As a psychiatric trainee at Harvard in the early 1960s, Dr Allan Hobson was taught commitment to psychoanalytic theory that was already suspect and is now almost entirely obsolete. Via a series of clinical case reports, the author first apologizes for the arrogant ignorance that he adopted from his teachers and then replaces Freudian doctrine with a scientific alternative called Psychodynamic Neurology. The new approach is solidly grounded in sleep and dream science and restores hypnosis to its rightful place in the therapeutic armamentarium. A central precept of Ego Damage and Repair is that the self and its subjective experience (including symptoms) are natural accompaniments of spontaneous and prenatal brain activation that persists throughout life as REM sleep dreaming. Far from being the nonsense theory that psychoanalytic opponents mock, Psychodynamic Neurology views the unconscious as a hyper-meaningful set of predictions about the world that constitutes a virtual reality model which is continuously updated by personal experience. To showcase the changes in psychotherapeutic practice that are recommended, the self treatment of Dr Glen Just is described in detail.

As a psychiatric trainee at Harvard in the early 1960s, Dr Allan Hobson was taught commitment to psychoanalytic theory that was already suspect and is now almost entirely obsolete. Via a series of clinical case reports, the author first apologizes for the arrogant ignorance that he adopted from his teachers and then replaces Freudian doctrine with a scientific alternative called Psychodynamic Neurology. The new approach is solidly grounded in sleep and dream science and restores hypnosis to its rightful place in the therapeutic armamentarium. A central precept of Ego Damage and Repair is that the self and its subjective experience (including symptoms) are natural accompaniments of spontaneous and prenatal brain activation that persists throughout life as REM sleep dreaming. Far from being the nonsense theory that psychoanalytic opponents mock, Psychodynamic Neurology views the unconscious as a hyper-meaningful set of predictions about the world that constitutes a virtual reality model which is continuously updated by personal experience. To showcase the changes in psychotherapeutic practice that are recommended, the self treatment of Dr Glen Just is described in detail.

What is dreaming, and what causes it? Why are dreams so strange and why are they so hard to remember? Replacing dream mystique with modern dream science, J. Allan Hobson provides a new and increasingly complete picture of how dreaming is created by the brain. Focusing on dreaming to explain the mechanisms of sleep, this book explores how the new science of dreaming is affecting theories in psychoanalysis, and how it is helping our understanding of the causes of mental illness. J. Allan Hobson investigates his own dreams to illustrate and explain some of the fascinating discoveries of modern sleep science, while challenging some of the traditionally accepted theories about the meaning of dreams. He reveals how dreaming maintains and develops the mind, why we go crazy in our dreams in order to avoid doing so when we are awake, and why sleep is not just good for health but essential for life. ABOUT THE SERIES: The Very Short Introductions series from Oxford University Press contains hundreds of titles in almost every subject area. These pocket-sized books are the perfect way to get ahead in a new subject quickly. Our expert authors combine facts, analysis, perspective, new ideas, and enthusiasm to make interesting and challenging topics highly readable.

An investigation into the brain's chemistry and the mechanisms of chemically altered states of consciousness. In this book, J. Allan Hobson offers a new understanding of altered states of consciousness based on knowledge of how our brain chemistry is balanced when we are awake and how that balance shifts when we fall asleep and dream. He draws on recent research that enables us to explain how psychedelic drugs work to disturb that balance and how similar imbalances may cause depression and schizophrenia. He also draws on work that expands our understanding of how certain drugs can correct imbalances and restore the brain's natural equilibrium. Hobson explains the chemical balance concept in terms of what we know about the regulation of normal states of consciousness over the course of the day by brain chemicals called neuromodulators. He presents striking confirmation of the principle that every drug that has transformative effects on consciousness interacts with the brain's own consciousness-altering chemicals. In the section called "The Medical Drugstore," Hobson describes drugs used to counteract anxiety and insomnia, to raise and lower mood, and to eliminate or diminish the hallucinations and delusions of schizophrenia. He discusses the risks involved in their administration, including the possibility of new disorders caused by indiscriminate long-term use. In "The Recreational Drugstore," Hobson discusses psychedelic drugs, narcotic analgesia, and natural drugs. He also considers the distinctions between legitimate and illegitimate drug use. In the concluding "Psychological Drugstore," he discusses the mind as an agent, not just the mediator, of change, and corrects many erroneous assumptions and practices that hinder the progress of psychoanalysis.

While millions of patients with severe mental illnesses are neglected, those charged with caring for them are engaged in a troubling debate: Who should treat these patients-and how? On one side are psychoanalysts, on the other are pill-pushing psychiatrists. And on the fringe are neuroscientists, who are learning volumes about the brain but whose discoveries have largely been ignored. Truly, psychiatry is in crisis.In this important book, Harvard psychiatrist J. Allan Hobson and medical journalist Jonathan A. Leonard explore the roots of this predicament and propose, for the first time, the development of a more balanced approach to treatment-neurodynamics-that bridges the worlds of biomedicine, therapy, and neuroscience. Written with passion and informed by decades of experience, Out of Its Mind shows a clear path to reviving psychiatry, providing sound care for millions, and realizing humanity's ancient dream of treating not just the mind or brain alone, but both together.

With a new foreword by the author. In this book, J. Allan Hobson sets out a compelling -- and controversial -- theory of consciousness. Our brain-mind, as he calls it, is not a fixed identity but a dynamic balancing act between the chemical systems that regulate waking and dreaming. Drawing on his work both as a sleep researcher and as a psychiatrist, Hobson looks in particular at the strikingly similar chemical characteristics of the states of dreaming and psychosis. His underlying theme is that the form of our thoughts, emotions, dreams, and memories derive from specific nerve cells and electrochemical impulses described by neuroscientists. Among the questions Hobson explores are: What are dreams? Do they have any hidden meaning, or are they simply emotionally salient images whose peculiar narrative structure refects the unique neurophysiology of sleep? And what is the relationship between the delirium of our dream life and psychosis?

Originally published by Little, Brown under the title "The Chemistry of Conscious States."

A Harvard Medical School psychiatrist and neuroscientist shows how dream science draws on psychology and neurobiology to provide new insight into the nature of the human mind.