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Dreaming

, Volume 13, Issue 3, pp 163–179 | Cite as

Sleep Paralysis and the Structure of Waking-Nightmare Hallucinations

  • J. A. Cheyne
Article

Abstract

Sleep paralysis (SP) entails a period of paralysis upon waking or falling asleep and is often accompanied by terrifying hallucinations. These hallucinations constitute a waking nightmare (w-nightmare) REM experience and are the original referents of the term “nightmare.” W-nightmare hallucinations are described by a three-factor structure involving experiences consistent with 1) threatening intruders, 2) physical assaults, and 3) vestibular-motor (V-M) bodily sensations. The present study assesses the reliability of this structure and some of the underlying measurement assumptions using several large samples of w-nightmare experients. Causal modeling further elucidated the potential causal relations among the three types of hallucinations. The first two factors appear to be strongly thematically and sequentially linked by an underlying theme of threat and assault. The third factor is relatively autonomous but appears to be sometimes recruited into the threat and assault themes. A theoretical model is proposed that combines REM mechanisms, a threat activated vigilance system (TAVS), and a bodily-self neuromatrix (BSN), as generators and organizers of w-nightmare hallucinatory experiences. More generally, it is argued that these mechanisms underwrite two fundamental domains of conscious experience: the experience of an agent-inhabited world and that of a spatial-kinetic bodily self.

sleep paralysis nightmare hypnagogic hallucinations hypnopompic hallucinations 

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References

  1. Adler, S. R. (1994). Ethnomedical pathogenesis and Hmong immigrants' sudden nocturnal deaths. Culture, Medicine and Psychiatry, 18, 23–59.Google Scholar
  2. Antrobus, J., Kondo, T., & Reinsel, R. (1995). Dreaming in the late morning: Summation of REM and diurnal cortical activation. Consciousness and Cognition, 4, 275–299.Google Scholar
  3. Arbuckle, J. L., & Wothke, W. (1999). Amos 4.0 Users Guide. Chicago. IL: Smallwaters Inc.Google Scholar
  4. Baars, D. J. (1988). A cognitive theory of consciousness. Cambridge: Cambridge University Press.Google Scholar
  5. Berthoz, A. (2001). The brain's sense of movement (G. Weiss, Trans.). Cambridge, MA: Harvard University Press.Google Scholar
  6. Blanke, O., Perrig, S., Thut, G., Landis, T., & Seeck, M. (2000). Simple and complex vestibular responses induced by electrical cortical stimulation of the parietal cortex in humans. Journal of Neurology, Neurosurgery, and Psychiatry, 69, 553–556.Google Scholar
  7. Blanke, O., Ortigue, S., Landis, T., & Seeck, M. (2002). Stimulating illusory own-body perceptions. Nature, 419, 269–270.Google Scholar
  8. Bloom, J. D., & Gelardin, R. D. (1976). Eskimo sleep paralysis. Arctic, 29, 20–26.Google Scholar
  9. Braun, A. R., Balkin, T. J., Wesensten, N. J., Gwadry, F., Carson, R. E., Varga, M., Baldwin, P., Belensky, G., & Herscovich, P. (1998). Dissociated pattern of activity in visual cortices and their projections during human rapid eye movement sleep. Science, 279, 91–95.Google Scholar
  10. Braun, A. R., Balkin, T. J., Wesensten, N. J., Carson, R. E., Varga, M., Baldwin, P., Selbie, S., Belenky, G., & Herscovitch, P. (1997). Regional cerebral blood flow throughout the sleep-wake cycle. Brain, 120, 1173–1197.Google Scholar
  11. Bucher, S. F., Dieterich, M., Wiesmann, M., Weiss, A., Zink, R., Yousry, T. A., & Brandt, T. (1998). Cerebral functional magnetic resonance imaging of vestibular, auditory, and nociceptive areas during galvanic stimulation. American Neurologist, 44, 120–125.Google Scholar
  12. Cheyne, J. A. (2001). The Ominous Numinous: Sensed presence and other hallucinations, Journal of Consciousness Studies, 8, 51–68.Google Scholar
  13. Cheyne, J. A., Newby-Clark, I.R., & Rueffer, S.D. (1999), Sleep paralysis and associated hypnagogic and hypnopompic experiences, Journal of Sleep Research, 8, 313–317.Google Scholar
  14. Cheyne, J. A., Rueffer, S. D., & Newby-Clark, I. R. (1999), Hypnagogic and hypnopompic hallucinations during sleep paralysis: Neurological and cultural construction of the night-mare, Consciousness and Cognition, 8, 319–337.Google Scholar
  15. Claxton, G. (1996). Structure, strategy and self in the fabrication of conscious experience. Journal of Consciousness Studies, 3, 98–111.Google Scholar
  16. Douglas, N. J. (1994). Breathing during sleep in normal subjects. In R. Cooper (Ed.). Sleep (pp. 76–95). London: Chapman.Google Scholar
  17. Dyken, M. E., Yamada, T., Lin-Dyken, D. C., & Yeh, M. (1998). Sleep paralysis: A REM sleep phenomenon documented with simultaneous clinical and electrophysiological assessment, Sleep, 21, Suppl 3: 541.K5 (Abstract).Google Scholar
  18. Edelman, G. M. (1978). Group selection and phasic reentrant signaling: A theory of higher brain functioning. In G. M. Edelman & V. B. Mountcastle (Eds.), The mindful brain. Cambridge: MIT Press.Google Scholar
  19. Firestone, M. (1985). The “old hag” sleep paralysis in Newfoundland. Journal of Psychoanalytic Anthropology, 8, 47–66.Google Scholar
  20. Foster, G. M. (1973). Dream character and cognitive orientation in Tzintzuntzan. Ethos, 1, 106–121.Google Scholar
  21. Fukuda, K., Ogilvie, R. D., Chilcott, L., Vendittelli, A.-M., & Takeuchi, T. (1999). The prevalence of sleep paralysis among Canadian and Japanese college students. Dreaming, 8, 59–66.Google Scholar
  22. Hartmann, E. (1984). The nightmare: The psychology and biology of terrifying dreams. New York: Basic BooksGoogle Scholar
  23. Hishikawa, Y. (1976). Sleep paralysis. In C. Guilleminault, W. C. Dement, & P. Passouant (Eds.), Advances in sleep research, (Vol. 3, pp. 97–124). New York: Spectrum.Google Scholar
  24. Hishikawa, Y., & Shimizu, T. (1995). Physiology of REM sleep, cataplexy, and sleep paralysis. In S. Fahn, M. Hallett, H. O. Lüders, & C. D. Marsden (Eds.), Advances in neurology (Vol. 67, pp. 245–271). Philadelphia: Lippencott-Raven.Google Scholar
  25. Hishikawa, Y., & Kaneko, Z. (1965). Electroencephalographic study on narcolepsy. Electoencephalography and Clinical Neurophysiology, 18, 249–259.Google Scholar
  26. Hobson, J. A., & McCarley, R. W. (1977). The brain as a dream state generator: An activation-synthesis hypothesis of dream process. American Journal of Psychiatry, 134, 1335–1348.Google Scholar
  27. Hobson, J. A., Pace-Schott, E. F., & Stickgold, R. (2000). Dreaming and the Brain: Toward a cognitive neuroscience of conscious states. Behavioral and Brain Sciences, 23, 793–842.Google Scholar
  28. Hobson, J. A., Stickgold, R., & Pace-Schott, E. F. (1998). The neurophysiology of REM sleep dreaming. NeuroReport, 9, R1-R14.Google Scholar
  29. Hobson, J. A., Stickgold, R., Pace-Schott, E. F. & Leslie, K. R. (1998). Sleep and vestibular adaptation: Implications for function in microgravity. Journal of Vestibular Research, 8, 81–94.Google Scholar
  30. Hufford, D. J. (1982). The terror that comes in the night. Philadelphia: University of Pennsylvania Press.Google Scholar
  31. James, L. R., Mulaik, S. A., & Brett, J. M. (1982). Causal analysis: Assumptions, models and data. Beverley Hills: Sage.Google Scholar
  32. Jones, E. M. (1931). On the nightmare. London: Hogarth Press. (Originally published in 1911.)Google Scholar
  33. Jouvet, M. (1975). The function of dreaming: A neurophysiologist's point of view. In M. S. Gazzaniga (Ed.), Handbook of psychobiology. New York: Academic Press.Google Scholar
  34. Kellerman, H. (1987). The nightmare: Psychological and biological foundations. New York: Columbia University Press.Google Scholar
  35. Kiessling, N. (1977). The incubus in English literature: Provenance and progeny. Seattle: Washington State University Press.Google Scholar
  36. Kline, R. B. (1998). Principles and practice of structural equation modeling. New York: Guilford Press.Google Scholar
  37. Kotorii, T., Uchimura, N., Hashizume, Y., Shirakawa, S., Satomura, T., Tanaka, J., Nakazawa, Y., & Maeda, H. (2001). Questionnaire relating to sleep paralysis. Psychiatry and Clinical Neurosciences, 55, 265–266.Google Scholar
  38. LeDoux, J. E. (1994). Emotion, memory, and the brain. Scientific American, 270, 32–39.Google Scholar
  39. LeDoux, J. E. (1996). The emotional brain. New York: Simon & Schuster.Google Scholar
  40. LeDoux, J. E. (2000). Emotion circuits in the brain. Annual Review of Neuroscience, 23, 153–184.Google Scholar
  41. Liddon, S. C. (1967). Sleep paralysis and hypnagogic hallucinations: Their relationship to the nightmare. Archives of General Psychiatry, 17, 88–96.Google Scholar
  42. Llinás, A. R. (2001). I of the vortex: From neurons to self. Cambridge: MA: MIT Press.Google Scholar
  43. Llinás, A. R. & Pare, D. (1991). Of dreaming and wakefulness, Neuroscience, 44, 521–535.Google Scholar
  44. Lobel, E., Kleine, J. F., Le Bihan, D., Leroy-Willig, A., & Berthoz, A. (1998). Functional MRI of galvanic vestibular stimulation. Journal of Neurophysiology, 80, 2699–2709.Google Scholar
  45. Mack, J. E. (1970). Nightmares and human conflict. Boston: MA: Little, Brown.Google Scholar
  46. MacNish, R. (1834). The philosophy of sleep. New York: D. Appleton & Co.Google Scholar
  47. Maquet, P., Péters, J-M., Aerts, J., Delfiore, G., Degueldre, C., Luxen, A., & Franck, G. (1996). Functional neuroanatomy of human rapid-eye-movement sleep and dreaming. Nature, 383, 163–166.Google Scholar
  48. McCarley, R. W., & Hobson, J. A. The form of dreams and biology of sleep. In B. B. Wolman (Ed.), Handbook of dreams: Research, theories and applications. New York: Van Nostrand Reinhold.Google Scholar
  49. Melzack, R. (1990). Phantom limbs and the concept of the neuromatrix. Trends in Neuroscience, 13, 88–92.Google Scholar
  50. Melzack, R. (1999). From the gate to the neuromatrix. Pain, 6(Suppl.), S121-S126.Google Scholar
  51. Newman, J. (1997a). Putting the puzzle together, part I: Towards a general theory of neural correlates of consciousness. Journal of Consciousness Studies, 4, 47–66.Google Scholar
  52. Newman, J. (1997b). Putting the puzzle together, part II: Towards a general theory of neural correlates of consciousness. Journal of Consciousness Studies, 4, 100–121.Google Scholar
  53. Nofzinger, E. A., Mintun, M. A., Wiseman, M. B., Kupfer, D. J., & Moore, R. Y. (1997). Forebrain activation in REM sleep: an FDG PET study. Brain Research, 770, 192–201.Google Scholar
  54. Ohayon, M. M., Zulley, J. Guilleminault, C., & Smirne, S. (1999). Prevalence and pathological associations of sleep paralysis in the general population. Neurology, 52, 1194–1200.Google Scholar
  55. Parker, J. D. & Blackmore, S. J. (2002). Comparing the content of sleep paralysis and dream reports. Dreaming, 12, 45–59.Google Scholar
  56. Shepard, R. N. (1984). Ecological constraints on internal representation: Resonant kinematics of perceiving, imagining, thinking, and dreaming. Psychological Review, 91, 417–447.Google Scholar
  57. Shulman, S. (1979). Nightmare. London: David & Charles.Google Scholar
  58. Solms, M. (1997). The neuropsychology of dreams. Mahwah, NJ: Lawrence Erlbaum Associates.Google Scholar
  59. Solms, M. (2000). Dreaming and REM sleep are controlled by different brain mechanisms. Behavioral and Brain Sciences, 23, 843–850.Google Scholar
  60. Spanos, N. P., McNulty, S. A., DuBreuil, S. C., Pires, M., & Burgess, M. F. (1995). The frequency and correlates of sleep paralysis in a university sample. Journal of Research in Personality, 29, 285–305.Google Scholar
  61. Takeuchi, T., Miyasita, A., Inugami, M., Sasaki, Y., & Fukuda, K. (1994). Laboratory-documented hallucination during sleep-onset REM period in a normal subject. Perceptual and Motor Skills, 78, 979–985.Google Scholar
  62. Takeuchi, T., Miyasita, A., Sasaki, Y., Inugami, M., & Fukuda, K. (1992). Isolated sleep paralysis elicited by sleep interruptions, Sleep, 15, 217–225.Google Scholar
  63. Varela, F. J., Thompson, E., & Rosch, E. (1991). The embodied mind: Cognitive science and Human experience. Cambridge, MA: MIT Press.Google Scholar
  64. Waller, J. (1812). A treatise on the Incubus or nightmare. London: E. Cox and Son.Google Scholar
  65. Whalen, P. J. (1998). Fear, vigilance, and ambiguity: Initial neuroimaging studies of the human amygdala, Current Directions in Psychological Science, 7, 1777–188.Google Scholar
  66. Whalen, P. J., Rauch, S. L., Etcoff, N. L., McInerney, S. C., Lee, M. B., & Jenike, M. A. (1998). Masked presentations of emotional facial expressions modulate amygdala activity without explicit knowledge. Journal of Neuroscience, 18, 411–418.Google Scholar
  67. Zadra, A., & Donderi, D. C. (2000). Nightmares and bad dreams: Their prevalence and relationship to well-being. Journal of Abnormal Psychology, 109, 273–281.Google Scholar

Copyright information

© Association for the Study of Dreams 2003

Authors and Affiliations

  1. 1.Department of PsychologyUniversity of WaterlooWaterlooCanada

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