Increased mastery elements associated with imagery rehearsal treatment for nightmares in sexual assault survivors with PTSD

Anne Germain, Barry Krakow, Brigitte Faucher, Antonio Zadra, Tore Nielsen, Michael Hollifield, Teddy D. Warner, Mary Koss

Research output: Contribution to journalArticle

58 Scopus citations

Abstract

Exposure, abreaction, and mastery have been proposed as the therapeutic processes of nightmare (NM) reduction. Imagery rehearsal therapy (IRT) effectively reduces NMs but involves minimal exposure and abreaction. The authors investigated the use of mastery in the scripting of new dreams (NDs) elaborated during IRT. NM and ND reports were collected from 44 female sexual assault survivors with chronic NMs during their initial application of IRT. Mastery was assessed with a standardized dream coding system and a multidimensional mastery scale. NDs contained significantly fewer negative elements and more occurrences of positive elements and mastery than did NMs. NDs were not devoid of negative dream elements. An increase in mastery over negative dream elements is a core process involved in NM reduction.

Original languageEnglish (US)
Pages (from-to)195-206
Number of pages12
JournalDreaming
Volume14
Issue number4
DOIs
StatePublished - Dec 1 2004

Keywords

  • Dream coding
  • Imagery rehearsal
  • Mastery
  • Nightmares

ASJC Scopus subject areas

  • Psychology(all)

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