Dreamy states and psychoses in temporal lobe epilepsy: mediating role of affect

Psychiatry and Clinical Neurosciences
A SengokuT Murai

Abstract

Among 104 patients with temporal lobe epilepsy treated in our clinic between 1992-1995, thirteen patients with repeated dreamy states were evaluated for affective manifestations of dreamy states and their relationship with psychotic states. The types of dreamy states were classified as déjà vu, jamais vu and reminiscence. The affective experiences during dreamy states were evaluated as positive, negative or neutral. As a result, seven patients had déjà vu and/or reminiscence: seizure manifestations in four of these patients were affectively evaluated as positive (familiar and/or pleasurable), and three as neutral. Six cases had experience of jamais vu: five of them were affectively evaluated as negative (mostly fear), and one as neutral. Psychiatrically, only four patients with jamias vu accompanied by feelings of fear had mental disorders: a chronic paranoid-hallucinatory state in two cases, a chronic paranoid state in one case, and obsessive-compulsive symptoms in one case. Other patients who had positive or neutral affect did not demonstrate psychiatric disturbances. Thus, most patients with jamais vu were accompanied by negative affect of fear, and those patients with jamais vu tended to show more psychotic symptoms than th...Continue Reading

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Citations

Jun 6, 2003·Psychological Bulletin·Alan S Brown
Sep 8, 2012·Epilepsy Research and Treatment·Nathan A IllmanChris J A Moulin
Oct 10, 1998·Psychiatry and Clinical Neurosciences·A Sengoku, S Takagi
Sep 23, 2008·Epilepsy & Behavior : E&B·Norbert KovacsJozsef Janszky
May 4, 2011·British Journal of Hospital Medicine·Simon W DubreyWojtek P Rakowicz
Aug 30, 2017·Nature Neuroscience·Rebecca D Burwell, Victoria L Templer

Related Concepts

Semiconsciousness
Deja Vu
Electroencephalogram
Regret
Epilepsy, Lateral Temporal
Memory
Schizophreniform Disorders

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