Pre-Thesis-Week7

Step 0 – Insights

1.  The most vivid and elaborate dreams occur in the rapid eye movement (REM) stage of sleep

2. REM sleep provides a virtual world model where the proto-self is embedded in an internally generated environment, which includes perceptions, sensations, and emotions.

3. As death approaches, the distinctions between waking, dreaming, and deep sleep can break down completely. It becomes impossible (from the outside, and probably from the inside, too) to tell what’s a vision, what’s a dream, what’s “real.”

4. The dream pictures metaphorically the overall state – especially the emotional state – of the dreamer. Maping process: The two systems ( dream content  and reality) don’t have to have surface features in common, but they do have to have a relational pattern in common.

5.  Not everyone  dreams a lot or is interested in dream interpretation and related projects, but more and more people whatever the public or scholars are interesed in this topic.

6. The modern technology such as vitual reality and augmented reality can help to rebuild the dream world efficitently.

7.  By tracking the brain’s blood flow, we can understand which parts are busy during sleep.

8. Dreams in REM sleep are the most “dream-like”: vivid, story-like, and immersive and  remembered most often.

9. Current best practice guides for the treatment of nightmares consistently recommend imagery rehearsal therapy (IRT) as the treatment of choice. IRT is a cognitive imagery intervention that teaches patients to change their remembered nightmares and to rehearse new scenarios.

10. Addressing nightmares can be all the more important because their negative aspects can go well beyond the distressing experiences they present in and of themselves. Increased frequency of nightmares is correlated with severe sleep disturbances, including higher rates of insomnia; increased severity of psychological and psychiatric distress; suicidal ideation; and poor physical health.

Step 1 –  Big Problem

The problem of ___chronic nightmares or  sleep disorder________ affects  both children and adults, veterans (PTSD), trauma victims, people living through major stressors or life crises, and patients suffering from serious mental illness, such as depression.__ 

the impact of which is ____to rehearse the new dream only, and not the nightmare, people can experience significant improvements not only in nightmare frequency, but also in these other spheres_____.

Step 1A –  Big Problem with Data

An estimated 2% -8% of people have nightmares that cause sleep problems

Approximately 5% to 8% of the general adult population reports having nightmares once per week or more often, and lifetime prevalence for nightmares is practically 100%.

Nightmares are especially typical in children aged 3-6 years. Up to 50 percent of young children have severe nightmares that cause them to wake up their parents.

An estimated 50% -85% of adults report having the occasional nightmare. Nightmares tend to become less frequent and intense as your age.

To be considered a “disorder,” nightmares need to cause significant daytime suffering and distress, while the term “chronic nightmares” is typically used when nightmares persist for at least 6 months with a frequency of 1 or more nightmares per week.

lucid dreams: In a lucid dream, the sleeper is aware that he or she is dreaming.

In a representative sample of adults, about 50% of the participants reported having at least one lucid dream;

in student samples, the percentage goes up to 80%.

Dreamers with more than one lucid dream per week are rare: about 5%.

Lucid dreaming is a learnable skill: One of the simplest methods to increase the number of lucid dreams is called “reality checks.” The reality checks are carried out 5 to 10 times during the day by asking oneself whether one is dreaming at that moment, and examining the environment for possible incongruities.

The frequency of nightmares in quieter times has a high correlation to overall dream recall. he 2001 multiauthor book Trauma and Dreams reported one study of children on intensive care burn units and another of kidnapping survivors, finding that 100% of both groups had horrible dreams repeating the event.

Step 2 – Point of View

Users:

  • both children and adults insomnia;
  • veterans with PTSD (post-traumatic stress disorder);
  • trauma victims;
  • neurologist;
  • psychologist;
  • Brain scientists;
  • people living through major stressors or life crises;
  • patients suffering from serious mental illness, such as depression.

Needs:

  • rehearse the new dream instead of  the nightmare
  • reduce nightmare frequency
  • improve brain skills
  • Healing a shattered worldview

Insights:

  • Lucid dreaming is a learnable skill for patients to improve their brain skill: One of the simplest methods to increase the number of lucid dreams is called “reality checks.”
  • Addressing nightmares can be all the more important because their negative aspects can go well beyond the distressing experiences they present in and of themselves. Increased frequency of nightmares is correlated with severe sleep disturbances, including higher rates of insomnia; increased severity of psychological and psychiatric distress; suicidal ideation; and poor physical health.
  • Current best practice guides for the treatment of nightmares consistently recommend imagery rehearsal therapy (IRT) as the treatment of choice.
  • IRT is a cognitive imagery intervention that teaches patients to change their remembered nightmares and to rehearse new scenarios. This approach has been successfully used in both children and adults, and in veterans, trauma victims, people living through major stressors or life crises, and patients suffering from serious mental illness, such as depression.

Step 3 – Problem Statement

Issue + Vision + Method.

Issue: Many people have nightmares that cause sleep problems,  and increased frequency of nightmares is correlated with severe sleep disturbances, including higher rates of insomnia; increased severity of psychological and psychiatric distress; suicidal ideation; and poor physical health. 

Vision: Reducing patients’ nightmare frequency and heal a shattered worldview.

Method: By using the augmented reality and virtual reality to rehearse the new dream and build up the learnable skill for patients control and heal their worldview in the dream.

Step 4 – How Might We Statement

How might we _____create a virtual dream world to rehearsal the healing dream content ____________ for _ insomnia and trauma victims______ in order to ___reduce nightmare frequency and heal a shattered worldview_________.

Step 5 – Hypothesis

1. The Threat Simulation Theory: Dream consciousness specializes in the simulation of various threatening events that our evolutionary ancestors were exposed to.

2.  The Social Simulation Theory: It serve to rehearse pro-social behaviors that, in waking life, strengthen important social connections – helping the dreamer survive as well as satisfy the social need to belong to groups.

3. A simulation theory: Play behaviors provide a safe environment where young animals can practice the instinctually driven behaviors typical for their species (such as fighting, procreating, and bonding socially), which they will need in adulthood to survive. Dreams do the same thing, in the safe environment of sleep.

 

Step 6 – Edit Stakeholders List

 

Capture3

Step 7 – Edit User List 

  • Neurologist:

Steven L. Galetta, MD.  Chair and Philip K. Moskowitz, MD, Professor of Neurology, Department of Neurology, NYU

Aaron Nelson, MD. Director, Child Neurology Residency Training Program Assistant Professor, Department of Neurology, NYU aaron.nelson@nyulangone.org

  • Sleep Disorder Group: Nishay Chitkara,MD, Specialties: Critical Care, Pulmonary Medicine, Language: English, Phone: 212-598-6422
  • People living through major stressors or life crises:  Patients interviewed
  • Trauma victims Group: NYC WELL: Call 888-NYC-WELL (888-692-9355)
    Text WELL to 65173 

 

Step 8 – VMOSA (highly recommend if struggling with problem statements, this is a different approach, commonly used in industry)

Vision – Reducing patients’ nightmare frequency and healing a shattered worldview can help people who suffer from the nightmare and sleep disorder. 

Mission – Help users to build up the lucid dreaming skills, and creat rehearsal a new dream for them instead of their nightmare.

Objective – Looking for stress and trauma roots based on the nightmares recorded, and build up a healing dream based on that patient’s condition.

Strategies – Using the virtual Reality and Augmented reality to help build the dream world for rehearsal new dreams.

Action Plans –

Contact neurologist, psychologist, and Brain scientists to get more healing methods and cases related.

Contact Insomnia and trauma victims Group to get more information about users.

Pick up 7 samples of trauma victims or stressed people with the similar experience, and tring to find a common element in their dream.

Rebuild the element of their dream.

Contact with AR and VR professor about getting good technology support for rebuild the virtual dream world.

Building the virtual dream world for them, and get some feedback.

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