Some people cannot sleep because they have gone through a period of
sleeplessness and expect it to endure for ever. The men of the Emmanuel
movement often had the following experience: a subject would explain that
he could not sleep under any circumstances. The Emmanuel healer would ask
him to sit in a chair in which, he said, many people had fallen asleep,
and after a few minutes of soothing conversation or concentration, the
insomniac would doze off peacefully. In certain cases, such a cure may be
permanent; in other cases, when the results are obtained through
transference and suggestion, the help of the psychological adviser or
hypnotist may be too frequently required.
Other subjects are prevented from sleeping by "worry." Telling a careworn
insomniac not to worry is as silly and useless as telling a lovelorn
person to stop being in love.
Discussing a patient's worries with him, however, often accomplishes much
good, for it compels him to sift all his evidence, which may be
convincing to him but to no one else. The worried person who is beginning
to experience doubts as to the magnitude of his trouble, is like the
patient suffering from delusions who has lost faith in his delusions.
The parasitic fears and cravings which attach themselves to some small
worry and, at times, magnify it out of proportion, may in such a way be
disintegrated and dissociated from the actual, justified fear.
Giving the patient "good reasons" why he should not worry, is again a sort
of suggestion of the most futile and least durable type.
Obsessive fear which is at the bottom of every worry is due to certain
complexes, at times apparently unrelated to the actual disturbance, and
which cannot be unearthed and uprooted except by a thoroughgoing
psychological analysis.
This is especially true of certain cases of insomnia which the patient
reports as follows. "I fall asleep with difficulty and with a certain
apprehension. I sleep an hour or two during which I have awful dreams
which I cannot remember. After which I hardly dare to close my eyes
again."
This is what I would call the fear of the unknown nightmare, and the
anxiety dreams responsible for it must be patiently reconstituted from
the scraps which invariably linger in the subject's memory, even when he
imagines that he cannot remember any dreams. The procedure will be
explained in the next chapter.
While the psychoanalytic treatment is being applied, however, the patient
must be made aware of a fact which will comfort him to a certain extent.
Patients often fear that if their sleeplessness is not relieved "at once"
they will "loose their minds." Thereupon they beg to be given some
narcotic.
We must remember that the results of sleeplessness depend mostly upon the
attitude which we assume toward that condition. It may seem paradoxical to
state that its bad results are mainly due to our fear of them but it is
true nevertheless.
Public-domain text, read in full here on John Shaqi.
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