"SOME

DREAMS

NOTES ON AND THEIR

SIGNIFICANCE.''1

Sir George H. Savage, M.D., F.R.C.P.

I have

promised to read a paper at this your local meeting, and I will keep my promise, though I feel more practical gain would follow investigation of the actual treatment of mental disorders at Brislington House. The subject I selected wasSome Dreams and their Significance." Many of you know "

1

Read at the

Meeting

of the Local Branch of the

Medico-Psychologic^1

Association, held at Brislington House, April 18th, 1912.

ON SOME DREAMS AND THEIR SIGNIFICANCE.

157

already that I very experienced student of dreams. I hardly ever close my eyes without dreaming, and it has therefore a

am

been

111

a

the

sane and in the

diagnosis First,

me

to

insane,

to trace the nature of dreams

if

see

they

can

assist

us

in

our

treatment.

or

I must

prefer this

sleep

of interest with

subject

one:

give "

some

are more or less

sort of definition of

activities which

Mental

recalled

on

awaking."

a

dream.

I

occurring during Everyone tells

y?u that the lower animals dream, and refer at once to their ^??? who moves his feet as if pursuing when asleep on the

hearth-rug. admits,

?n

That mental action is

but

we

taking.

s?me sort is

^eath. acts

cannot tell if the

I take it that as

near

the

P?int of consciousness. To proceed with the

of

ttiental

^Pileptic

on

during sleep

one

any memory of this

all believe that mental action of

heart's action, and continues until must have seen evidences of this in automatic

constant

Most of us

performed

we

going dog has

point

of

death, but

a

dream rises to

a

dreams may assist in diagnosis the classical description of the

subject,

Since

disorder.

old

as

who

always saw someone approaching her lady, knock her down with a crutch before a fit, we all recognise *hat dream aura may precede a fit. I have met with cases in ^vhich there was always the same dream, and this dream may be ^"?

?followed by ^Uch

automatic action with

complete

mental obli\ion.

of the persons who are picked up provide in the streets, and though rare, yet it is established that criminal acts depending on a dream may follow

cases

some

pandering believe

ring the automatic stage. I have met with certain ?erSons who have had definite hallucinations following

lmPressions.

I

many of

insane dream

know the

hypnotic halluarise on awakening and the persistence of a which k^ations ?f mental after-image. I have frequently talked to Persons who have been recovering from delirium, and they have whether such and such a thing has taken place, only to fancy

^sked that the idea arri

e^ical friend -e

m

who

was was

us

mistake.

One I remember well, a much puzzled at the confusion which a

his mind from the

recalling

of dream memories and

158

DR. GEORGE H. SAVAGE.

others which

passing that

from

some

were a

of events which

delirious to

cases

really occurred,

normal state.

a

about which I have been

I

am

upon erotic dreams in adolescence

occurring

I have traced

various delusions.

a

middle-aged

may be in this way. spinster, has one or

women.

which rape,

Dream5

to may lead number of sexual delusions

periods

and ideas of moral fault to dreams which have been

vivid in

in

or even

in adolescents.

at critical

or

he was

convinced

consulted,

there have been accusations of indecent assault

depended occurring

as

The

origin

A woman, often

a

and

widow

or

unusually

development middle-aged

distressing dreams with sense gratification. given rise in some to the feeling that the ideas are evil, and that they are in the hands of the Devil. In one very distressing case a lady of high birth and of very narrow religious views, after such a dream, was persuaded that the Devil, in whom she fully believed, had during the night visited her, and that she was pregnant of a devil. It is hardly necessary to do more than to point out how more

very

of full sexual

This has

such dreams may affect an unstable mind. I have seen several elderly men who had arterial

degenera-

dreams with

persistent hypnotic patient would wake with a dream that persons were in his room making use of his toilet things, and he would have the vision so clearly before his eyes on waking that he would jump up to drive them awayThese and similar dream started fancies passed into true visual and lasting hallucinations. I now pass to the dreams which have been of the same type> but which have preceded attacks of insanity not allied epilepsy. One lady, whose case I have described elsewhere, had tion who had very

hallucinations.

after

a

good deal

disturbing

Thus in

one

the

case

of domestic strain

a

vivid dream that she saW

her brother with his throat cut, and that she felt in some way

she had been the almost

cause

immediately by

of this.

an

which the dominant idea

This dream

attack of was

that

profound

was

followed

melancholia,

in

she had caused endless

disgrace family. She recovered, and some a similar dream, followed by a like attack years later had trouble and

to her

OX SOME DREAMS AND THEIR SIGNIFICANCE.

with j^ancholia, third ^

a

VVas

the old delusions.

mental

s^ght,

A third

breakdown, followed;

159.

dream, followed

but the last attack.

patient had learnt her lesson, and after the ^ream at once placed herself under treatment. I may say that j-his lady, having passed middle life, has now for many years en

au

stable.

perfectly

attack

^ext, never ?t

the

as

I have

of mania has followed as to the dreams of the

complain

of dreams ;

trustworthy.

several instances in which

seen a

dream of horror

insane.

many, in

Many state of

a

or

insane

terror.

patients

exaltation,

are

I have heard marvellous tales which I have

been able to accept, but from what I have been able to father the maniacal patient's dreams are of the confused and

^elirious

not much

type,

?rdinary

dreamer ; who have had

j*1611

previous

^

s

^

dreamt

developed

eams

j

that

ing,

are

few

a

These

impending.

are

prophetic dreams, in which persons some lung trouble, and pneumonia days. In melancholic patients the

and

they begin

In fact, I

was

had

miserable,

but when

PPy-

they

in

attacks of mania have been warned illness

an

some of the so-called Ve

incoherent than those of the

but I have met several instances in which

Certain dreams that

^

more

never

are

to

but

of

part

improve

the

morbid

the dream-life is

more

fail to ask about the dreams of the

melancholics, for I always expect to hear of peace and happiness first during sleep.

^lancholic patient

I think I may say that I

who had

begun

to dream

recover.

Such persons often say as all, they are so happy in their dreams.

^

may

occur in

^ave known n

spoken

a

mania,

maniacal

but this is

patient

to has said he

never

happily wish they they more

knew

who did did not

The

same

difficult to gauge. quiet, and

who has become

dreamt of home and felt

more

C?ntented.

revA?d rsi?ns

now to sum up.

*

taking

5?n Jackson

^

thought by some to be primitive thought ; insanity has been said to be dream, and dream a sleeping insanity. Hughhngs Dreams

are

to

said,

"

Find out all about dreams, and you will know Find I leave with you

about insanity." These general aphorisms ^nsanity-" The your future digestion.

for^011^

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