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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.
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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."
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.
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.
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.
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