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In this book, Mark Solms chronicles a fascinating effort to systematically apply the clinico-anatomical method to the study of dreams. The purpose of the effort was to place disorders of dreaming on an equivalent footing with those of other higher mental functions such as the aphasias, apraxias, and agnosias. Modern knowledge of the neurological organization of human mental functions was grounded upon systematic clinico-anatomical investigations of these functions under neuropathological conditions. It therefore seemed reasonable to assume that equivalent research into dreaming would provide analogous insights into the cerebral organization of this important but neglected function. Accordingly, the main thrust of the study was to identify changes in dreaming that are systematically associated with focal cerebral pathology and to describe the clinical and anatomical characteristics of those changes. The goal, in short, was to establish a nosology of dream disorders with neuropathological significance. Unless dreaming turned out to be organized in a fundamentally different way than other mental functions, there was every reason to expect that this research would cast light on the cerebral organization of the normal dream process.
Dedication
Foreword
Preface
Introduction
The Classic Case Reports of Charcot–Wilbrand Syndrome
Charcofs Variant of the Charcot–Wilbrand Syndrome: Cessation or Restriction of Visual Dream-Imagery
Wilbrand's Variant of the Charcot–Wilbrand Syndrome: Global Cessation or Reduction of Dreaming
The Neglected Psychosurgical Literature
The Problem of REM Sleep
Other Abnormalities of Dreaming Described in the Literature
Summary of Provisional Conclusions and Hypotheses
Description of the Present Research
The Charcot–Wilbrand Syndrome Reconsidered
Two Patients With Nonvisual Dreaming
Anatomical Correlates of Nonvisual Dreaming
Clinical Correlates of Nonvisual Dreaming
Some Incidental Observations on Modal Specificity
Initial Theoretical Remarks
Anatomical Correlates of Global Cessation of Dreaming
Are Dreams Generated by Brainstem Mechanisms?
Clinical Correlates of Global Cessation of Dreaming
Further Theoretical Remarks
Ten Patients With Varying Degrees of Confusion Between Dreams and Reality
Clinico-Anatomical Correlates of the Confusion Between Dreams and Reality
Nine Patients With Recurring Nightmares
Clinico-Anatomical Correlates of Recurring Nightmares
Miscellaneous Observations (Including Normal Dreaming)
Summary of Results and Nosological Conclusions
Final Theoretical Remarks: A Model of the Normal Dream Process
Appendix: Glossary o f Nosological Terms
References
Index of Personal Cases
Author Index
Subject Index