Dream Master
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Dream Master is a science fiction novel by Roger Zelazny, first published in 1966. It is an expansion of his novella, He Who Shapes, which won the Nebula Award in 1965.
Dream Master is set in a future where the forces of overpopulation and technology have created a world where humanity suffocates psychologically beneath its own mass while abiding in relative physical comfort. This is a world ripe for psychotherapeutic innovations, such as the "neuroparticipant therapy" in which the protagonist, Charles Render, specializes. In neuroparticipation, the patient is hooked into a gigantic simulation controlled directly by the analyst's mind; the analyst then works with the patient to construct dreams--nightmares, wish-fulfillment, etc.--that afford insight into the underlying neuroses of the patient, and in some cases the possibility of direct intervention. (For example, a man submerging himself in a fantasy world sees it utterly destroyed at Render's hands, and is thus "cured" of his obsession with it.)
Render, the leader in his field, takes on a patient with an unusual problem. Eileen Shallot aspires to become a neuroparticipant therapist herself, but is somewhat hampered by congenital blindness. Not having experienced visual sensation in the same way as her patients, she would be unable to convincingly construct visual dreams for them; indeed, in a case of eye-envy, her own neurotic desire to see through the eyes of her patients might prevent her from treating them effectively. However, she explains to Render, if a practicing neuroparticipant therapist is willing to work with her, he can expose her to the full range of visual stimuli in a controlled environment, free of her own attachments to the issue, and enable her to pursue her career.
Despite his better sense and the advice of colleagues, Render agrees to go along with the treatment. But as they progress, Eileen's hunger for visual stimulation continues to grow, and she begins to assert her will against Render's, subsuming him into her own dreams.
The book is on one level simply the confrontation of two strong personalities engaged in constructing their universes--Zelazny's stock-in-trade--but at the same time cuts to the heart of a corrupt society, whose self-destructive drives and sublimated desires are enacted in the protagonists.
Other elements include Render's son, contemplating a bleakly bland future, and Shallot's genetically modified dog, capable of speech, a vague intelligence, and a spate of his own psychological problems.