Penile erections are a prominent feature of REM in human males (Fisher et al 1965,
Karacan et al 1966).
REM is under cholinergic control (Hobson 1992, Shiromani et al 1987) and erections are under parasympathetic cholinergic control as well (Lefkowitz et al 1990).
Dreaming, especially vivid dreaming with visual imagery and complicated plots, is
closely associated with REM sleep (Dement and Kleitman 1957).
While non-depressed persons typically enter REM about 90-100 minutes after sleep
onset, depressives enter REM about 40 minutes after sleep onset (Duncan et al 1979,
Kupfer 1976).
Curiously, almost any drug with a positive effect on affective state (either mood elevation or anxiety reduction) antagonizes one or more aspects of REM sleep. This general finding applies to a wide range of drug classes, including tricyclic antidepressants, MAO inhibitors, amphetamine like stimulants, opiates, benzodiazepines, barbiturates, and alcohol (Kay et al 1976, Julien
1992).
Vogel (1983) goes so far as to suggest that REM deprivation is the mechanism by
which antidepressant drugs ameliorate endogenous depression.