Esoteric power, useless, useful: considerations about dreams in cognitive-behavioural therapy

Abstract

For a long time dreamwork in cognitive-behavioural therapy (CBT) was considered useless and as a technique specific to psychodynamic approaches, consequently overlooked in the treatment course. In the last twenty years, thanks to the contribution of neuroscience studies on sleep and dreams, dreams joined the attention and interest of authors belonging to the CBT field. The central feature of dreamwork in CBT is the abandonment of the exploration of latent meaning, which is instead considered in continuity with the waking life. Dreams reflect a patient’s view of self, world, and future, and are subject to the same cognitive biases as the waking state. Consequently, the dreamwork can be used to get information about the patient, overcome impasses in therapy, restructure self and interpersonal schemas, and stimulate reflective functioning. Therefore, guidelines have been defined and models of well-articulated intervention in terms of process and content, replicable and teachable through specific training structured. This paper aims to provide an overview of theories regarding the use of dreams in CBT, from a clinical perspective, from Beck to more recent proposals.

Client experiences and understandings of dreams in contemporary Australian psychological practice: An IPA study.

“…Sharing dreams has also been identified as a way to facilitate self-disclosure, which in turn increases intimacy in a relationship, demonstrating the potential importance of dream sharing to therapy (Carcione et al, 2021; Duffey et al, 2004; Eudell-Simmons & Hilsenroth, 2005). There is little doubt that the therapeutic alliance is important for therapy (Flückiger et al, 2020; Wampold, 2015).…”