operative" dreams in which the diurnal residue, or the tasks for the next day, are dreamed of without associations, or with a total filtering out of their unconscious elements. A second type is the repetitive dream. This is not repetitive of theme, as in the dreams of neurotic patients, but rather the same dream is simply repeated. Finally, there are "raw" dreams in which there is direct representation of instinctual aims without any deformation through symbolization. In all these there seems to be a failure of linkage to other elements in the unconscious and preconscious which are necessary for the normal functioning of censorship. The absence of associations to the dreams is an indication that the dreams are not the object of censorship. This notion of failure of censorship raises many questions, in particular why such patients' behavior does not involve more flagrant acting out of conflicts, and why some censoring structures, such as the superego, are present in spite of the lack of censorship in these "raw" dreams. Why, too, is the behavior of sleepwalkers not more flagrant than it is? It is Marty's thesis that psychological deficits in such patients are replaced and compensated for by systems of psychosomatic disorganization which become manifest in the somatic symptoms. The development of the capacity for symbolic dreaming is an accompaniment of therapy with these patients.


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Article Citation

Wilson, E., Jr. (1992). Revue Française De Psychanalyse. XLVIII, 1984. Psychoanal. Q., 61:142

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WARNING! This text is printed for the personal use of the subscriber to PEP Web and is copyright to the Journal in which it originally appeared. It is illegal to copy, distribute or circulate it in any form whatsoever.