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
Presently, however, he lies down, and falls
immediately asleep, waking in the morning without the slightest
remembrance of the unpleasant event.
Such paroxysms occur during the early part of the night, one or two hours
after bedtime, when sleep is passing from its maximum intensity to an
inferior degree of depth. This, moreover, is the time when the controlling
power of the sensory apparatus over other portions of the nervous system
has already reached its minimum. The spinal centres and those
intra-cranial ganglia which do not share in the full measure of this
repose are therefore in a condition of relative exaltation. Disturbances
of internal origin, consequently, produce inordinate excitement of these
waking portions of the nervous apparatus. The abnormal quality of this
excitement is attested both by the history of the patient, and by the fact
that it does not pervade the whole brain. The distribution of motion
through the cerebrum is hindered, so that certain portions of the organ
remain asleep while other regions are thrown into a state of tumultuous
uproar. Such disconnection of the different organs of the nervous system,
by withdrawing particular ganglia from the inhibitory influence of the
other centres, gives opportunity for violent explosions of nervous force.
Somewhat similar in their origin are those acts of unconscious violence
which sometimes occur during the process of sudden awakening out of sound
sleep. The patient is usually a deep but uneasy sleeper, who is only
aroused imperfectly and with difficulty when the attempt to awaken him is
made. Under such circumstances the disturbance to which he is subjected
serves as the exciting cause of a dream which, like the ordinary
somnambulist, he puts into action before he is fully waked. On recovering
complete consciousness, he may retain no recollection of the events of
his dream, and may also experience as great a degree of astonishment at
the results of his violence as if he had taken no part in its display. A
gentleman of my acquaintance, who had suffered considerable uneasiness
regarding burglars, was, one night, startled by a noise in his room.
Jumping up suddenly, he grasped a pistol and fired it in the direction of
a figure dimly perceived near the bed. On waking fully out of sleep, he
found that he had inflicted a wound upon the hand of his wife whose
movements had disturbed him. Another unfortunate, who was once under my
observation for undoubted insanity, was in like manner aroused out of
sleep by a supposed noise, probably heard in a dream. With a pistol in
each hand, he commenced firing wildly in every direction, fatally wounding
his wife who was in bed at his side. When completely awakened he had no
recollection of what had occurred, and was overwhelmed by the event.
Public-domain text, read in full here on John Shaqi.
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