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I think it means, pretty much, "Mass of dead dreams". By the way, that movie is one of the greatest movies I have ever seen; So powerful.

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Here's the explanation the writer of the movie, Hubert Selby, Jr. (and the book it was based on) gave for the title: "In the book, Selby refers to the "American Dream" as amorphous and unattainable, a compilation of the various desires of the story's characters. All the characters use some form of addiction as a substitute for the actual fulfillment of a dream, choosing immediate sensory placation over a struggle for some higher good. Selby explains the title of his book in this context—as a requiem for some specific dream (a dream) as opposed to the larger, overarching "American Dream" (the dream).[page number needed] While an individual dream can wither and die, the American Dream is persistent and cannot be easily overcome, certainly not by those who are so entangled in it that they cannot see it."

It is basically means funeral for a dream. Requiem is the music played during a mass for a dead person. Here the dream of all the four people in the story is dead and the Requiem is being played for the dead dream.

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RE:

meaning of the title "Requiem for a Dream"?

What does the word 'requiem' have to do with the title of the movie? I thought requiem meant mass for a dead person.

"Requiem" usually means the musical setting which is arranged in order to celebrate the death of a failed life or a mass gathered to bid adieu the departed soul for the final time. So the titlewould mean the setting of destructed lives which are all self created figments of imagination of the protagonists.

Dream State, For The Souls Of The Dead Still Living So Suffer.!!!!!!!

"Requiem for a dream"means "Need for a dream".