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Culture, Medicine and Psychiatry

, Volume 2, Issue 1, pp 15–39 | Cite as

The old hag phenomenon as sleep paralysis: A biocultural interpretation

  • Robert C. Ness
Article

Abstract

This paper describes a syndrome of psychological and physical symptoms involving body paralysis and hallucinations traditionally interpreted in Newfoundland as an attack of ‘Old Hag’. Folk theories of cause and treatment are outlined based on 13 months of field research in a community on the northeast coast of Newfoundland. Data derived from the responses of 69 adults to the Cornell Medical Index (CMI) indicate that there are no significant differences in psychological or physical illness complaints between adults who have experienced the Old Hag and adults who have not had this experience. The striking similarity between the Old Hag experience and a clinical condition called sleep paralysis is analyzed, and the implications of viewing the Old Hag as sleep paralysis are discussed within the context of current theoretical issues in transcultural psychiatry.

Keywords

Clinical Condition Field Research Physical Symptom Physical Illness Striking Similarity 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

  1. Arnoff, Franklin N., LaVerne Strough, and Richard R. Seymour 1956 The Cornell Medical Index in a psychiatric outpatient clinc. Journal of Clinical Psychology 12: 263–268.Google Scholar
  2. Backeland, F. and Lasky, R. 1966 Exercise and sleep patterns in college athletes. Perceptual Motor Skills 23: 1203–1207.Google Scholar
  3. Brodman, Keeve, A. J. Erdmann, and H. G. Wolff 1949 Cornell Medical Index Health Questionnaire Manual. New York: Cornell University Medical College.Google Scholar
  4. Brodman, Keeve, A. J. Erdmann, and H. G. Wolff 1951 CMI Health Questionnaire II: As a diagnostic instrument. Journal of the American Medical Association 145: 152–157.Google Scholar
  5. Brodman, Keeve, A. J. Erdmann, and H. G. Wolff 1952a CMI Health Questionnaire III: The evaluation of emotional disturbances, Journal of Clinical Psychology 8: 119–124.Google Scholar
  6. Brodman, Keeve, A. J. Erdmann, and H. G. Wolff 1952b CMI Health Questionnaire IV: The recognition of emotional disturbances in a general hospital. Journal of Clinical Psychology 8: 289–293.Google Scholar
  7. Brodman, Keeve, A. J. Erdmann, and H. G. Wolff 1953 CMI Health Questionnaire VI: The relation of patients' complaints to age, sex, race, and education. Journal of Gerontology 8: 339–342.Google Scholar
  8. Brodman, Deeve, et al. 1954 CMI Health Questionnaire VII: The prediction of psychosomatic and psychiatric disabilities in army training. American Journal of Psychiatry 11: 37–40.Google Scholar
  9. Cassel, J., and H. H. Tyroler 1961 Epidemiological studies of culture change. Archives of Environmental Health 3: 25–33.Google Scholar
  10. Cawte, John E. 1976 Malgri: A culture-bound syndrome. In Culture-Bound Syndromes, Ethnopsychiatry and Alternate Therapies. William P. Lebra (ed.). Honolulu: University of Hawaii Press.Google Scholar
  11. Chance, Norman 1965 Acculturation, self-identification, and personality adjustment. American Anthropologist 67: 372–393.Google Scholar
  12. Chodoff, Paul 1944 Sleep paralysis with report of two cases. Journal of Nervous and Mental Disease 100: 278–281.Google Scholar
  13. Croog, Sidney H. 1961 Ethic origins, educational level and responses to a health questionnaire. Human Organization 20: 65–69.Google Scholar
  14. D'Andrade, Roy G. 1976 A propositional analysis of U.S. American beliefs about illness. In Meaning in Anthropology. Keith H. Basso, and Henry A. Selby (eds.). Albuquerque: University of New Mexico Press.Google Scholar
  15. Dressler, William 1977 Personal communications from St. Lucia, West Indies.Google Scholar
  16. Erdmann, Albert J., et al. 1952 CMI Health Questionnaire V: The outpatient admitting Department of a general hospital. Journal of the American Medical Association 149: 550–551.Google Scholar
  17. Ethelberg, S. 1956 Sleep paralysis or postdormital chalastic fits in cortical lesions of the frontal pole. Acta Psychiatrica Neurologica Scandinavica Supplement 108: 121–130.Google Scholar
  18. Everett, Henry C. 1963 Sleep paralysis in medical students. Journal of Nervous and Mental Disease 136: 283–287.Google Scholar
  19. Fabrega, Horacio Jr. 1974 Problems implicit in the cultural and social study of depression. Psychosomatic Medicine 36: 377–398.Google Scholar
  20. Foulks, Edward F. 1972 The Arctic Hysterias. Washington, D.C.: American Anthropological Association.Google Scholar
  21. Freedman, Alfred M., H. I. Kaplan, and B. J. Sadock 1972 Modern Synopsis of Comprehensive Textbook of Psychiatry. Baltimore: Williams and Wilkins Co.Google Scholar
  22. Goode, G. Browne 1962 Sleep paralysis. Archives of Neurology 6: 228–234.Google Scholar
  23. Guilleminault, Christian 1976 Cataplexy. In Narcolepsy. Advances in Sleep Research, Volume 3. C. Guilleminault, W. C. Dement, and Pierre Passouant (eds.). New York: Spectrum Publications, Inc.Google Scholar
  24. Hardy, James (ed.) 1895 The Denham Tracts Vol. II. London: David Nutt.Google Scholar
  25. Hardy, Thomas 1896 Wessex Tales. New York: Harper and Brothers.Google Scholar
  26. Hishikawa, Yasuo 1976 Sleep paralysis. In Narcolepsy. Advances in Sleep Research, Volume 3. C. Guilleminault, W. C. Dement, and Pierre Passouant (eds.). New York: Spectrum Publications, Inc.Google Scholar
  27. Hufford, David J. 1976 A new approach to the ‘old hag’: The nightmare tradition re-examined. In American Folk Medicine; A Symposium. Wayland D. Hand (ed.). Pp. 73–85. Berkeley: University of California Press.Google Scholar
  28. Hunt, Robert (ed.) 1968 Popular Romances of the West of England. Third Edition. London: Benjamin Blom.Google Scholar
  29. Kales, Anthony, and Joyce D. Kales 1974 Sleep disorders. New England Journal of Medicine 290: 487–499.Google Scholar
  30. Kiev, Ari 1965 The study of folk psychiatry. International Journal of Psychiatry 1: 524–552.Google Scholar
  31. Kiev, Ari 1969 The concept of culture-bound syndromes. In Changing Perspectives in Mental Illness. S. C. Plog and R. B. Edgerton (eds.). New York: Holt, Rinehart and Winston.Google Scholar
  32. Kiev, Ari 1972 Transcultural Psychiatry. New York: The Free Press.Google Scholar
  33. Lawton, M. Powell 1959 The screening value of the Cornell Medical Index. Journal of Consulting Psychology 23: 352–356.Google Scholar
  34. Lichtenstein, Ben W., and A. H. Rosenblum. 1942 Sleep paralysis. Journal of Nervous and Mental Disease 95: 153–155.Google Scholar
  35. Liddon, S. C. 1970 Sleep paralysis, psychosis and death. American Journal of Psychiatry 126: 1028–1031.Google Scholar
  36. Matarazzo, R. G., J. D. Matarasso, and G. Saslow 1961 The relationship between medical and psychiatric symptoms. Journal of Abnormal and Social Psychology 62: 55–61.Google Scholar
  37. Mitchell, S. W. 1876 On some of the disorders of sleep. Virginia Medical Monthly 2: 769–781.Google Scholar
  38. Ness, Robert C. 1976 Illness and Adaptation in a Newfoundland Outport. Ph.D. dissertation. Anthropology Department, University of Connecticut.Google Scholar
  39. Newman, P. L. 1964 “Wildman” behavior in a New Guinea highlands community. American Anthropologist 66: 1–19.Google Scholar
  40. Payn, Stephen B. 1965 A psychoanalytic approach to sleep paralysis. Journal of Nervous and Mental Disease 140: 427–433.Google Scholar
  41. Rechtschaffen, Allen, and W. C. Dement 1969 Narcolepsy and hypersomnia. In Sleep: Physiology and Pathology. Anthony Kales (ed.) Pp. 119–130. Philadelphia and Toronto: J. B. Lippincott Co.Google Scholar
  42. Ribstein, Michel 1976 Hypnagogic hallucinations. In Narcolepsy. Advances in Sleep Research, Volume 3. C. Guilleminault, W. C. Dement, and Pierre Passouant (eds.). Pp. 145–160. New York: Spectrum Publications, Inc.Google Scholar
  43. Rushton, J. G. 1944 Sleep paralysis. Medical Clinics of North America 28: 945–949.Google Scholar
  44. Schneck, Jerome M. 1952 Sleep paralysis. American Journal of Psychiatry 108: 921–923.Google Scholar
  45. Schneck, Jerome M. 1960 Sleep paralysis without narcolepsy or cataplexy: Report of a case. Journal of the American Medical Association 173: 1129–1130.Google Scholar
  46. Schneck, Jerome M. 1961 Sleep paralysis. Psychosomatics 2: 360–361.Google Scholar
  47. Schneck, Jerome M. 1962 Disguised representation of sleep paralysis in Ernest Hemingway's The Snows of Kilimanjaro. Journal of the American Medical Association 182: 318–320.Google Scholar
  48. Schneck, Jerome M. 1969 Personality components in patients with sleep paralysis. Psychiatric Quarterly 43: 343–348.Google Scholar
  49. Schneck, Jerome M. 1971 Sleep paralysis in F. Scott Fitzgerald's The Beautiful and the Damned. New York State Journal of Medicine 71: 378–379.Google Scholar
  50. Scotch, Norman A., and H. J. Geiger 1963 An index of symptom and disease in Zulu culture. Human Organization 22: 304–311.Google Scholar
  51. Simpson, Jacqueline 1973 The Folklore of Sussex. London: B. T. Batsford Ltd.Google Scholar
  52. Tyler, Edward B. 1871 Primitive Culture. London: J. Murray.Google Scholar
  53. Van Der Heide, Carl, and J. Weinberg 1945 Sleep paralysis with combat fatigue. Psychosomatic Medicine 7: 330–334.Google Scholar
  54. Von Mering, Otto 1970 Medicine and psychiatry. In Anthropology and the Health Sciences. Otto von Mering and Leonard Kasdan (eds.). Pittsburgh: University of Pittsburgh Press.Google Scholar
  55. Wallace, Anthony C. 1961 Mental illness, biology, and culture. In Psychological Anthropology. F. Hsu (ed.). Homewood, Illinois: The Dorsey Press.Google Scholar
  56. Weidman, Hazel H. 1973Implications of the culture-broker concept for the delivery of health care. Paper presented at the annual meeting of the Southern Anthropological Society. Wrightsville Beach, North Carolina.Google Scholar
  57. White, C., M. Reznikoff, and J. W. Ewell 1958 Usefulness of the Cornell Medical Index Health Questionnaire in a college health department. Mental Hygiene 42: 94–105.Google Scholar
  58. Wittkower, Eric D., and Raymond Prince 1974 A review of transcultural psychiatry. In American Handbook of Psychiatry 2nd Ed., Vol. 2; Gerald Caplan (ed.). New York: Basic Books, Inc.Google Scholar
  59. Yap, P. M. 1969 The culture-bound reactive syndromes. In Mental Health Research in Asia and the Pacific. W. Caudill, and T. Lin (eds.) Pp. 33–53. Honolulu: East-West Center Press.Google Scholar
  60. Yoss, Robert E., and David D. Daly 1957 Criteria for the diagnosis of the narcoleptic syndrome. Proceedings of the Staff Meetings of the Mayo Clinic 32: 320–328.Google Scholar

Copyright information

© D. Reidel Publishing Company 1978

Authors and Affiliations

  • Robert C. Ness

There are no affiliations available

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