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
The phenomena of ordinary somnambulism are manifested, like the dreams out
of which they arise, during the period of sleep. But, while dreams most
frequently occur during the later portion of the night, after the deepest
sleep is past, somnambulism usually occurs in the earlier part of the
night, during the deepest sleep. As a consequence of this fact,
consciousness is seldom affected by the molecular play of the brain during
the somnambulic excursion. The sleepwalker knows nothing, and remembers
nothing of the incidents in which he has been an active agent; while the
dreamer seems to be more nearly awake. His consciousness is partially
aroused by the play of memory and of imagination, and he can remember the
spectacle which constituted his dream. The phenomena of somnambulism
necessitate the participation of a larger number of faculties than are
needed for the production of a dream, but their activities are coördinated
upon a plane, so to speak, lower than the platform upon which the elements
of dreams are arranged. Consequently, though the elements of the
somnambulic process may be far more numerous and various than the elements
of a dream, they may be less capable of rising into the realm of
consciousness. Such a process may differ from the phenomena of ordinary
life only in the fact of unconsciousness; and, when concluded, it leaves
no traces in the memory of the waking state. In other instances, on the
contrary, so many nervous functions may be suppressed, and so great may be
the intensity of the remaining cerebral processes, that the resulting
phenomena scarcely differ from an ordinary dream in which consciousness is
aroused, and the waking memory is durably impressed. Between these
extremes lie opportunities for an indefinite number of combinations;
consequently the forms and degrees of somnambulism present a very great
variety of manifestation. Maury[74] reduces these to five principal forms:
First, simple movement of the limbs in connection with that partial sleep
of the intellectual faculties which produces ordinary dreams. Second,
_somniation_, a state in which the patient unconsciously performs such
actions as have become so far habitual that, though complicated in their
character, they constitute genuine cerebral reflexes. Third,
_noctambulism_, or sleep-walking, in which the action, though complicated
in its character, and different from the ordinary waking occupations of
the patient, appears to be the result of automatic processes, constituting
a dream that is acted out in time and space. Fourth, _somnambulism_ with
exaltation of the faculties, producing delirium with conscious movements
during the crisis. Fifth, _somnambulic life_, or double consciousness, in
which, with the exception of certain special modifications of
intelligence, the conduct of the patient during the paroxysm does not
perceptibly differ from that of the waking state, so that the subject
seems to experience two successive though disconnected personalities.
Public-domain text, read in full here on John Shaqi.
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