ABSTRACT
This study reports the current neurobiologic data on REM sleep including psychoanalysis, distinguishing between the "instincts of pleasure" and the "instincts of death" (Beyond the principles of pleasure, S. Freud, 1920). The award and punishment systems are also reported and current data related to nightmares and mainly dream behavior during REM sleep without atonia are presented underlining the frequency of parasomnia in ponto-cerebellous atrophy and Parkinson's disease. The author emphasizes the need for establishing discussions among the different neuroscientific fields related to these questions.
Subject(s)
Dreams , Sleep, REM/physiology , Atrophy/complications , Atrophy/pathology , Cerebellum/pathology , Dreams/physiology , Humans , Pons/pathology , Psychoanalytic Interpretation , Sleep Wake Disorders/diagnosis , Sleep Wake Disorders/epidemiology , Sleep Wake Disorders/etiologyABSTRACT
El autor aproxima e interrelaciona los datos neurobiológicos actualmente conocidos sobre el sueño REM con las aportaciones de la corriente psicoanalítica, particularmente con la distinción entre los instintos de placer y los instintos de muerte (Más allá del principio del placer. S. Freud, 1920). En relación con ello se recuerdan los "sistemas de premio" y los "de castigo", y se exponen las precisiones presentes relativas a las pesadillas y, principalmente, a la actuación de los ensueños durante el sueño REM sin atonía, subrayando la frecuencia de esta parasomnia en atrofias pontocerebelosas y en la enfermedad de Parkinson. El autor insiste en la necesidad de establecer puentes de diálogo entre diferentes campos de las neurociencias en sentido lato, incluyendo cuestiones vecinas. (AU)
Subject(s)
Humans , Dreams , Sleep Wake Disorders , Sleep, REM , Pons , Psychoanalytic Interpretation , Atrophy , CerebellumABSTRACT
The authors report a case of adrenoleukodystrophy in a 8 years old male patient whose mother has taken several abortive drugs during the first three months of pregnancy. The disease was progressive starting with auditory, visual and mental disturbances, followed by neurovegetatives and motor changes with convulsion and fetal position. At the final stage the patient became blind, deaf, quadriplegic and dementiated. Death resulted from lung infection. The diagnosis was confirmed by the CSF, electrophysiological, radiological and necropsy findings. Necropsy changes in the brain and adrenal cortex are detailed.
