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 exact relation between these different degrees of somnambulism has
been further elucidated by MM. Ball and Chambard.[75] Starting with the
proposition that normal healthy existence is a state in which the
functions of organic life furnish a basis for nervous sensibility and
motion, by means of which the imaginative faculties (imagination and
memory), associated with the coördinative faculties (attention, judgment,
volition), are sufficiently stimulated to maintain a state of
consciousness, they show that the first stage of sleep consists in the
suppression of bodily motion and sensibility. The second stage consists in
the further suppression of the coördinative faculties. The third stage is
marked by the loss of memory and imagination. In the most profound and
perfect sleep the functions of organic life alone remain. The process of
awaking consists in the revival of the faculties in the inverse order of
their extinction. Dreams occur during the period in which motion,
sensation, and the coördinative faculties are in abeyance; but
somnambulism may accompany each of the stages of sleep. Its simplest form
is perhaps the rarest; corresponding to Maury’s fifth variety. In this
form the functions of organic life are intact; motion and sensibility seem
unchanged; the intellectual faculties display their usual activity; but
the ordinary consciousness is never aroused. So far as the normal life of
the subject is concerned, he is active, sensible, intelligent, but
unconscious; and when the paroxysm is terminated memory contains no
account of its events. Such paroxysms may occur but once in the life-time
of an individual, or they may be repeated at stated intervals,
constituting an alternate succession of mental states without connection
in consciousness. This is called the somnambulic life, or double
consciousness, several examples of which will be related upon another
page.
The second form of somnambulism results from the abolition of
consciousness and the more or less complete suppression of the
coördinative faculties of the mind. Memory and imagination, released in
great measure from the control of the higher intellectual faculties, and
excited by such vestiges of sensation as still persist, create a species
of delirium in which mutilated sensations, half formed thoughts and
disproportioned volitions combine to produce a variety of actions. In
this condition the patient dreams, and acts out his dream. He is a
somnambulic dreamer.
In the third degree of somnambulism, consciousness and the entire range of
intellectual faculties have disappeared. The individual resembles a
creature from which the cerebral hemispheres have been removed. He is
little better than a living automaton, guided only by impressions received
from without. In this condition the movements of the body may become
wholly responsive to the will of another--a prominent characteristic of
artificial somnambulism or hypnotism.
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