精神治療 經過에 따른 꿈 變形

Dream Transformation in Accordance with the Progression o f Psychotherapy

The purpose of this study was to identify the dream transformation in accordance with the progression of psychotherapy and to suggest the possibility of manifest dream as an indicator of its clinical progress. Materials of study were 524 dreams in the protocols of 55 cases having good clinical progress and dream reports among 130 psychotherapy cases which had presented at the Korean Academy of Paychotherapists for 10 years from Feb. 1987 to Mar. 1988. The functional scoring system that had been designed and studied by Corriere et al. was adopted as the method of dream analysis. The psychotherapy course was divided into 10 segments; first 9 segments on equal interval of 5 between 1st and 45th sessions, last 1 segment of 46th session and above. The means and standard deviations of the ratings by the rater on the ordinal variables in process scales were calculated for each segment of psychotherapy sessions. The percentage of dreams that fall into each classification on the categorecal variables in content scales was also calculated in all segments of psychotherapy session. Average feeling intensity scores gradually rose across all segments of psychotherapy sessions with some fluctuations on initial two segments and the latter four segments. Dreamer activity scores, dream clarity scores, and dreamer expression scores also rose gradually with some fluctuations. The proportion of symbolic dreams decreased gradually as psychotherapy progressed whereas that of dreams close to reality increased. The proportions of dream settings that has clear reference to dreamers personal present life, dream characters that the dreamer personally knows, and the origin of feeling which are evidently about people or events in dreamer’s present situations increased relatively gradually in accordance with the progression of psychotherapy. The proportion of dream setting that had clear and definite reference to dreamer’s past life decreased across all segments of psychotherapy sessions. The proportion of younger age dreams showed minimal changes through the course of psychotherapy. The findings support the hypothesis that dream transformation occurs as psychotherapy progresses and suggest the possibility of manifest dream as an indicator of its clinical progress