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
_Somnambulic Life._--We come now to the last term of the series, the
simplest, yet perhaps the rarest form of the affection. In this form, the
patient seems perfectly awake; he is in possession of all his senses; he
is capable of sustained and rational volition; he lives and behaves, in
short, like any other person. But his life is divided into periods which
are, so far as consciousness is concerned, completely distinct from each
other. This double-consciousness may be exhibited but once in a lifetime,
or it may be frequently repeated, so that the patient oscillates between
the two states until it becomes doubtful which is the natural condition
and which is the acquired. These states of double-consciousness are
divided from each other by a more or less complete break in the chain of
memory. The residual strata which, so to speak, have been deposited from
the sea of events upon the floor of memory, have become broken and
“faulted.” The line of rupture marks the division between the two fields
of consciousness; they no longer lie in the same plane, consequently there
can be little or no continuity of memory between them. The events which
transpire in one state affect the mind so long as, and whenever it is in
connection with the cerebral register which is fitted to that state; as
soon as the connection is shifted, the mind takes cognizance of the events
that are recorded upon the other portion of the register, but, for want of
physical continuity between the different portions of the record, the mind
cannot at once receive a continuously connected report from the entire
organ of recollection. From this results a mode of life essentially
similar to the life of certain epileptics who are ushered by each seizure
into a state of apparently conscious activity of which they have no
recollection after recovery. Thus, one of my epileptic patients, who was
subject to seizures, both of the convulsive and the non-convulsive form of
the disease, on one occasion left home, after a fit, and traveled a
considerable distance into the country, putting up for the night at
taverns and farm houses, and apparently behaving like any other
respectable citizen. It was three weeks before he came to himself. On
recovering his normal consciousness, the period of his wanderings was a
perfect blank in his memory. Such attacks are usually of shorter duration,
and are more frequently associated with hysteria; bearing to the
hysterical paroxysm the same relation which they share with the epileptic
fit. When the predisposing temperament exists, a great variety of
excitations may serve to produce the phenomena, so that unless careful
observation is employed, the truly somnambulic character of the paroxysm
may easily be overlooked. Thus, the true nature of the affection was not
suspected by the early attendants of the patient who became the subject of
lethargic stupor, as related on page 173. Under the influence of powerful
Public-domain text, read in full here on John Shaqi.
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