In the minds of her and other true believers, it is a small class of capitalists who are the slavers and true communism will save us:. Communism is the critique and the antidote to capitalism, with all its problems, including those of social and cultural division… A communist seeks the abolition of property, whether held by the state or private firms and citizens; they want all of us to own everything equally and become our own dictators.
A communist seeks conditions to end the state entirely and have all human society collectively managed.
Sleep paralysis: where your nightmares and reality collide
And yet somehow, instead of ending the state, communism always seems to give rise to a soulless, all-controlling state under which human society is collectively ravaged, not managed. Things started well at the Winter Palace in St. It is my view that an honest communist can now no longer say that the state can be done away with entirely—these true threats require a handful of true bureaucrats to manage them.
No mention of the untold millions of deaths — by some estimates over million — and the incalculable torment from murder and starvation caused by communist regimes. And yet Razer blithely pronounces communism on the upswing and capitalism fatally ill. Capitalism is not utopian; like humanity, it is messy and imperfect under the best of conditions.
But it contains within itself the mechanisms for self-correction, and it embraces human nature — unlike the dehumanizing nature of communism. Persons diagnosed with BPD have a stronger tendency toward dissociative symptoms than non-clinical population and individuals who suffer from depression or schizophrenia Merckelbach et al. The occurrence of dissociative symptoms during the course of BPD may be associated with childhood traumatic events. According to one of the theories of the etiology of BPD, this personality disorder develops in individuals who report that traumatic events were a characteristic of their early lives, mainly physical abuse and emotional neglect.
A study of patients with BPD found that those who had high scores on the Dissociative Experience Scale DES , which measures the frequency of dissociative symptoms, such as autobiographical amnesia, derealization, depersonalization, absorption, and identity alteration Bernstein and Putnam, , experienced significantly more severe emotional and physical neglect and emotional and physical abuse but not sexual abuse during childhood than those who had low scores on the DES Watson et al.
The results suggest that individuals exposed to severe traumatic events during childhood are more likely to develop dissociative symptoms. Traumatic experiences also often interfere with the integration of mental functions, thus, leading to their dysfunction Vermetten and Spiegel, Moreover, dissociative symptoms involve automatic avoidance strategies that defend consciousness from traumatic memories Briere, It is noteworthy that dissociative symptoms are one of the correlates of DRC Rassin et al.
Levitan , p. It seems that frequent experiences of dissociative symptoms or their intensification may produce frequent intrusions of dreams into experiences during the waking state. Dissociative symptoms and proneness to fantasy — characteristics linked to DRC — are correlated, and it appears this correlation can be mediated by experiences during sleep Giesbrecht and Merckelbach, High fantasy-prone students report more dissociative symptoms than their friends who score low or medium on fantasy-proneness Rauschenberger and Lynn, ; Waldo and Merritt, Furthermore, individuals who find it difficult to discriminate between dreams and reality score higher on scales that measure dissociative symptoms and fantasy proneness than individuals who do not confuse dream content with experiences during the waking state Rassin et al.
A study of 51 women from the general population found that fantasy proneness is linked to both dissociative symptoms and everyday cognitive failures Merckelbach et al. Moreover, dissociative symptoms, fantasy proneness, cognitive failures, and sleep disturbances are correlated van Heugten — van der Kloet et al. Later in the current paper, we present data indicating that disturbances in cognitive functioning are among the variables that increase proneness to DRC.
The relationship between dissociative symptoms and fantasy proneness also has been observed in clinical populations. In addition, Steiger et al.
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To summarize, the above findings support our hypothesis that individuals with diagnosed BPD are more likely to experience DRC because of their tendency to experience dissociative symptoms and related phenomena, such as fantasy proneness, sleep disturbances, and cognitive problems. Individuals suffering from BPD experience more negative life events than other individuals — even those with other personality disorder s Pagano et al.
The quantitative analysis of a group of 27 individuals diagnosed with BPD and a non-clinical group of 20 individuals showed that the BPD group had dreams with more negative affect than those in the non-clinical group. Generally, individuals suffering from BPD experience negative dreams, including nightmares, more often than individuals who do not have any of the characteristic symptoms of this personality disorder Schredl et al. Nightmares are sleep disturbances that are related to sleep disorders. They are defined as vivid dreams, charged with negative emotions that awaken the dreamer from sleep DSM-V; American Psychiatric Association, The higher frequency of nightmares among BPD patients compared to the non-clinical population is related to greater emotional instability and heightened neuroticism in this clinical group Simor et al.
The intensity of BPD symptoms is positively correlated with the frequency of nightmares Semiz et al. To try to explain the prevalence of nightmares in persons with BPD, we present two theories: Levin and Nielsen proposed a theory to explain the occurrence of dysphoric dreaming, which is based on two major assumptions: The first, cross-state continuity , assumes that some structures and processes implicated in nightmare production are also engaged during the expression of pathological signs and symptoms such as dissociative symptoms during the waking state Levin and Nielsen, , p.
Dream-reality confusion in borderline personality disorder: a theoretical analysis
The second, the multilevel explanation , refers to the idea that nightmare formation can be explained at two different levels: At the cognitive—emotional level, there are imagery processes that represent emotional dream imagery, whereas the neuronal level contains a network of brain regions responsible for imagistic and emotional processes. This model was created to explain the occurrence of nightmares in the course of posttraumatic stress disorder PTSD ; however, it may also be used in an attempt to describe experiences related both to nightmares and cross-state continuity in patients diagnosed with BPD.
We will not discuss the concept of neuronal correlates of DRC and BPD, as this is beyond the scope of the present article.
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Instead, we will focus on the notion of cross-state continuity with reference to BPD. Other factors include high degrees of physiological and psychological reactivity, maladaptive coping, fantasy proneness, imagery vividness, and thin boundaries. Numerous studies suggest that almost all of these factors are usually present during the course of BPD, however more recent studies indicate that there is no heightened physiological reactivity in BPD e.
Persons diagnosed with this personality disorder are characterized by emotional dysregulation, which is the inability to flexibly respond to and manage emotions, entailing emotional sensitivity, heightened and labile negative affect, a deficit of appropriate regulation strategies, and a surplus of maladaptive regulation strategies Carpenter and Trull, In addition, BPD entails affective instability and a low level of emotion recognition Cole et al.
Studies confirm that BPD patients display a negative distortion in the identification of their own emotional states and the emotional states of other persons e. The inability to accurately recognize emotional states may intensify negative affect, emotional instability, and emotional reactivity in everyday life.
Furthermore, patients with BPD are unable to tolerate distress and they usually use maladaptive regulation strategies to cope with distress and the negative emotions they experience, such as ruminations, impulsive behaviors, or cognitive avoidance Carpenter and Trull, Disorders of emotional processes in patients with BPD seem to occur not only in the waking state, but also during dreaming, as in the case of nightmares Simor et al. The effects of nightmares and other bad dreams, apart from the fear they produce, can involve deficits in appropriate emotion-regulation skills, and decrease ability to cope with distress during the subsequent day, according to the ECM.
Patients with BPD experience emotional cascades during the waking state, and this negative affect induces rumination — repetitive thoughts with mainly negative content. Ruminations increase negative affect, which, in turn, intensify ruminations.
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These processes result in increased cognitive activity during sleep that favors the appearance of nightmares and maladaptive behaviors during the waking state that are intended to cope with negative emotions. It seems that frequent nightmares in persons with BPD may influence the occurrence of negative life events Selby et al. Generally, a simplified model of emotional cascades assumes the subsequent occurrence of: Elevated cognitive arousal during sleep may cause awakenings or semi-awakenings, which consequently may lead to difficulty distinguishing between dreaming and waking experiences Trajanovic et al.
In addition, the inability to cope effectively with stressful situations may enhance the tendency toward dissociative states Mosquera et al.
The reality of a dream becoming a nightmare
Moreover, a study by Rassin et al. Taken together, the findings suggest that frequent unpleasant dream content in BPD may be a factor that increases proneness to DRC. Patients with BPD can experience a number of different cognitive disturbances. Usually, executive functions, such as working memory and response inhibition, also are disturbed in BPD Hagenhoff et al. Moreover, BPD is characterized by deficits in feedback processing, altered social inference, and poor decision-making skills Trivedi, ; Mak and Lam, Generally, four types of cognitive disturbances are distinguished in BPD: A detailed description of cognitive problems in BPD, however, remains beyond the scope of the present paper.
What is important is that problems with reality testing may occur in patients with BPD Fiqueierdo, Reality monitoring, which is related to reality testing, seems to play a significant role in the process of distinguishing dream content from waking experiences. Reality monitoring, a type of source monitoring, is defined as the ability to discriminate between memories of actual events, and memories of dreamed events, imagination, or delusions.
Reality monitoring consists of two decision-making processes: Memory source is distinguished on the basis of its characteristics: Dreams are classified as internally generated events, which are difficult to distinguish from similar, external events because they are created without conscious cognitive operations Johnson et al. In the case of dreams, conscious cognition, which is the most important cue that would help differentiate between internally generated memories and those generated externally is not present. These conclusions indicate that DRC may be associated with difficulty with reality monitoring.
The temporary suspension of the source monitoring process, along with reduced ability to respond to a sensory stimulus and reduced attention, is one of the common features of both dreaming and waking fantasy. These processes may make it more difficult to distinguish between the content generated during dreaming and waking fantasy. Both waking fantasy and dreams play an integral role in mood regulation, adaptive information processing, and maintenance of self-cohesion by providing working templates for future goal-directed behavior and the development and maintenance of self-schemas Levin and Young, BPD patients exhibit certain cognitive disturbances that make them more prone to problems related to reality testing, and waking fantasy may also disturb the processes involved in correct source monitoring.
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Furthermore, it seems that mood regulation is disturbed in BPD because of more negative dream content and emotional cascades at night Selby et al. Moreover, individuals who are more likely to make cognitive mistakes are less likely to trust their cognitive skills van Heugten — van der Kloet et al. We hypothesize that people with BPD who have some cognitive deficits will trust their cognitive processes less because they are not sure if their perception of reality is correct.
Our assumption is that due to their cognitive disturbances, persons with BPD, compared to non-clinical populations, more often will be unsure what the source of certain events or experiences are dream vs. The difficulty that BPD patients encounter in reality testing Fiqueierdo, and their problems with metacognitive monitoring and metacognitive knowledge Sharma and Singh, seem to be the only examples of cognitive disturbances that could lead to a higher probability of experiencing DRC, compared to people from non-clinical populations.
The concept of boundaries, which was defined by Hartmann , refers to a wide spectrum of boundaries in the mind, including interpersonal boundaries the self vs. Thus, boundaries refer to: People have been characterized as having thin or thick boundaries Hartmann et al. As boundaries are generally stable across situations, there is a high probability that individuals with thin boundaries in certain areas will have thin boundaries in other areas Hartmann, Patients with BPD tend to have thin boundaries Hartmann, , and individuals with thin boundaries have higher dream recall than those with thick boundaries.
They also experience more emotions in their dreams, have dreams that are more negative and emotionally intense, dream more frequently about verbal interactions with others, and regard their dreams as more meaningful and creative Schredl et al. Levin and Young demonstrated that absorption is correlated with heightened creativity, a tendency toward dissociation, and increased involvement in imagination-based activities, with concomitant alterations in consciousness Levin and Young, In this context, it may be interesting to raise questions as to whether a greater ability to recall dreams increases the probability that dream content will be confused with real events.
As BPD patients have a greater tendency for absorption Zanarini et al. Additionally, these intrusions may favor the occurrence of dissociative symptoms, which as mentioned above, are correlated with DRC Rassin et al. Taken together, these data suggest that individuals with thin boundaries may be more prone to DRC. Given the above considerations, it would be interesting to conduct studies on the relationship between creativity and DRC in BPD populations and non-clinical populations. Although a recent study by van Heugten — van der Kloet et al.
Future studies should include DRC as a construct to elucidate its relationship with creativity. The variables that may lead to an increased tendency to experience DRC in patients with BPD were described in the preceding paragraphs. Patients with diagnosed BPD may be more prone to experience dissociative symptoms because of traumatic events in their early childhood Watson et al. Thus, the greater tendency toward dissociative symptoms among persons with BPD may make them uncertain whether something they remember happened in their dreams or while they were awake.
The Nightmares of Civilization
Dissociative symptoms are correlated with fantasy proneness, which is also correlated with DRC Rassin et al. Furthermore, persons with BPD often suffer from various sleep disorders Hafizi, , and sleep disorders for instance, nightmares and unusual sleep experiences are related to dissociative symptoms and to DRC Giesbrecht and Merckelbach, ; van Heugten — van der Kloet et al.
Moreover, patients with BPD experience negative emotions during wakefulness that are related to negative emotional experiences during dreaming Selby et al. This process may also be connected to elevated cognitive arousal during sleeping that causes awakenings or semi-awakenings, which consequently lead to difficulty distinguishing between dreaming and waking experiences Trajanovic et al. In addition, dreams that are more likely to be confused with reality are realistic, evoke negative emotions, and give rise to behavior in the waking state Rassin et al.
The dream content of patients with BPD is more negative than the dream content of individuals in non-clinical populations, and people with BPD tend to experience a number of different cognitive disturbances, such as problems with reality testing, metacognitive deficits, altered social inference, poor decision-making skills, or cognitive distortions Fiqueierdo, ; Trivedi, ; Wenzel et al.
We hypothesize that due to the feedback loop of negative affect during dreaming and wakefulness, cognitive disturbances, and increased impulsivity, patients with BPD may take actions after awakening that are based on their dream content, because they are convinced that these events happened in reality. Moreover, people with BPD are characterized by thin boundaries Hartmann, , which may further enhance the confusion between dreams and wakefulness. This theoretical analysis, including such variables as sleep disturbances, dissociative symptoms, negative dream content, cognitive dysfunction, and thin boundaries leads to the proposition that patients with BPD may be more prone to DRC, compared to non-clinical population.
Future research on the general working model should involve the use of factor analysis and structural equation modeling in order to identify and confirm important variables and explore the complex relationships among these variables. We plan to conduct empirical verification of these relationships. The aim of this extensive research program is not only to examine whether patients with BPD are more vulnerable than other people to experience DRC, but to study comprehensively the psychological and neuropsychological aspects of sleep and dreams, using subjective and objective methods, on a continuum: The theoretical analysis presented above is exploratory in nature and is intended to serve as a starting point for further, more advanced analyses, and to provide a theoretical basis for planning empirical studies.