Insomnia; and Other Disorders of SleepLyman, Henry M. (Henry Munson)
Science
Insomnia; and Other Disorders of Sleep
Lyman, Henry M. (Henry Munson)
Dreams; Insomnia; Sleepwalking
operate alike to release the lower levels of the mnemonic apparatus from
the overshadowing influence of later impressions, so that, like an ancient
palimpsest, it presents once more its long-forgotten characters for
inspection by the mind.
CHAPTER VI.
SOMNAMBULISM.
A great perturbation in nature! to receive at once the benefit of
sleep, and do the effects of watching. --MACBETH.
We have seen that in certain cases dreams manifest a tendency to pass into
action. Thus, the dream with which I was on one occasion occupied became
so amusing that I was awakened by a paroxysm of laughter that continued
for some time after the termination of the dream. Sometimes the actions
which are thus determined become more complicated, but do not suffice to
arouse the sleeper. He continues to dream, and to act out his dream. This
constitutes the ordinary form of somnambulism. It is a special affection
of the nervous system encountered chiefly among persons of a decidedly
neurotic constitution--especially among the victims of hysteria, epilepsy,
and insanity. Sometimes occurring in cases apparently characterized by
perfect health, it will usually be discovered by careful inquiry that the
subject is nevertheless connected by near relationship with a neurotic
stock. In a third class of patients the neuropathic diathesis is not
congenital, but is the acquired result of particular injuries or diseases
of the head. It is also observed sometimes as a consequence of transitory
functional disturbances of the brain connected with the period of
convalescence from diseases that profoundly affect the nutrition of the
nervous system. In all cases, however, it is probable that a special
nervous temperament exists as a predisposing cause of the phenomena, for
the majority of people can sustain injuries of the head, or of the
peripheral nervous system, and can pass through all kinds of illness
without exhibiting any tendency to somnambulism. As the nervous
temperament is the peculiar property of children and of the female sex, it
is among them that the affection is usually observed. Before the age of
puberty, however, the differential peculiarities of sex are not sufficient
to produce any great preponderance in either direction; and small boys
are, therefore, perhaps as frequently somnambulistic as their little
sisters. Like other neuropathic disorders, this predisposition is
frequently met with as an hereditary attribute which may be handed down
from generation to generation. Occurring in the experience of young
children, it frequently ceases when they arrive at years of maturity. Not
always, however, thus ceasing as a consequence of improvement in the
general health, but because of the substitution of some more serious
disorder.
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