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
shut spasmodically. During the whole attack she cannot talk; but towards
the end she speaks, although not yet recovered from her state of
somnambulism. When the crisis is over, the child remembers nothing of what
she has said or done in her sleep, and is much surprised at everything
told her.”
_Somnambulic Dreams._--The preceding cases illustrate the variable
character of the manifestations of somnambulism, and may also serve as an
introduction to the more common form of the affection, in which the
patient experiences a dream, probably excited by the same causes that
produce ordinary dreams, and also acts out his dream. The differences
between an ordinary dream and a somnambulic dream lie in the fact that the
one produces an often vivid impression upon consciousness and memory,
while the other is entirely expended upon the organs of external
expression. Starting probably from the same portion of the brain, the
physiological dream sets in motion the cortical structures which are in
immediate relation with conscious memory; the impulses of the somnambulic
dream, on the contrary, are directed towards the lower portions of the
nervous system, where they serve to excite the organs of locomotion and
expression, which are destitute of every form of mnemonic register.
Consequently, the somnambulist retains no recollection of the incidents of
his dream.
The simplest form of this affection is presented by the restless child who
talks, cries out, and brandishes its fists in sleep. In the majority of
instances these manifestations create little more disturbance than the
half uttered yelping of a dog that barks in its sleep. But in some cases
the outbreak assumes a distressing, if not an alarming character,
constituting the affection known by the name of _night terrors_. The
disorder is usually observed in young children of a highly nervous
temperament, before the conclusion of their second dentition. The little
patients are generally of neurotic lineage. Insanity, hysteria,
neurasthenia, epilepsy, chorea, and nervous dyspepsia, are often
discovered among their near relatives. Not unfrequently they have been, or
will become, choreic. The attack is often preceded by symptoms of
indigestion and constipation; but the exciting cause may be usually traced
in the commotion of a brain that has been wearied by the exertions of the
previous day. The child starts up out of an apparently sound sleep, crying
with seeming alarm, calling for his mother, and staring wildly around,
with every possible expression of terror. Sometimes he jumps from his
couch, and runs headlong into a corner, or seeks concealment under the
bed, as if escaping from some frightful object. The eyes are open, tears
flow, perspiration covers the skin, there is the greatest excitement, and
the little one, clinging convulsively to its parent, will not be quieted.
Only after a number of minutes does the child seem to recover the power of
recognizing his friends.
Public-domain text, read in full here on John Shaqi.
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