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
It is seldom observed that somnambulism is attended with dangerous
tendencies, yet they are sometimes present. One of my patients once took
by mistake ninety grains of chloral at a single dose. While under its
effects she got out of bed, walked into her sister’s room, shook her fist
in her face, and swore furiously at her. On awaking, next morning, she was
greatly shocked by the account of this dreadful behavior, so utterly at
variance with her usual temper and character. Another somnambulic patient
one night rushed into her mother’s room, violently accusing her of
stealing her pocket-book, and threatening vengeance if it were not
returned. Such patients sometimes mislay the articles with which they
occupy themselves during a paroxysm, and on waking they erroneously infer
that they have been robbed. Sometimes, as in the celebrated case related
by Mesnet, the natural propensities of the individual seem to be released
from all restraint, and brutal instincts guide the actions of the
somnambulist, who then steals, or eats and drinks with the voracity of a
savage. Ball and Chambard (_loc. cit._) have collected a number of
examples in which impulses to suicide or other forms of violence were
manifested under such circumstances. Obviously, where the moral sense is
asleep, and where the affection is the result of causes beyond the control
of the patient, he cannot be held morally responsible for the consequences
of such actions. His condition closely resembles that of the victim of
epileptic mania who delivers himself during a paroxysm to all degrees of
furious and homicidal violence, without retaining the slightest
recollection of the fact after its conclusion. The closeness of the
parallel between these two disorders is rendered further apparent by the
circumstance that although all memory of the events of epileptic mania is
usually abolished, it does sometimes persist after the termination of the
attack. Thus, one of my epileptic patients for a time manifested symptoms
of insanity after every fit. During one of these paroxysms he imagined
that the sparrows on the housetop were all singing a particular tune which
had attracted his attention shortly before the convulsion. Then it seemed
to him that the breathing of his sleeping child whispered the same tune.
Placing his hand upon the bosom of his wife, her breathing assumed the
same musical character. Calling upon his family to listen to the wonderful
music, they all asserted that they too could hear it. It was a
considerable time after his recovery before he could be convinced that
this vividly remembered experience was a pure illusion. The members of
his family had been cautioned against contradicting their father during
his paroxysms; consequently, when he asked if they could hear the melody
which delighted him, they answered affirmatively, and thus confirmed him
in his delusion. To the ordinary form of epileptic mania such paroxysms
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