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Table 4 Results of the qualitative analysis: thematic analysis

From: Exploring “psychic transparency” during pregnancy: a mixed-methods approach

Themes

Subthemes

Explanation

Example

Link between dream and reality

On/off

Waking up suddenly without any residual element of the dream.

“Sometimes, I’m dreaming and I wake up suddenly…[…] with the feeling of stepping from one world to another”.

Dream/reality entanglement

Feelings and perceptions during the day that may be linked to dreaming activities.

“Dreams can come back during the day… in a situation or when you’re reading something.”

“When I dream about someone …and when I meet them during the day, it feels strange”

Gradient

Sliding slowly from dreams to reality in the morning.

“Sometimes when I wake up I am still dreaming.”

“Sometimes I start dreaming and then I’m in my patient’s room…wondering how I got there“ (woman working at night as a nurse).”

The Other and otherness

Self-understanding to understand others

Experiencing hypersensitivity to others’ feelings – the “emotional sponge”. (mopping up emotion)

“If my family or friends are not well, I’m not well either, I'll try to find out what’s wrong to help them.”

Self/others entanglement

Guessing people’s feelings based on one’s own perceptions.

“I pay attention to others […] I can tell what people feel by listening to myself and my own feelings.”

Anxiety and coping

Death and disintegration (anxiety)

Fearing one’s own death or another’s death.

“I had this dream where my little sister was dead.”

Identity (anxiety)

Feeling of no longer recognizing others and oneself.

“Sometimes, I dream about people I know but they don’t look like they should”

“I dreamt I was a doll and I had two faces: my own face and the doll’s face”.

Separation (anxiety)

Fear of drifting apart from those close .

“I dreamt that my mother came to visit me and suddenly [when she wanted to come in] my flat didn’t have doors anymore.”

Verbalisation (coping)

Feeling the need to tell someone about the dream in the morning.

“Sometimes, my roommates tell me about their dreams”

Reality appraisal (coping)

Checking the reality of some feelings or some memories experienced at night in real life.

“I dreamt my sister was dead, I woke up at 6 AM and phoned her to be sure she was OK even though I knew it was just a dream”

Creative activity (coping)

Writing or producing art from dreams.

“I have a diary. I write up some dreams, telling myself that maybe, one day, I’ll publish it.”

Rationalisation (coping)

Giving no meaning to the dreams.

“Some dreams have no meaning, they just couldn’t happen in real life so there’s no need to give them any credit.”

Therapeutic function of dreams (coping)

Having the feeling that dreams lead to understanding what remains doubtful or unconscious during the day.

“It’s a way my brain is working at night, maybe to digest fears or, else pleasures.”

Intellectualization through literature (coping)

Trying to use literature to understand dreams.

“I tried to understand my dreams with books, Freud for example.”

Temporality

Biography

Referring to personal life.

“I’m going to a seminary next week.”

“About my professional project, I would like to stop working with old people […] maybe psychiatry […] definitely not in paediatrics.”

Dreams

Referring to the time when dreams occur and to the connexions between dream content and the subject’s personal life.

“Some dreams keep on coming back over the years.”

“I often dream in the morning, from 5 AM to 7 AM”

Interview

Describing how they managed during the 5-minute interview

“5 min is a very long time.”