The effect ofstressors on psychological and mental health has long been a subject of interest. The stress of medical school has made medical students a potentially important study group for both theoretical and practical reasons. Several factors have been implicated in provoking stress in medical school years: 1) information overload and rigorous schedules with stressful examinations; 2) exposure to human pathology; and 3) specific developmental issues associated with an evolving professional and personal identity (Bojar, 1971;Notman et al., 1984).One study (Zoccolillo et al., 1986) found depression at least three times more prevalent among medical students than in the general population. Those with a prior and/or family history of depression appear especially vulnerable to the medical school environment. Following their training, physicians experience higher rates of all psychiatric illness, alcoholism, drug abuse, suicide, and marital discord than a control population (Vaillant et al., 1972).
RATIONALE AND METHODIn an effort to alleviate the stresses inherent in the medical school experience, to develop a greater empathic concern for others, and to heighten self-awareness, an experiential dream workshop was begun with second year medical students at the Columbia University College of Physicians and Surgeons in 1985.