The patient was a 37-year-old man who had been physically abused as a boy by his schizophrenic mother, often while he lay in bed trying to fall asleep. Nevertheless, he had grown into a reasonably normal, gainfully employed adult, and he thought that the worst was behind him, until one night he awoke to find an intruder rummaging through his dresser drawers. After that, his nightmares began — terrifying, recurrent dreams in which the intruder was a middle-age woman and a knife dangled with Damoclesian contempt from the ceiling fan over his head.

“The old fear memories had not gone away,” said Dr. Ross Levin, a psychologist and sleep researcher at Yeshiva University in New York. They “were easily reactivated by the recent trauma,” and just as readily twisted into the basis of a repetitive nightmare. Dr. Levin urged the patient to reframe the dream and rehearse alternatives to swinging blades and frozen fear, until finally the nightmares abated and the man could regain his footing.

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