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
Such, then, are the principal characteristics of somnambulism--a state in
which dreams are supplemented by more or less complete and appropriate
action; ordinarily without subsequent recollection of either dream or
action. The somnambulic dream usually occurs during or soon after the
period of deepest sleep, when the influences of the external world are
most completely suppressed. Released from the control of its sensory
portion, the remainder of the brain awakens, and becomes aroused to a
condition of relative exaltation. No longer distracted by the
solicitations of external sense, the attention is concentrated upon the
hallucinations which constitute the dream. In the simpler forms of
noctambulism only the automatic locomotive apparatus is awakened, and the
sleeper moves in accordance with the impressions derived from habit, aided
by actual exaltation of the muscular and tactile senses. But, in some of
the more complicated cases, a certain amount of special sensibility seems
to exist. The patient is capable of exercising just that amount of
perception which is necessary to accomplish his purpose, though blind and
deaf and insensible to every other impression. The more complete the
waking of the sense-organs, the closer the resemblance to the condition of
ordinary life, or even to the condition of ecstasy, in which cerebral
exaltation is the prominent feature, and in which the power of
recollection generally persists. Accordingly, it sometimes happens that
the somnambulist can recall the events of his paroxysm. In such cases the
power of recollection is due to the same conditions that control the
recollection of our ordinary dreams. But the phenomena of ordinary
somnambulism are as completely as possible removed from all connection
with the mental actions which arise directly from the operation of the
senses. By reason of such isolation the ordinary association of ideas
affords no help to the memory, and the dream remains in oblivion. Alfred
Maury expresses the opinion[90] that the principal cause of forgetfulness
of the events of somnambulism consists in the exhaustion of the cerebral
elements through the intensity of the excitement to which they have been
subjected during the paroxysm. Doubtless this, in certain cases, may
contribute to the loss of memory, but it should be remembered that the
excitement may be relative rather than absolute. Certain elements wake
while others are asleep; and these waking cells may be aroused to a degree
far in excess of what is usual during the sleep of the brain without
attaining to the level of their diurnal activity. The mind, undisturbed by
external impressions, gives its attention to the operation of these waking
organs, and a dream with all its consequences, somnambulic or otherwise,
is the result. In other words, the plane of consciousness, so to speak, is
lowered in sleep to the level of these molecular vibrations. But when the
entire brain has been completely reawakened, the residual vibrations of
Public-domain text, read in full here on John Shaqi.
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