15 ongoing discussion of j. allan hobson (vol. 1, no. 2): commentary by lawrence kunstadt (new york)

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  • 7/25/2019 15 Ongoing Discussion of J. Allan Hobson (Vol. 1, No. 2): Commentary by Lawrence Kunstadt (New York)

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    This article was downloaded by: [Adelphi University]On: 19 August 2014, At: 23:30Publisher: RoutledgeInforma Ltd Registered in England and Wales Registered Number: 1072954 Registered office: MortimerHouse, 37-41 Mortimer Street, London W1T 3JH, UK

    Neuropsychoanalysis: An Interdisciplinary Journalfor Psychoanalysis and the NeurosciencesPublication details, including instructions for authors and subscription information:http://www.tandfonline.com/loi/rnpa20

    Ongoing Discussion of J. Allan Hobson (Vol. 1, No. 2):Commentary by Lawrence Kunstadt (New York)Lawrence Kunstadt

    a

    a46 Western Drive, Ardsley, NY 10502, e-mail:

    Published online: 09 Jan 2014.

    To cite this article:Lawrence Kunstadt (2001) Ongoing Discussion of J. Allan Hobson (Vol. 1, No. 2): Commentaryby Lawrence Kunstadt (New York), Neuropsychoanalysis: An Interdisciplinary Journal for Psychoanalysis and the

    Neurosciences, 3:1, 85-101, DOI: 10.1080/15294145.2001.10773340

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  • 7/25/2019 15 Ongoing Discussion of J. Allan Hobson (Vol. 1, No. 2): Commentary by Lawrence Kunstadt (New York)

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    Ongoing Discussion (Vol. 1,

    No 2

    In the beginning, analysts, employing the method

    of

    free association, developed a reputation for ob

    taining detailed histories. It would be gratifying

    if

    sup

    port could be found for respective analysts

    to

    follow

    a single patient over a period

    of

    time, for the purpose

    of learning what additional information the use

    of

    ana

    lytic methods might contribute to the affective phe

    nomenology of limbic epilepsy.

    One might think of such a project in broader per

    spective: It is said that colors per

    se

    do not exist in

    the outward universe. They only exist subjectively in

    ourselves after being generated by the brain's algo

    rithms. Given these considerations, what other nonex

    isting products of mind are waiting to be uncovered

    by our brain's algorithms?

    References

    Gibbs, F A., Gibbs, E. L.,

    Lennox, W G (1938), Cere

    bral dysrhythmias of epilepsy. Arch. Neurol. Psychia-

    try 39:298 314.

    85

    Jones, E. (1953), The Life an d Work Sigmund Freud.

    New York: Basic Books.

    MacLean,

    P

    D. (1952), Some psychiatric implications of

    physiological studies on the frontotemporal portion of

    the limbic system (visceral brain). Clin. Electro-

    coencephalogr. Clin. Neurophysiol. 4:407 418.

    (1990),

    The Triune Brain Evolution: Role Pa-

    leocerebral Functions.

    New York: Plenum Press.

    Panksepp, J

    (1981), The ontogeny

    of

    play in rats.

    Develop.

    Psychobiol. 14:327 332.

    (1998),

    Affective Neuroscience: The foundations

    Human and Animal Emotions. New York: Oxford Uni

    versity Press.

    Papez, J. W. (1937), A proposed mechanism of emotion.

    Arch. Neurol. Psychiatry 38:725 743.

    National Institute

    Mental Health

    CBDB Neuropathology Section

    Building

    36

    Room 3A24

    35 Convent Drive MSC 4091

    Bethesda MD 20892 4091

    Ongoing Discussion

    of J.

    Allan Hobson (Vol. 1,

    No 2 :

    Commentary by Lawrence Kunstadt

    (New

    York

    This letter has three goals. The first

    is

    to examine the

    physiological evidence related to the Solms-Hobson

    debate over whether dreams are caused by wishes or

    by brain mechanisms. The second

    is

    to present an old

    theory concerning causality and apply it to this debate.

    The third is to specifically answer many

    of

    the objec

    tions Hobson raises against psychoanalysis.

    Physiology

    The physiological aspect

    of

    the Solms-Hobson debate

    is nominally over whether there

    is

    a significant multi

    or autogenic forebrain contribution to REM sleep

    dreaming (Solms) or whether the pontine contribution

    to REM sleep dreaming is sufficient alone to cause

    dreams (Hobson). The former would be consistent

    with the Freudian notion

    of

    dreams

    as

    fulfilling wishes

    because it is known that the forebrain

    is

    involved in

    Lawrence Kunstadt, Ph.D., is a neurobiologist on the faculty

    of

    the

    New York University Psychoanalytic Institute.

    higher order thinking. There being no evidence that the

    pons underlies higher order thinking, the latter allows

    dreams to be explained away as mere physiology or

    epiphenomena, just something the brain does.

    While this may seem to be an angels-on-a-pin

    head debate, what is at stake

    is

    the underpinning

    of

    the psychoanalytic edifice. Make no mistake about it,

    this is a case of two world views colliding: psycho

    analysis versus reductionism, and an intelligent reduc

    tionism at that.

    Hobson's challenge to psychoanalysis is bold and

    threatening: Because [Freud's] dream theory is so

    foundational, its renunciation forces a major reformu

    lation upon the whole

    field

    (p. 158). Insofar

    as

    psy

    choanalysis remains committed to Freud's view

    of

    dreaming

    the new results do not provide the faint

    est modicum of support (p. 157). It is therefore, to

    use Freud 's apposite phrase, incumbent upon us to

    make perspicacious and clear the evidence, as

    sumptions, and reasoning underlying these two views.

    Each side's argument rests on three components: em

    pirical data, interpretation of these data, and conceptu

    alizations

    of

    the issues.

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    The animal neurobiological data are not con

    tested by Solms. The Solms data, which are primarily

    clinical, are contested by Hobson. The problem is that

    there are strengths and weaknesses to each approach.

    The clinical data are more relevant because they are

    human studies. However, they are probably less valid

    than Hobson's experimental data because they depend

    on accidents

    of

    nature, such as strokes, which give

    widespread and imprecise lesions incapable

    of

    exact

    anatomical resolution, varying from case to case and

    having no known connection to specific functional

    anatomy (i.e., they cause damage over a widespread

    area containing several distinct structures rather than

    the pinpoint lesions created experimentally). Animal

    lesion studies do not have this problem. On the other

    hand, we do not know a priori the precise anatomical

    correspondent

    of

    particular psychological functions

    (that is what lesion studies set out to determine) so that

    lesions based on anatomical distinctions may, also, be

    too small, too large, or otherwise inappropriate. There

    is a big difference between asking what the mental

    change

    is

    related to in a given structure and asking

    what structures underlie this mental function.

    That is to say, there are methodological problems

    with both scientific approaches. Furthermore, Solms's

    clinical cases utilize analytic listening in contrast to

    Hobson's wake-up studies which listen to human

    volunteers' reports nonanalytically. These two meth

    odologies yield different results. In fact, the type

    of

    results they yield are to a large extent incommensura

    ble, which is a major source

    of

    the disagreement be

    tween Solms and Hobson. PET and other nonlesion

    studies are more helpful because the results are self

    generated by the brain during the psychological func

    tion in question. They may therefore resolve some

    of

    this dispute but the critical studies, which, as Hobson

    notes, would require people to sleep in scanners, have

    not been done yet.

    The interpretation

    of

    the data is to some extent

    a matter

    of

    taste, resistant or even refractory to argu

    mentation. For instance, Solms considers the 20

    of

    dreaming that occurs in NREM to conclusively invali

    date the pontinogenic origin

    of

    dreams theory, where

    as Hobson considers the 20 to be ared herring.

    p

    210).

    However, it may pay to review and comment on

    some

    of

    the arguments. Hobson's theory

    of

    dreaming

    is sophisticated, complex, and very intelligent, making

    it hard to summarize. His emphasis is on the role

    of

    the pons and the limbic system in dreaming. The for

    mer, in his view, initiates dreaming, the latter gives it

    its affective flavor. The forebrain's role is to synthe-

    awrence unstadt

    size the disparate, meaningless stimuli that reach it,

    creating the narrative

    of

    the dream.

    What are dreams, according to Hobson?

    physiological projection test revealing, rather than

    concealing, emotionally salient concerns (p. 157).

    There are two types

    of

    argument for this view. One

    is

    philosophical, the point

    of

    view that the mind and

    brain are identical.

    Our

    conscious experience is the

    brain-mind's awareness

    of

    its own physiological

    states (p. 158). The other consists

    of

    a very large

    number of physiological studies which form the basis

    of

    Hobson's first paper in this journal.

    A discussion

    of

    Hobson's philosophical view

    of

    mind-brain identity would take us far afield. I would

    like to focus on where Solms and Hobson differ in

    their physiological views. I must note in passing that

    while Hobson's work is generally accepted in the field,

    there are some criticisms

    of

    his model from other labs

    such s Llinas's (e.g., Llinas and Pare, 1991) and

    Mancia's (1995).

    Solms does not dispute the assertion that the pons

    and limbic system contribute to dreaming. The funda

    mental questions underlying the Hobson-Solms de

    bate are: (1) whether the pons, in particular, is

    necessary for dreaming or whether it is only one

    of

    several anatomical loci that may stimulate those other

    areas necessary for dreams; (2) whether neurophysio

    logical stimulation

    of

    the forebrain alone is enough to

    cause a dream or whether such stimulation must in

    volve another brain area that catches the attention

    of an appetitive fantasy ; and (3) whether dream im

    agery is cobbled together merely s a reflection

    of

    meaningless stimuli or whether the dream's imagery

    manifests interpretable wishes. Just to make it clear,

    neither side believes that pontine or limbic activity

    alone determines dream imagery or action. That is a

    cortical function.

    Solms adduces several empirical objections to

    Hobson's model. The first is that it ignores the small

    number

    of

    patients who have pontine lesions who,

    nevertheless, dream. Hobson dismisses this objection

    y claiming, Itseems to us that any lesion capable

    of destroying the pontine REM sleep generator mecha

    nism would have to be so extensive as to eliminate

    consciousness altogether (pp. 168-169).

    This is an unfair dismissal

    of

    a critical piece

    of

    evidence.

    If

    consciousness were eliminated, how

    could the patients have reported their dreams? I think

    Solms' objection is serious, though not fatal, and de

    serves a much more thorough evaluation by Hobson.

    One thing that needs to be done is to look closely at

    the postmortem neuroanatomy to see just where the

  • 7/25/2019 15 Ongoing Discussion of J. Allan Hobson (Vol. 1, No. 2): Commentary by Lawrence Kunstadt (New York)

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    Ongoing Discussion (Vol. 1, No.2)

    lesions were. Were they restricted to (or did they even

    include) the pedunculopontine and laterodorsal teg

    mental nuclei that are so important to Hobson s model,

    or were they very massive,

    s

    Hobson suggests they

    must be?

    While we re

    on

    the topic, I wonder about some

    of Hobson s neuroanatomy. I may be out of date but

    I believe the pedunculopontine nucleus receives fibers

    from the precentral gyrus (motor cortex) and the glo

    bus pallidus, suggesting it is involved in motor output.

    Could cortical motor intentions (plan for specific ac

    tion) descend to the pons and then ascend up again for

    conversion to visual imagery? What is the laterodorsal

    nucleus? There are nuclei in the dorsolateral part

    of

    the pontine tegmentum. Is that what he means? The

    Braun model (p. 166) and Hobson s Figure 4 are ex

    tremely interesting. I hope Hobson s 2000 paper dis

    cusses these in detail. That article

    s

    not yet available

    s

    I write this letter (August). What these models sug

    gest is (1) that lower brainstem neuroanatomy is in

    volved in dream consciousness and (2) that different

    aspects of this consciousness are related to simultane

    ous (rather than sequential) contributions from differ

    ent anatomical loci, a finding that would certainly

    draw people s attention. (The latter is entirely consis

    tent with Freud s view of the brain.)

    The second Solms objection comes from the 20

    percent or so of dreams that occur outside REM sleep

    but which are indistinguishable from REM dreams.

    Solms s inference is that these dreams occur without

    the physiological mechanism underlying REM dreams

    and therefore the REM-dream mechanism (that is,

    Hobson s circuit) is not necessary for dreaming. Hob

    son s

    counterargument is that recent work demon

    strates some REM-like features in non-REM sleep,

    making the story a quantitative one rather than an

    either-or situation. This

    s

    in accord with the emphasis

    in psychoanalysis on a quantitative factor and should

    be considered more carefully by Solms. Apparently

    non-REM dreaming has not been studied in great de

    tail physiologically, so we do not know which

    of

    these

    alternatives is right. This may be one of those cases

    where, as a wag once put it, the horns

    of

    a dilemma

    are attached to the same bull.

    The third issue is perhaps the most critical.

    If

    pontine mechanisms are not necessary for dreaming,

    then what does cause dreams? Solms s contention is

    that there are two entirely different mechanisms-the

    brainstem mechanism of REM sleep and the forebrain

    mechanism

    of

    dreaming. Hobson claims that (nonfore

    brain) pontomesencephalic brainstem cholinergic acti

    vation inhibits motor output (except oculomotor

    87

    movement) and also stimulates the forebrain to dream

    and is therefore the sole cause of dreams. For Hobson

    the dream is composed of information from corollary

    discharges from the oculomotor muscles and motor

    intentions (originating where?). Solms follows the

    Freudian view.

    Solms argues that any type of persistent arousal,

    not just pontinogenic stimulation, can cause dreams.

    He argues this based

    on

    the cluster

    of

    dreaming that

    occurs during non-REM (nonpontinogenic) sleep at

    the onset of sleep and at awakening. He also cites the

    case of focal forebrain disrhythmias in complex partial

    epilepsy, in which

    dreamy

    states manifest exclu

    sively from frontal and limbic structures. Hobson does

    not address this evidence.

    Solms also argues that decades of animal research

    equate REM sleep with dreaming but ignore the im

    possibility of knowing whether the animals actually

    dream. This raises the whole issue of what one can

    learn from animal studies. I would argue that there

    are additional limitations that tarnish the enterprise

    of

    cognitive neuroscience. For one,

    s

    the brain evolved

    it not only added new tissue it rearranged its intrinsic

    anatomy. Structures with the same name (e.g., amyg

    dala) have different structure, size, and connections in

    different species. What a specific structure does in one

    species brain is related to its connections and will be

    at least somewhat different from what the same struc

    ture does in another species brain. While similarities

    may impress us, there are always differences. I call

    this the Everybody has a face but everybody s face

    is different problem.

    Furthermore, it is well known in animal behavior

    that the same behavior in different species often

    has a different physiological basis. In biology small

    differences at one level can lead to very large differ

    ences at a different level. The cat s not simply a di

    minished human.

    There is another fundamental problem with cog

    nitive neuroscience. It still uses a

    module

    model

    where something happens to information in a brain

    structure then it moves somewhere else where some

    thing else happens, rather than a model where each

    structure dynamically contributes to whole psycholog

    ical functions. I do not think these are either-or mod

    els, they may both apply. And there are other models

    of brain organization too.

    Solms s fourth argument rests on the finding that

    there are hundreds of patients reported in the literature

    who have ceased dreaming but who continue to exhibit

    REM sleep. These patients have lesions only in the

    forebrain, and in specific forebrain loci to boot, the

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    88

    white matter of the ventromedial quadrant of the fron

    tal lobes (bilaterally) and the PTa junction (or possi

    bly underlying structures such as the insula. If the

    insula, this would be historically interesting because

    Freud [1891] wrote that the insula creates more than

    anywhere else in the nervous system, the impression

    of a real centre for certain functions [po 4]). Hob

    son s counterarguments rest

    on

    objections to the ex

    perimental methodologies (these were frontal

    leucotomy patients) and proposed alternative mecha

    nisms such

    as

    weakened cognitive function or attenua

    tion of recall. This is also negative

    evidence-if

    the

    gears (forebrain) don t engage, it does not matter how

    much gas (brainstem stimulation) you give the engine.

    Solms derives from this set of evidence the idea

    that any sustained arousing stimulus can cause a

    dream. He then developed a second part to the model.

    Borrowing from Freud, Solms also proposes that for

    a dream to occur the arousing stimulus must engage

    the appetitive interest of the mind. He presents physio

    logical evidence for this and links it to Panksepp s

    dopaminergic seeking system. To discuss this would

    require more time and effort than either I can bear or

    than I could expect the reader to endure. Let me say

    that while many of Solms s arguments strike me as

    persuasive (assuming the data hold up) the dopamine

    hypothesis leaves me unconvinced. For one, Pank

    sepp s seeking system is a general up-and-at- em seek

    ing system whereas Freud s seeking function relates

    to a specific memory/wish-based attempt to refind an

    experience of satisfaction. Second, my negative tilt

    relates to the enormous strength and staying power of

    the dopamine hypothesis of schizophrenia over the

    past couple of decades which have recently evaporated

    into the mist (Martin Blum, personal communication,

    1999). The third is the very complex problem that

    while we can label certain fantasies appetitive

    based on their peremptory quality, so far as we know

    even though neurotransmitters may vary, there is noth

    ing in neurophysiology that distinguishes different

    qualia from each other. The fourth is the related prob

    lem of whether physiological arousal can be equated

    with behavioral arousal.

    So what are we to make of all this? One thing

    is that while further empirical research will certainly

    resolve some of the specific points of disagreement it

    will not resolve the conceptual disagreements. My

    view is that the dispute is not so much over the data

    as between the complexity of nature and the desire of

    both Hobson and Solms to build idealized abstrac

    tions. (I

    don t mean

    idealized in the psychoanalytic

    sense but that may be involved too.) At this stage of

    Lawrence

    Kunstadt

    science, models help but they cannot account for the

    complexity of nature. I am most impressed with Hob

    son s attempt to bring quantitative factors into his

    model.

    Solms presents several types of clinical evidence

    for forebrain-originated contributions to dreaming.

    Hobson has a counterargument for most

    of

    them, fo

    cusing on the quality of the data. I have mentioned

    the problems with each side s method and I think this

    is the real issue. Solms argues by virtue of the consis

    tency and quantity of different types

    of

    clinical studies,

    Hobson by the quality of a more precise approach.

    Solms tries to interpret what nature has given him in

    clinical material. Hobson has been looking for neuro

    physiological and neurochemical systems.

    What exactly is Solms saying? There are two

    forebrain areas the loss

    of

    which causes complete ces

    sation

    of

    dreaming without loss of REM sleep: the

    parieto-tempero-occipital (PTa) junction and the

    white matter of the ventromedial quadrant of the fron

    tal lobes. Solms attributes the loss of dreaming in pa

    tients with lesions in these areas to a loss of

    motivation. This is the crux of his psychological dis

    agreement with Hobson. For Solms, a dream must, as

    Freud proposed, be motivated. Solms notes that frontal

    leucotomy patients who lost the ability to dream were

    adynamic, that is, they lost their spontaneous interest

    in the world p 190), and he relates this to a circuit

    connecting limbic structures with the ventral tegmen

    tum below and the ventromedial cortex above.

    The idea that the forebrain functions as a nonspe

    cific arousal mechanism has a long and interesting his

    tory. Following Darwin (Aronson, 1970), the great

    neuroanatomists of Freud s time, the Edingers, Elliot

    Smith, Ariens Kappers, C. Judson Herrick, Johnston,

    Huber, Crosby, and Papez, mapped out forebrain

    structures in lower vertebrates. This being the time

    before modern staining techniques, they mainly found

    massive olfactory input to the forebrain. As Aronson

    wrote, Since fibers from the olfactory bulbs pervade

    all (or almost all)

    of

    the forebrain in primitive fishes

    and amphibia, the obvious conclusion of the neuroa

    natomists was that the forebrain

    of lower vertebrates

    serves primarily for the reception, dissemination and

    intensification of olfactory information. . . . Then in

    reptiles, birds and mammals there is a progressive in

    crease in the representation of other [sensory] modal

    ities. Thus we see the cerebrum of higher vertebrates

    as a multi-sensory, integrative mechanism (p. 76).

    This theory dominated neuroanatomy for at least

    the first half of the 20th century. During the second

    half

    of

    the century the forebrain came to be seen as

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    Ongoing Discussion (Vol. 1, No.2

    more complex. The olfactory nature

    of

    the forebrain

    was accepted, along with the idea that through evolu

    tion the forebrain became more and more emancipated

    from olfactory domination and took on the role

    of

    an

    activator and even an integrator. The question became

    whether the nonolfactory functions were specific or

    nonspecific. Aronson continues:

    [D]amage to, or complete removal

    of

    the forebrain

    [in lower vertebrates] results in a quantitative reduc

    tion in the frequency of specific behavioral patterns

    and sometimes changes in the timing of these events.

    Since it is evident that no behavioral sequences (in

    cluding those generated by learning experiments) are

    completely eliminated by the operation, one must

    conclude that the behavior in question is organized

    (or the conditioned connection established) in neural

    centers below the forebrain. . . . While the forebrain

    does not participate directly in the organization of

    behavior, it is a nonspecific regulator

    of

    lower brain

    mechanisms. This is known as the arousal hypothesis.

    The forebrain of lower vertebrates is considered the

    forerunner of the limbic system in mammals [po 86].

    Solms s view

    of

    the forebrain derives from this

    heritage. The general idea

    is

    that the forebrain

    of

    lower

    vertebrates receives olfactory fibers and that the fore

    brain itself, as a result, has two functions. One is the

    reception

    of

    olfactory information, the other is a gen

    eral arousal function. As a general trend

    of

    evolution,

    the forebrain became more and more emancipated

    from its olfactory role and expanded its role

    as

    an

    arousal activator or inhibitor and finally

    as

    an integ

    rator. In addition, it added specific functions. Using

    clinical data, Solms argues for the arousal role

    of

    the

    forebrain, which he more-or-Iess equates with motiva

    tion.

    If

    this equation holds, it is a simple step to derive

    dreams from forebrain motivational systems.

    Hobson argues strongly against this. To equate

    brainstem inputs to the forebrain with adventitious ex

    ternal stimuli is to argue against fifty years

    of

    neuro

    physiology (p. 217). Hobson argues strongly in favor

    of

    brainstem control of the forebrain through both the

    reticular activating system and through the circuits

    he discovered.

    My personal view

    is

    that the forebrain arousal

    theory is much too simple, even in lower vertebrates.

    I did some research on this in the 1970s and found

    that forebrain-extirpated frogs Xenopus had a lower

    threshold for responsiveness than normals, but once

    stimulated they were hyperexcitable. Damage to the

    septal region caused the greatest change. This suggests

    89

    to me a dynamic interplay between different specific

    arousing mechanisms. I do not know whether leuco

    tomy patients, when stimulated, showed an exagger

    ated response.

    The history of human neurology and neuropsy

    chology has demonstrated

    just

    how infrequently one

    can find parallel processes between what the mind is

    doing and what the brain is doing. Other than some

    simple sensory systems the correlation is difficult.

    That is why I suspect that while Hobson s model may

    be physiologically correct as far as it goes, it is incom

    plete both psychologically and conceptually. What I

    do not understand is how Hobson can acknowledge

    the participation of

    some two dozen other structures

    and chemical systems (p. 167) but not try to integrate

    all the evidence into a comprehensive theory of dream

    ing. Maybe that is what his new paper does (Hobson,

    Pace-Schott, and Strickland, 2000). The list of how

    the various structures contribute to a dream (vermis to

    fictive movement, fusiform gyrus to facial recognition,

    etc.) is impressive, but what integrates all these ele

    ments into a dream? The answer to that question is

    what separates Hobson (nonmeaningful synthesis)

    from Solms (the dream work). Perhaps a way out is

    to develop a theory in which the two levels relate in

    other than a simple parallel fashion.

    Process-Hierachy Theory (PHT)

    In contrast to the data and the interpretat ion of the

    data, some progress may be made by an analysis

    of

    the conceptualizations. The fundamental issue in this

    debate, as I read it, is the meaning

    of

    the term causal-

    ity, particularly the question of the relation between

    what the brain is doing and what the dream is doing.

    Hobson, struggling with the issue

    as

    does everybody,

    uses a variety of phrases to describe the connection

    between anatomy-physiology and mentation: candi

    date mechanism (p. 158); unity

    of

    brain and mind

    (p. 158); strong and meaningful underpinnings (p.

    158); a unified system which we call the mind

    brain

    (p. 158); separable analytic domains of the

    neurophysiology and psychology

    p

    158); simulta

    neous conscious state and brain-state change (p.

    158); REM sleep dreams have several distinctive for

    mal features which the underlying brain state must

    somehow determine (pp. 158-159); Waking and

    dreaming are at opposite ends

    of

    an aminergic-cholin

    ergic neuromodulatory continuum (p. 161);

    brain

    lesions to be correlated with deficits or accentuations

    of

    dream experience (p. 165);

    dream

    synthesis by

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    90

    the forebrain (p. 166);

    origin

    of dream emotionality

    in REM-associated limbic activation and dream-asso

    ciated executive deficiencies in REM-associated fron

    tal deactivation (p. 169); dreaming is bizarre

    because of the distinctive neurophysiology (p. 170);

    cortices mediate dream vision (p. 170); anxiety

    as the primary product

    of

    limbic lobe activation (p.

    170); dreaming is a state

    of

    consciousness arising

    from the activation

    of the brain (p. 171); brainacti

    vation which underlies dreaming (p. 171); and

    dreaming is epiphenomenal with respect to the most

    fundamental biological adaptations of REM sleep (p.

    174). This is that old devil himself, the mind-body

    problem.

    More ink, parchment, and paper have probably

    been expended

    on

    the mind-body problem over the

    past 2000 years than about any other single issue. To

    my mind the mind-body problem has not been solved,

    and it has not been solved for the single reason that

    nobody knows what the mind

    is

    or even if it is any

    thing at all. We know a lot about how it works, and

    we are starting to know what brain processes occur

    during particular mental functions, but we do not know

    whether the mind is a thing, a model, a level, a prop

    erty, an epiphenomenon or something else. Even to

    speak of the

    mind

    rather than mental processes

    is stating an opinion. So when we talk about the rela

    tion between physiological processes and mental pro

    cesses, we make up terms such as

    c use

    that

    mayor

    may not have anything to do with what is really going

    on, or, at least, not in ways that we usually mean.

    Of great interest along these lines is that both

    Solms and Hobson seem to take the same, or very

    similar, positions, on the mind-body problem (MBP).

    They both consider themselves monists. And they both

    take the same position with respect to how the brain

    is organized, dynamic localizationism, although

    Solms is more of an interactionist than Hobson. Now

    this is not the place to argue the strengths and weak

    nesses of these positions. The literature on these and

    alternative positions is enormous and both Solms and

    Hobson have published papers stating their views. I

    want to stress that the concepts that Hobson and Solms

    raise, though based largely on contemporary findings,

    are old. In fact, the specific issue of how a studied

    process such

    as

    brain chemistry or physiology can give

    rise to another process that seems to have a completely

    different form such as dreams is one that is very famil

    iar to another branch of science, and it is to this idea

    in that science that I would now like to turn.

    Biology has to explain two core processes: evolu

    tion and development. Both are characterized by

    Lawrence

    unstadt

    change over time and both are characterized by the

    creation of new forms from old. So they both raise

    the question, How does something arise out of some

    thing quite different? In the case

    of

    evolution, how

    does one species arise from a different species? In the

    case of development, how does an adult arise from

    an embryo? In our case, how do dreams arise from

    neural activity?

    Over the past

    years, a theory has emerged in

    biology that has proven extremely useful in explaining

    these two processes, as well as ecological succession

    and animal behavior, which have some formal similar

    ities to the first two. The theory is not identified with

    any individual. It does not have an accepted name. It

    has emerged in dozens, perhaps hundreds,

    of

    papers

    written by different people at different times with dif

    ferent biological questions as their subject matter. To

    my mind, while it is incomplete and still under devel

    opment itself, it

    is

    a cohesive theory that provides a

    context for organizing and understanding a wide vari

    ety

    of

    phenomena, including brain and mental pro

    cesses, that have

    as

    central characteristics change and

    emergence. I call it process-hierarchy theory (PHT).

    On the hierarchy side, the gist of the theory is

    very simple, well known, and often used, even by biol

    ogists who do not see it as a general theory of nature.

    Process-hierarchy recognizes that the natural world is

    hierarchically organized. In biology, the hierarchy is

    something like this: Simple molecules make up macro

    molecules, which, in turn, make up organelles, cells,

    tissues, organs, organ systems, organisms, popula

    tions, and ecosystems. I say something like

    this

    because while biologists agree that the natural world

    is

    hierarchically organized, each biologist seems to

    have his or her own idea

    of

    the hierarchy s composi

    tion. But regardless of the content of specific levels,

    the idea

    is

    that levels exist, that each level has proper

    ties that other levels do not have, and that there are

    regulatory principles governing the way levels in

    teract.

    The question of what levels exist is related to

    what biologists call the problem

    of entification, which

    asks how an entity comes into being. This question is

    similar

    to

    the philosophical problem of ontology, but

    with a temporal dimension. In our case, we still do

    not know exactly what level of brain organization

    is

    required for mental representation. It is certainly

    higher than single neurons or even recurrent circuits,

    but whether large areas of cortex or interacting sys

    tems are required is not yet known. (Recent

    work

    on

    consciousness by Douglas Watt suggests that this

    function requires a large interaction

    of

    systems dip-

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    Ongoing Discussion (Vol. 1,

    No.2

    ping deep into the brainstem and not just the cortex

    and thalamus

    as

    some people previously thought.)

    It is important to see that hierarchical levels are

    constitutive

    of

    each other and not simply different in

    scale. They are nested. That is, levels are defined by

    their organization, not by their size. For instance, a

    chicken s egg is a single cell and hence at a lower

    level of

    organization than an ant, which

    is

    a whole

    organism but much smaller. However, within a given

    hierarchy, scale is important. Obviously, a part or con

    stituent is smaller than the whole but one cannot gen

    eralize the scope

    of

    scale across hierarchies. (This may

    be a good place to mention that biologists recognize

    that process-hierarchy theory is an abstraction. In the

    real nature of Nature things get very complex.)

    The higher level, then, is comprised

    of

    members

    of

    the lower level. Muscle cells are organized to com

    prise a muscle. The contraction

    of

    a muscle is not a

    simple addition

    of

    the contractions

    of

    individual mus

    cle fibers. Levels are not levels

    as

    in an apartment

    building, where the fourth floor

    is

    below the fifth floor.

    In biological systems, lower level members are the

    constituents of the higher level. Their relation to each

    other, their organization,

    is

    what constitutes the

    higher level.

    To take a simple nonbiological example,

    if

    the

    legs, seat, and back

    of

    a chair were lying separately

    on the ground, you would not have a chair. If the legs

    were sticking out

    of

    the back and the seat were nailed

    to them vertically, you would not have a chair. What

    makes a chair is the way its constituent parts are orga

    nized. The same is true for biological systems. When

    elements at a given level are organized

    to

    form a

    higher level, the higher level will exhibit properties

    that the lower level does not have. These are called

    emergent properties.

    Now much has been made

    of

    the idea of emer

    gence. The idea is that the higher level s properties

    are not even predictable from a full knowledge of the

    lower level, the implication being that there is some

    thing above and beyond what can be gleaned from a

    total analysis

    of

    the lower level. The usual example is

    water. One could not predict the property

    of wet-

    ness even if a full knowledge of the chemistry of

    hydrogen and oxygen were available.

    This is a bad example because it misses what

    hierarchy theory says about organization. When hy

    drogen and oxygen combine to form water they do so

    by means

    of

    chemical bonds. Hierarchy theory posits

    that it is the

    or niz tion of

    parts that creates the

    higher level, not a chemical bond. Just about anything

    in biology

    is

    a good example because every level

    seems to have new (group) properties. A clear example

    would be the sex distribution

    of

    a population. That is a

    group property. Other functional systems or structures

    with emergent properties are coagulation

    of

    blood,

    capillary anastomoses, cerebellar lobules, and neph

    rons in the kidney. At the social level, we say that

    nations go to war but soldiers fight. Schools graduate

    students but teachers educate them. And so on.

    Emergence raises the question (Salthe, 1996, pp.

    200-201) whether the emergent property is in some

    way intrinsic to preexisting possibilities or whether it

    arises out

    of

    unforeseen or unpredictable events. In

    biology, development (embryology)

    is

    the former be

    cause we have some idea from previous observations

    that a chick embryo will develop into a chicken and a

    frog embryo will develop into a frog, even if we find

    it hard to understand the nonlinear transformations

    required. Salthe calls this feature inexplicable, rather

    than unprecedented (p. 205). Evolution, which pro

    duces truly new species, is an example

    of

    the latter.

    There is no way to predict what a new species will

    look like. Ultimately we would like to know how spe

    cific brain mechanisms generate specific mental

    content.

    So one issue we are really interested in with re

    spect to this debate is whether we should consider the

    mind (with its functions such as dreaming) to be an

    emergent property of the brain. Another is the ques

    tion, how do levels interact with each other? Are there

    rules

    of

    vertical transformation?

    The answers to these questions are almost com

    pletely theoretically undeveloped and yet they are

    probably the most significant problems there are. (Sur

    prisingly, philosophers have not yet entered the fray.)

    In my opinion, the MBP is a specific case

    of

    these

    fundamental problems. I think the way to solve the

    MBP is not to attack it directly (we ve tried for over

    2000 years without success) but to ascertain the gen

    eral rules

    of

    organization

    of

    the natural world and

    then apply them to the MBP. There are several other

    problems in science where a philosophical solution

    would answer centuries-old questions. One such is the

    transition from prebiotic molecules to life.

    Although the last problem (vertical transforma

    tion) is far from being solved, some biologists have

    worked on it and we may hesitatingly make some first

    hypotheses. answer to the question, what is the role

    of the lower level, the answer is that the lower level,

    called the initiating level, provides the potential for

    outcomes. It gives choices and potentialities, it

    creates

    and

    generates.

    A chromosome may have

    thousands

    of

    genes on it, any

    of

    which may be active

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    9

    or inactive at a given moment in a very large number

    of

    potential combinations. Cells may grow in

    anyone

    of

    many ways. People may behave in anyone

    of

    many

    ways. At any moment an entity has many possible

    and available outcomes (behaviors). But it will end up

    having effectuated only one. Events are specified,

    not by natural law per se, but by those laws together

    with the initial conditions obtaining during the time

    the lawful processes occur (Wigner, 1964, cited in

    Salthe, 1985,

    p

    70). When we speak of us lity we

    usually are referring to regularities within a given

    level. Causality across levels is

    of

    a different kind.

    What determines which

    of

    the potentialities

    of

    the initiating level is actualized or comes into being?

    The higher level, which is called the boundary level.

    The upper level

    chooses, selects,

    or deter

    mines the outcome (this,

    of

    course, is a post hoc

    observation and no intentionality is implied). The am

    bient microenvironment determines just which spe

    cific genes are turned on or off at a given moment.

    This makes a determining difference in the eventual

    phenotype. In some cases the boundary level is merely

    permissive, in the sense that it does not select an out

    come but provides the conditions for a lower level

    process to occur. For a neuron to work it must be

    bathed in extracellular fluid

    of

    the proper ionic compo

    sition. A normal ionic composition allows the neu

    ron to fire properly.

    If

    the composition of ions is

    changed, the higher level may act directly

    on

    the neu

    ron to determine its behavior. Some biologists con

    sider the role

    of

    the boundary level to be that

    of

    culling

    out possibilities, that is, to eliminate possibilities, as

    opposed to actualizing possibilities. This may depend

    on

    the specific process. In any case, it is impossible

    to imagine any process in the natural world occurring

    outside a context.

    Stan Salthe (1985), an evolutionary biologist,

    proposes that the minimal description

    of

    a process

    must include what he calls the basic triadic system:

    the initiating level, the focal level (the level

    of

    inter

    est), and the boundary level. The processes of the focal

    level are framed by the potentialities

    of

    the initiating

    level and the determining constraints

    of

    the boundary

    level. Although the analogy is inexact, because in a

    hierarchy the initiating and boundary levels are nested,

    to understand the relation of the focal level to the

    boundary and initiating levels, think

    of

    a piece of iron

    suspended between two magnets.

    Now the process side is harder to conceptualize.

    Time is a harder dimension for us to get our arms

    around, but the duration and speed of biological pro

    cesses make all the difference in how a system be-

    Lawrence Kunstadt

    haves. The fundamental principle

    of

    process in biology

    is relativism. That is, processes occur simultaneously

    in relation to each other, and to the observer. For in

    stance, what we consider objects or entities in biology

    are, in fact, temporary instantiations

    of

    processes.

    If

    I

    see a redwood tree, I would certainly call it an object

    because there it is, there it was before I was born, and

    there it will be long after I die. But if the observer had

    a God s-eye view of time, he would see the seed of

    the parent redwood tree fall, the sapling grow, the tree

    go through the seasons, die, and disintegrate. The chair

    you re sitting on? At some time it was a tree, or ore

    in the ground. A hundred years from now, it will be

    disintegrated or scrap. The idea being all entities, at

    whatever level, are in process. What the observer sees

    depends as much

    on

    his temporal relat ion with the

    observed as on his hierarchical level. Just as the scalar

    natural world is organized according to nested levels

    of

    organization, there is also a sense in which time

    , windows exist in a nested fashion.

    Of

    course, the core question for biologists is

    change over time. Nothing captures life better than the

    notion

    of

    change. Evolution, development, physiol

    ogy, behavior, even homeostasis all involve change.

    There

    is

    a large literature on this topic. Some points

    for

    us

    to note are that natural biological processes have

    direction (adults don t turn into embryos), they may

    be canalized (proceeding along an optimal direction

    within a given changing environment), and that there

    is

    a type

    of

    temporal emergence. This last point has

    been taken by some biologists to mean that higher

    level processes, which are usually

    of

    longer duration

    than lower level processes, cannot interact with them.

    There is a technical discourse around the issue

    of

    lev

    els not being able to interact because their time frames

    are so different (nontransitivity). I believe there are

    ways in which this is not true, but in general it is a

    fair principle of

    hierarchy theory. The idea is, for in

    stance, that an organismic process such as locomoting

    is

    of

    much greater duration than the underlying con

    tractions

    of

    muscles. A gene, the

    work

    of which is

    done in a fraction of a second, cannot determine a

    behavior, which takes seconds, minutes, or hours. This

    raises the question for us

    of

    how the brain might

    cause dreams over time.

    Now this is a very brief overview

    of

    a highly

    complex field. Process-hierarchy theory is not com

    pletely satisfying, nor does it answer every question,

    but it seems to provide an excellent model

    of

    the world

    that elevates natural science into a whole new realm

    and, I hope, for one final time puts Newton back in

    his grave. When people speak of causality they are

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    Ongoing Discussion (Vol. 1, No.2)

    usually speaking

    of

    Newtonian causality, which is far

    from the only type of causality. The great genius

    of

    relativity theory is that it elevated physics from the

    Newtonian curse. The reason quantum theory is so

    hard to accept is that it does not accord with our quo

    tidian Newtonian world. What the life sciences have

    done is to say too,

    Look,

    the biological world is not

    Newtonian. Other types of causality determine biolog

    ical processes. Karl Pribram has proposed adopting

    a view of transformational causality, abandoning the

    question of how things cause other things to behave,

    and replacing it with the question, how do processes

    change into other processes? (It is likely that pro

    cess-hierarchy theory may be universal. Lee Smolin

    (1997), a physicist, has applied PHT in an attempt to

    integrate cosmology with quantum theory.)

    What, exactly, does PHT say about the

    Solms-Hobson debate? The first thing it says is that

    dreams are a process. And their underlying physiologi

    cal mechanisms are processes too. One cannot say that

    a particular part of the brain uses a particular type

    of mentation. What Hobson calls the isomorphism be

    tween the brain and mind I would say is not just a

    technical error but a fundamentally incorrect reading

    of how nature is organized. There is no question that

    all mental processes are related to underlying brain

    processes (and overlying processes, too, as I will de

    scribe). But whatever the mind is, it is not the brain.

    (Solms and Hobson are on the same page on this issue.

    They both take the same position Spinoza took: that

    mind and brain are different aspects of the same funda

    mental thing. Hobson states clearly that he believes

    the brain-mind is a single isomorphic entity although

    he says the two [the one?] are separately ana

    lyzable.

    )

    The critical question in order for

    us

    to use PHT

    to address the MBP in general and dreaming in partic

    ular is, what is the mind? While we do not know what

    the mind is, it appears to me to have some characteris

    tics of a level and someof a property. I hope to develop

    this concept formally some day, for now I will just

    state it without further development except for one

    comment. We normally do not think

    of

    levels as some

    thing immaterial, because PHT requires that a level

    be a constituent of its higher level and it is difficult to

    see how the brain might be a constituentof the mind.

    Furthermore, the termment l pro esses does not even

    begin to speak to the complexity of the mind, which

    itself is hierarchically organized. But I will show a

    way in which the mind might be thoughtof

    as

    a level.

    When Hobson uses the termmind he is referring

    to the conscious mind. When Solms uses the term

    m n

    he is referring to the much more substantial

    Freudian notion. For Freud, as Solms (1997) has

    pointed out, all mental processes are unconscious.

    Consciousness for Freud is something like a sensory

    system that can respond to certain unconscious mental

    processes in the way that the eye can respond to cer

    tain wavelengths of light.

    But whatever the mind is,

    if

    it is the level above

    the brain/whole person, this is not so initially. The

    mind becomes a level. The newborn baby is embedded

    in its environment. The baby s environment consists

    of both things and people, but above all, the mother. In

    the well-known Freudian formulation (and following

    Opatow [1993, 1997]), the baby, hungry again after

    the first feed, experiences hunger

    as

    a pain, which is

    represented as a lack, an absence, a want in both

    senses

    of

    the word. In an attempt to satisfy this hunger,

    the baby hallucinates, in the prototypical actof dream

    ing, the breast. The hallucination is moment rily but

    not ultimately satisfying, causing the baby to turn to

    reality, with all its consequences for the development

    of the mind. In the dream, the hallucinatory quality is

    reminiscent of the baby s momentary senseof satisfac

    tion. This is what Freud meant by wish fulfillment. To

    try to understand Freud s theory of dreaming without

    referring to this complex transformation

    of

    hallucina

    tion to reality construction is to miss the fundamen

    tal point.

    The formal similarity to dreams is twofold: A

    desire (or in any case, an action) to reexperience an

    experience

    of

    satisfaction; and the presenceof a mem

    ory. In order for the baby to hallucinate the breast (or

    as Opatow claims, the breast-as-absent) it must have

    a memory

    of

    the previous experience of satisfaction.

    In order for a dream to have content, it must draw

    upon memory. This is a simple conclusion that for

    whatever reason Hobson does not explore. Dreams

    have content. Where does that content originate?

    Since it does not originate from external perception

    (during sleep), it must come, at least in part, from

    memory.

    In my view memory, and I mean the mental pro

    cess not its physiological underpinnings, serves as a

    surrogate level for the real world of perception in the

    baby and dreamer alike. In other words, during normal

    waking life the level above the individual is his ambi

    ent environment. In dreaming and in the baby s hallu

    cination, memory takes its place. This is the

    fundamental principleof my view: that memory serves

    as a

    surrogate

    level for the perception of the real

    world. In waking life it has an indirect role vis-a-vis

    consciousness; in dreaming, a direct one. It is com-

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    monplace in biology for a new level to be interpolated

    between two existing ones. Think of embryology.

    So now we have the possibility

    of

    seeing reduc

    tionism and psychoanalysis not

    as

    being opposed to

    each other, but

    as different parts of Salthe s Basic

    Triadic System (1985, pp. 67-113). Think of brain

    processes as the initiating level, dreams as the focal

    level, and the external world (mother s breast) as ini

    tially being the boundary level. Once the baby has

    lived through the prim l experience of satisfaction,

    memory becomes the boundary level.

    During the day, through processes which are not

    well understood, stimuli reach the mind which are not

    thoroughly digested. They somehow wake up or

    stimulate memories that are brought into conscious

    ness, not in the dream itself, but by associating to

    dream elements. Whatever the manifest content

    of

    the

    dream itself means, the latent meaning

    of

    the

    dream is discovered mainly through the patient s asso

    ciations to the dream elements. (It can also be made

    manifest by certain behaviors

    of

    the patient.) Hob

    son s view

    of

    the (manifest) dream as reflecting affect

    and concerns of the dreamer does not in any sense

    conflict with or contradict analytic theory except for

    its use

    as

    the exclusive explanation of dreams.

    The wish, by definition, is an attempt to reexperi

    ence a previous experience of

    satisfaction. Hobson

    seems to miss the very tight coupling in psychoanaly

    sis between wish and memory. Hobson seems to un

    derappreciate the nature of the wish for Freud, who

    saw it

    as

    the currency of the mind. Most

    of

    metapsy

    chology

    is

    an attempt to answer the question, what

    is

    the wish doing? The way I read Freud s dream book

    is that when he came to his famous finding that dreams

    are representations of fulfilled wishes, he was not try

    ing to explain the meaning of dreams, he was trying

    to explain what the wish was doing in dreams. The

    emphasis on wishes

    as

    an explanation for dreaming,

    even though this is how Freud stated it, has it back

    wards.

    It

    is

    an everyday observation that dreams contain

    material from the patient s waking life

    of

    the day or

    two before the dream. This material is manifest in the

    dream but the dream s creator (what Freud called the

    dream work) does something with this material. Just

    as an author rearranges words and concepts, so does

    the dream work It is in this rearrangement, as well as

    in the patient s associations, that Freud saw evidence

    of a latent content.

    Using PHT, I would say the brain processes un

    derlying dreaming would be seen as presenting possi

    bilities, a very large number of specific contents.

    Lawrence Kunstadt

    Unlike Hobson s model, there must be a reservoir

    for these contents, which I equate with memory (more

    likely, some dynamic representation, nidus, or kernel

    of memories, since memories seem to be constructed

    anew each time they are experienced). Then memories

    awakened by both the random stimuli from daily life

    and important thing s going on in the patient s life, are

    represented, in the form of wishes, in the dream.

    It is an unsolved question in psychoanalysis why

    some wishes or fantasies reach consciousness while

    most do not. We do not know the nature of the selec

    tion process. Usually analysts talk about an external

    stimulus reverberating with an unconscious

    thought but this is not fully satisfactory.

    So, in summary, PHT may provide a framework

    for reconciling reductionism with psychoanalysis.

    PHT is neither holistic nor reductionistic alone but

    seeks

    to

    describe all levels and to understand the regu

    latory principles of transformation between levels.

    The mind in all its complexity may comprise a (or

    many) levels between the body and the environment.

    The baby s hallucination of the prototypical experi

    ence of satisfaction begins the stratification between

    outside world and inside world as a surrogate for the

    reality of its mother s breast. This would be consistent

    with other processes in the natural world and place the

    psychoanalytic mind back into the scheme of

    nature.

    Responses to Hobson s Criticisms of

    Psychoanalysis

    Referring to Freud s dream theory (p. 218), Hobson

    thanks Solms and other analysts for not claiming that

    he

    is making a caricature of it Since I am not a

    clinician I do not have to be so polite as Solms and

    his colleagues. There is a fundamental problem with

    the way Hobson describes Freud s dream theory and

    it is not that he does so incorrectly. It is that he reduces

    one of the most profound, influential, comprehensive,

    complex, and nuanced theories to a banal algorithm.

    Chapter 7

    of

    Freud s dream book is full

    of

    derivations

    from and implications for philosophy, medicine, and

    psychology and it cannot be understood without refer

    ence to these fields. (For instance, it borrows deeply

    from Kant and it refers, implicitly but repeatedly, to

    the debate over localizationism that Freud took up in

    n phasia

    [1891].) To treat Freud s ideas

    as

    a simple

    mechanical system,

    as

    scientific critics have done for

    a century, without trying to understand their history

    and philosophy and how they

    fit into his changing

    models of the mental apparatus, is akin to panning

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    Ongoing Discussion (Vol. 1,

    No.2)

    Romeo and Juliet as

    just

    another teenage love story.

    Furthermore, in the century since Freud wrote his In-

    terpretation

    o

    Dreams

    psychoanalysis has produced

    hundreds, perhaps thousands,

    of

    papers on dream the

    ory. To ignore this literature is to claim that nothing

    in psychoanalysis has changed or been elaborated

    since Freud.

    Hobson characterizes dreams according to their

    formal properties, but he does not take the step Freud

    took which is to see that these properties tell us some

    thing about the organization

    of

    the mind. For instance,

    Hobson mentions the hallucinatory quality and dimi

    nution or lack

    of

    self-reflection

    of

    dreams, what I

    would call the immediacy of dreams and what Solms

    probably means by the

    vivacity

    of dreams. Freud

    took this quality and asked the question, why do we

    experience dreams as immediate, more immediate

    even than the echoes we call memories or the waking

    reality we experience as

    out

    there ?

    His answer was that it is precisely the phenome

    non of subjective immediacy in dreaming that suggests

    that the hallucinated percept is indistinguishable from

    the mnemic image, for dream content must come from

    memory. The immediacy

    of

    dreaming was an observa

    tion, its origin in memory a logical necessity. The theo

    retical step he took was to postulate that this

    experiential equivalence of mnemic image and percept

    is a result of the seeking of a repetition

    of

    the experi

    ence

    of

    satisfaction. He called this process the wish.

    Thus Freud s notion

    of

    dreams

    as

    hallucinatory wish

    fulfillment

    derives

    from the nature

    of

    the wish, not

    vice versa.

    The so-called disguise-censorship function in

    dreaming serves not jus t to prevent unacceptable

    thoughts into dream consciousness, but to allow those

    thoughts that do reach dream consciousness to be ex

    perienced

    as

    immediate and visual, that is to say, ful

    filling. To use another phrase, it allows the dream

    work to generate a hallucinated experience of satisfac

    tion, which could not occur

    if

    the dream were experi

    enced as either distant memories or external objects

    in waking life or thoughts themselves. Opatow (1993)

    describes this (hallucination)

    as

    the difference be

    tween being assailed by objects

    l

    and attributing objects

    to memories or percepts, that is, giving them the prop

    erty

    of

    otherness.

    If

    object representations in dreams

    had the characteristic

    of

    echo or externality rather than

    immediacy, then they would be subject

    to

    the self-

    I

    Object

    in neurobiology refers to the thing in the outside world,

    object

    representation

    to its mental form, which is usually termed the

    visual im-

    age

    In psychoanalysis, the term

    object

    is used loosely for both; the correct

    term for the mental form should be

    internalized object

    reflection of waking consciousness, which they are

    not.

    What

    Freud is asking by postulating a wish-seek

    ing fulfillment is, Why is the dream experienced visu

    ally, as real, rather than as a thought?

    Here

    we have

    the most general and the most striking psychological

    characteristic

    of

    the process

    of

    dreaming: a thought,

    and as a rule a thought

    of

    something that is wished,

    is objectified in the dream, is represented as a scene,

    or, as i t seems to us, is experienced (p. 534). This is

    the core

    of

    Freud s dream theory. What in waking life

    is experienced as a thought or memory or external

    reality is, in dreams, experienced

    as

    visual, real, and

    immediate. Analysis theorizes that this is what the

    baby experiences at the breast and then in momentary

    hallucination.

    Of

    course what the baby really experi

    ences is unknown.

    The dream

    work s job

    is to eliminate the wishful,

    optative quality

    of

    thought, which refers to the future,

    the notion

    of if

    only such and such

    woul

    happen,

    or I want it to happen (in the future), and to replace

    it with the experience

    of

    that thing actually happening

    now

    or putting the dreamer in a position such that that

    thing can happen with just a reflex action.

    The

    pres

    ent tense [of dreams] is the one in which wishes are

    represented as fulfilled. , Furthermore, Their

    [dreams ] ideational content [is] transformed from

    thoughts into sensory images, to which belief is

    attached and which appear to be experienced (p.

    535). Paraplegics dream

    of

    running, hungry men

    of

    the banquet.

    Thus, while Hobson s reading

    of

    Freud is off the

    mar k and therefore his criticism not really relevant,

    he may have inadvertently led us to a new finding:

    the physiological basis

    of

    immediacy. This would be

    supported

    if

    the same pontine mechanisms he found

    in REM sleep were shown to be present in the various

    forms

    of

    nondream hallucinations. With this outline

    as

    background-and,

    considering the volumes and

    volumes that have been written

    on

    these issues, i t is

    truly only a

    sketch-let

    us turn to some of Hobson s

    specific criticisms

    of

    psychoanalysis.

    1

    Dreaming is the synthesis

    of

    emotional and

    sensorimotor data generated by the distinctive mecha

    nisms

    of

    brain activity in REM sleep

    (p. 157)

    versus Disguise-censorship as the mechanism

    of

    dream bizarreness and dreaming affords privileged

    access to unconscious motives via the technique of

    free association to bizarre dream materiaL

    If

    you listen to a patient in analysis, whether free

    associating to nondream material or describing

    dreams, what you hear is what Freud called t he sim-

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    96

    pIe idea emerging. Different ideas emerge as themes,

    whether the patient is aware

    of

    them or not. The notion

    of defenses relates to the inability of the mind to ver

    balize these ideas directly and with ease. Freud s idea

    of

    a manifest and latent dream content relates to the

    finding that in free association ideas emerge which are

    not easily accessible to the patient s ability to consider.

    Hobson will be happy to hear that many people

    who call themselves analysts use the manifest content

    alone in their clinical work (much to the chagrin of

    other people, like me). Freud heard, and analysts hear

    today, that each element in the dream leads to associa

    tions of its own, which fact, in part, led Freud to postu

    late a latent content. These associations lead to a single

    thought (or group

    of

    thoughts) that have a quality un

    like that of the manifest content. The quality has to

    do with their being forbidden or unacceptable, because

    they reveal fantasies about sex, hate, jealousy, fear,

    embarrassment, and the like.

    A patient reported a dream in which he noticed

    a bakery in his neighborhood. He associated to a build

    ing across the street from the bakery (in real life)

    named La Rochelle. This led to the thought

    of

    a friend

    of

    his named Rochelle and then to the fact that she

    was writing her doctoral thesis

    on

    Proust (Made

    line-bakery,

    get it?). The analyst then prodded,

    Wasn t Proust a homosexual?

    -which

    led to a

    flood of homosexual fantasies.

    It is this

    dist n e

    between the manifest content

    (bakery) and the embarrassing, painful homosexual

    fantasies, which led Freud to postulate a latent content.

    The

    disguise

    refers to the observation that there is

    nothing in the notion

    of

    a bakery (or the building or

    friend) that refers to anything homosexual. It seems

    to me there is nothing in Hobson s physiological find

    ings that contradicts this. Why does he insist that his

    findings and Freud s findings are in opposition rather

    than explanations at different levels?

    The instigation

    of

    dreaming was, for Freud,

    caused by the upsurge

    of

    unconscious wishes follow

    ing suspension of their wake-state repression. We

    would now say that dreaming is caused by brain activ

    ity during sleep (p. 169). But in what sense are these

    opposed to each other? If processes work only at their

    own level, mental activity causes mental activity,

    physiological activity causes physiological activity. If

    we apply PHT, the two are related through upwards

    and downwards causation

    of

    a potential-selective

    type. If you say that a person is running because his

    leg muscles are alternately contracting and extending,

    and I say it is because

    he s

    late for an appointment,

    in what sense is either explanation better? Would Hob-

    Lawrence Kunstadt

    son reduce a Rembrandt to the chemistry of its paint?

    Would he describe a movie, which is in some sense

    like a dream, in terms

    of

    the amount of movement?

    3

    The bizarre character

    of

    dreaming was, for

    Freud, determined by the disguise and censorship of

    the unconscious wishes We would now say that

    dreaming is bizarre because

    of the distinctive neuro

    physiology of REM sleep with its shift from top-down

    cortical control in waking to bottom-up phasic autoac

    tivation epitomized by the PGO process.

    There are three aspects

    of

    bizarreness. One is

    the lack of rational connection between one dream

    element and the next, the associative issue. The second

    is

    the unrealistic character

    of

    some

    of

    the objects in

    the dream (although most objects are real ). The

    third is that dream objects can do things they cannot

    do in real life; for example, people fly

    Again, I see no discrepancy between Freud s

    view and Hobson s view. Dreams contain elements

    from daily life, in fact, dream elements are frequently

    things that were experienced during the day of the

    dream or a day or two before, what Freud called the

    day residue. Since there is a time lag between their

    appearance in waking perception and the subsequent

    night s dream, memory must be involved. In fact,

    dream elements are typically common objects, so reg

    ular long-term memory must be involved. In analysis,

    either the elements themselves or the associated affect

    or the associations that come up in relation to the

    elements are often identified by the patient as being

    from childhood. In fact, Freud proposed that all

    dreams derive from activated childhood wishes, stimu

    lated by the day s events (internal and external).

    So the lack of

    rational connection between one

    dream element and the next that results in the b i

    zarreness

    of

    dreams is, in Freudian theory, because

    there is no story to the dream; the dream is a patch

    work

    of

    associated elements awakened by the day s

    events and cobbled together. The real story is in the

    latent content. The unrealistic character of some of the

    objects in the dream and the ability of objects to do

    things they cannot do in real life seem to more directly

    reflect the work of wishes and memories. That is, there

    is a rationale for the distortions from real life. Freud,

    for instance, suggested that the experience of flying in

    a dream was derived from a memory

    of

    being picked

    up and thrown about as a little child by a playful uncle.

    If Hobson has identified the physiological basis

    of

    these processes, where is the contradiction?

    4 The

    visual nature

    of

    dreams is for activation

    synthesis, not defensive as Freud asserted, but rather

    the direct result of both bottom-up activation pro-

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    Ongoing Discussion (Vol. 1, No.2)

    cesses (p. 208). The visual nature of dreams with

    their immediacy was discussed above.

    5.

    While

    dreaming, we never sit and watch but

    are constantly moving through dream space. Thus

    dreams are not properly thought of as simply visual

    but more accurately as visuomotor. This feature was

    not recognized by Freud

    A strong implication is

    that far from being a feedback regression to the sen

    sory side, dream hallucinosis results from a feed-for

    ward conveyance of data about motor intentions to the

    sensory processors in the upper brain (p. 208).

    This is one point of Hobson s that I believe the

    analytic community should take to heart. I agree with

    Hobson that the psychomotor aspect of dreams needs

    to be elaborated and better understood. Freud believed

    that the immediate visual nature of dreams was in

    opposition to thought, not to motor activity. Thought

    is conceived as a developmental advance over visual

    imagery, and is seen as

    trial

    action. Freud s theory

    of dreaming emphasized the mind s movement toward

    the visual. It is true that today we see perception as

    having a motor aspect, something Freud s reliance on

    the reflex arc model did not. If the visuomotor compo

    nent of dreams is conveying data about motor inten

    tions to the sensory processors isn t this exactly what

    a wish is, a desire or an intent to perform motor acts

    that lead to a repetition

    of

    an earlier experience

    of

    sat

    isfaction?

    I must also point out here Jason Brown s theory

    of microgenesis (1988) which proposes that even wak

    ing perception is an actualization of memories pro

    jected outward into the external space through a series

    of

    upward transformations beginning in the brainstem

    tegmentum. While Brown has severely criticized psy

    choanalysis, this aspect of his theory is certainly com

    patible with the analytic view

    of

    dreams.

    6. At one point Hobson starts to move into dream

    interpretation: Thus in a classic anxiety dream, the

    plot may shift from feeling lost, to not having proper

    credentials, adequate equipment, or suitable clothing,

    to missing a train. These plots all satisfy the driving

    emotion-anxiety-while

    being only very loosely as

    sociated with one another p.

    160).

    But this

    is

    exactly

    the analytic point, which says there are thoughts inac

    cessible to consciousness of a wishlike quality that

    hold these plots together. This is exactly the

    method of analysis of free associations. In fact, it

    seems to me that this is the fundamental assumption

    upon which the psychoanalytic method is based and

    the edifice on which psychoanalysis was built: that

    the seeming unconnectedness

    of

    patients sequential

    conscious thoughts is an illusion; they can actually

    97

    be understood by inferring a connecting unconscious

    thought or thoughts that we call the wish.

    For example, a patient said (somewhat para

    phrased),

    My

    father is dying. Did you know that he

    is wealthy? The analyst infers that the unconscious

    thought connecting the two conscious thoughts is I

    want my father to die so that I can inherit his wealth.

    And underlying that thought is probably some oedipal

    configuration about wanting to kill the father and take

    sexual possession of the mother, the father s real

    wealth. While this is a very simple almost algebraic

    method, in complex form it is what psychoanalysis is

    about. For Freud the wish is the currency of the mind.

    7. All the qualities of dreams listed by Hobson,

    hallucinations, bizarreness, delusion, and so on, are

    well known to analysts. They are, as Hobson says,

    the formal characteristics of dreams. The question is

    whether they mean something or not. When Hobson

    writes, Even the sexual identity of dream characters

    is fluid, and this ambiguity can be anatomically ex

    plicit, not just psychological, he is repeating a com

    monplace psychoanalytic observation that Freud took

    and elaborated into a detailed theory of sexuality. I

    hate to say it, but where s the beef? Listing the formal

    characteristics of dreams does nothing unless one does

    something with them.

    Hobson s description of dreams is like the analy

    sis

    of

    a painting by an art teacher I once had. The

    instructor described the position

    of

    the objects in a

    painting, their relat ion to the horizon and to the line

    of

    sight, their color, all their formal characteristics,

    but seemed to miss the fact that the painting told a

    story too.

    8. Why must incoming stimuli be discharged?

    (p. 208 .1 Indeed, why must they? In several places

    Freud asked the question, how does a single-celled

    organism respond to stimuli? Clearly the mythical pro

    tozoan stood for the mind as well

    as

    the nervous sys

    tem and body. Over the course of his career Freud

    gave many responses and his changing metapsycho

    logical views may be seen as changing answers to

    this single question. The entity may be incapable of

    responding to the stimuli (stimulus barrier), stimuli

    may be discharged (reflex arc, libido theory, specific

    action), they may be inhibited (repression theory), or

    they may be mastered or utilized to build structure

    (ego theory, Eros). Freud s great insight was to ask

    what happens to internally generated stimuli, not just

    external stimuli.

    Questions 8 to 16 are questions Hobson lists on pages 208-209.

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    98

    9

    Hobson asks about the primary process, what

    its anatomical basis is, why motor activity would be

    automatically engaged at the same time and why motor

    atonia shouldn t prevent this motor activity, should it

    become engaged, from disrupting sleep (p. 208). No

    body knows the anatomical basis

    of

    any Freudian

    mental processes. This is why most analysts feel they

    do not have to pay any attention to neurobiology.

    Mark Solms has made the investigation of this issue

    his life s

    work

    and this is why this new journal was

    brought into being. If Hobson wants to help clarify

    the anatomical basis

    of

    psychoanalytic structures or

    processes, even if it were to show they do not exist,

    we would all be delighted. As for the questions about

    motor activity and atonia, I honestly do not know what

    Hobson is referring to.

    10.

    Why would an experience have to become

    verbal in order to be admitted to the system con

    scious[?] Phenomenologically Hobson is abso

    lutely correct about this; words are not necessary for

    an experience to reach consciousness. You can dem

    onstrate this by willfully preventing language from

    entering consciousness while viewing the world (I

    have no idea how we can do this). Freud first formally

    introduced the idea

    of word presentations in

    n

    ph -

    si

    and later intergrated his theory

    of

    words into his

    topographic theory. To discuss this would require an

    other paper.

    To paraphrase Hobson, why aren t Wer

    nicke s and Broca s areas activated during dreaming

    when psychoanalytic theory sees word play in dream

    representations? I think the simple answer is that word

    play is not the same as either word comprehension

    (Wernicke s area) or word production (Broca s area).

    My guess is that word play, which involves at least

    recognition, evaluation, meaning, memory, language,

    association, creation, and visual representation, must

    require a wide range

    of

    structures.

    12.

    If

    dreams are constructed from condensed,

    displaced, plastic memories, how do we explain

    wholly novel dream images?

    If

    Hobson means how

    do we explain novelty neurophysiologically, who

    knows? Process-hierarchy accepts novelty (emer

    gence), raises it to a privileged level, and sees it as

    arising out of increases in organization. But how do

    we explain any creative mental act? Psychoanalysis

    has a lot to say about this but we do not know about

    creativity s neurophysiological correlates. We do not

    even know the neurophysiological basis

    of

    a thought.

    But I wonder why he sees a problem deriving a novel

    object representation from memory. Even novel ele-

    Lawrence Kunstadt

    ments in dreams have some bearing to aspects

    of

    re

    ality.

    13. The hypothetical censor, which makes fine

    distinctions between acceptable and unacceptable

    wishes, is imbued by psychoanalysts with powers in

    compatible with its hypothesized weakened condition

    in sleep. I think Hobson is being a bit too concrete

    here, falling under the sway

    of

    Freud. I m not sure

    one can quantify fine distinction versus gross distinc

    tions, but dream associations suggest that the latent

    content is pretty powerful stuff that rarely sees the

    light of day on its own. In waking the defense rises to

    meet the strength of the wish; that is, it has a variable

    strength of its own. Why should things be different in

    dreaming? This also raises the question

    of

    the notion

    of

    quantity in psychoanalysis, which is a topic for

    another day.

    4 If the ubiquitous initiating causes of dreams

    are wishes and drives, why are undistorted dreams of

    convenience so rare in adults? I m not sure but my

    guess is because the somatic stimulation necessary

    (e.g., dehydration, full bladder) are not present. The

    wish behind a dream is typically stirred up by some

    thing that happens during the day. A wish rarely

    reaches representation in dreams

    on

    its own.

    5 If awakenings are the result

    of

    failed

    dreams in which an unacceptable wish-drive breaks

    through the weakened censor, why are our spontane

    ous dreamless awakenings not accompanied by more

    disturbing (or exciting) affect than our spontaneous

    awakenings? Affects in dreams can be very different,

    even opposite, to the unconscious affect of the la

    tent content. But more importantly, why does Hobson

    think that analytic theory states that dreamless awak

    enings are caused by affect-laden wishes? Maybe they

    are the result

    of

    a physiological mechanism, perhaps

    an endogenous rhythm.

    I m

    not aware that analytic

    theory has anything to say about dreamless awaken

    ings. The point Freud was making was that during

    dreaming dreams protect the dreamer from wakening.

    He was addressing dreams, not sleep. Why do people

    wake up just before the alarm clock goes off? Maybe

    classical conditioning. Maybe an intrinsic rhythm be

    comes entrained. Maybe people wake up because the

    dream is over.

    6 These three components appear under the

    heading Obstacles to Progress (pp. 174-175).

    Three fundamental problems must be overcome if

    psychoanalysis wants to counter its rapidly progres

    sive marginalization:

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