Sunday, January 3, 2010

The Nightmares that Unite Us

Many people do not know that I have experienced a phenomenon known as isolated sleep paralysis with hypnopompic or hypnagogic hallucinations (SPHH) for most of my life. It goes by a number of names, The Old Hag, in Newfoundland, Kanashibari in Japan, and once it was the exclusive meaning of the term "Nightmare". It has been used to explain the belief in witches, demonds, ghosts and in alien abduction, and has been made manifest in countless artworks unbeknownst to medical science.

I have recently agreed to work on a joint project with a colleague of mine at York on the phenomenon. Dedicated to Michel de Montaigne, it will be part academic essay, part memoir, and part case study.

I've done a lot of thinking about the experience in the past few years, and wrote a short paper on its recent history, which is really quite unusual, and adds credence to my belief that the most interesting, valuable, and dangerous thought is almost always on the fringes, before being normalized in some social setting.

In the 1980s an interdisciplinary shift caused a change of focus of "nightmare" phenomenon that involved both the folkloric and medical communities. This development owed a great deal to the work of the folklorist David J. Hufford from the Department of Humanities at Penn State University and Robert C. Ness from the Department of Psychiatry at the University of Connecticut Health Centre. Both Hufford’s 1982 book The Terror That Comes in the Night: An Experience-Centered Study of Supernatural Assault Traditions and Ness’ 1978 article “The Old Hag Phenomenon as Sleep Paralysis: A Biocultural Interpretation” attempted to articulate the Old Hag as a unique phenomenon whose widespread cultural occurrence should be understood alongside a particular set of physiological conditions consistent with what psychologists and doctors were designating SPHH.

By exploring the folkloric, anthropological and medical literature surrounding the changing approach to the Old Hag in the past 30 years, I hoped to demonstrate how, in contrast to its earlier obscurity and misclassification, the folkloric turn instigated by figures such as Hufford and Ness near the beginning of the 1980s allowed for the isolation of the Old Hag as a stable, medically relevant phenomenon. While not immediately accepted, this suggested approach helped to changed the medical community’s focus on SPHH away from the usual associations with narcolepsy, epilepsy and schizophrenia, towards stress, depression and posttraumatic stress disorder (PTSD).

This movement was then predicated on a shift in the medical community’s understanding of the Old Hag’s pathological associations, and was mediated by medical anthropologists’ understanding of culture-bound syndromes, as well as the contributions made by researchers with cultural and ethnic backgrounds other than that of most modern western medical practitioners. The consequence of this “folkloric turn” has been that doctors and psychologists confronted with the Old Hag have increasingly come to see the value of folklore in treating patients experiencing the condition, particularly in cases of PTSD, and several folklorists have begun understanding their rolls as those of healers and medical researchers.

It seems like its been getting a lot of attention in recent years, and i'm glad for this, since it could help to serve as a point of common communication between a number of disparate forms of thought from the main-stream to the periphery, the modern and traditional, the materialist and the spiritual, and perhaps show how, in the end, the human mind, they all collapse into each other.



For More Information:

http://en.wikipedia.org/wiki/Sleep_paralysis

The Devil's Trill: http://www.youtube.com/watch?v=YonqEbar8cM
http://www.youtube.com/watch?v=V5SwrXt6Mk8

Abrams, Murray, et al. “Prevalence and Correlates of Sleep Paralysis in Adults Reporting
Childhood Sexual Abuse” in Journal of Anxiety Disorders, Vol. 22, (2008), 1535–1541.

Adler, Shelly R., “Refugee Stress and Folk Belief: Hmong Sudden Deaths” In Social Science and Medicine Vol. 40, No. 12. 1995. p. 1623-29.

---. “Sudden Unexpected Nocturnal Death Syndrome Among Hmong Immigrants: Examining the Role of the ‘Nightmare’”. In The Journal of American Folklore, Vol. 104, No. 411. (1991). p. 54-71.

Bell, Carl C, et al. “Further Studies on the Prevalence of Isolated Sleep Paralysis in Black Subjects” in the Journal of the National Medical Association. Vol 78, No. 7, (1986), p. 649-659.

---. “Prevalence of Isolated Sleep Paralysis in Black Subjects” in the Journal of the National Medical Association. Vol 76, No. 5, (1984), p. 501-508.

Bloom, Joseph D. and Richard D. Gelardin. “Uqamairineq and Uqumanigianiq: Eskimo
Sleep Paralysis” In The Culture-Bound Syndromes: Folk Illnesses of Psychiatric and Anthropological Interest. Ed. Ronald C. Simons and Charles C. Hughes. D. Reidel Publishing Company: Dordrecht, 1985.

Dahlitz, M. and J.D. Parkes, “Sleep Paralysis” in The Lancet. Vol 341. 1993. p. 406-7.

Davies, Owen. “The Nightmare Experience, Sleep Paralysis, and Witchcraft Accusations” in Folklore, Vol. 114, No. 2 (Aug., 2003), p. 181-203.

De Jong, Joop T.V.M., “Cultural Variation in the Clinical Presentation of Sleep Paralysis” In Tanscultural Psychiatry, Vol 42 (1) (2005), p. 78-92.

Duffy, Peter. “Nocturnal Visit Leaves Me Shaken”. The Chronicle Herald [Halifax] December 7th 2006, Metro and Provincial, The Mail Star: B4.

---. “Making Sense of Angels and Demons”. The Chronicle Herald [Halifax] December 9th 2006, Metro and Provincial, The Mail Star: B4.

Fukuda, Kazuhiko, et al. “Recognition of Sleep Paralysis Among Normal Adults in Canada and Japan” In Psychiatry and Clinical Neuroscience Vol. 54. (2000), p. 292-293.

---. “Preliminary Study on Kanashibari Phenomenon: A Polygraphic Approach.” In Japanese Journal of Physiological Psychology and Psychophysiology. Vol 7, (Dec 1989).

---. “High Prevalence of Isolated Sleep Paralysis: Kanashibari Phenomenon in Japan.” In
Sleep. Issue 10, Vol 3, (Jun 1987) 279-86.

Gangdev, Prakash. “Relevance of Sleep Paralysis and Hypnic Hallucinations to Psychiatry”. In Australasian Psychiatry. Vol. 12, No. 1. (March 2004) 77-80.

Gray, Arthur A., “Nightmares, Hypnagogic Hallucinations, and Sleep Paralysis” in The Nightmare: Psychological and Biological Foundations. Ed. Henry Kellerman. Columbia University Press: New York, 1987.

Hartmann, Ernest. The Nightmare: The Psychology and Biology of Terrifying Dreams. Basic Books Inc., New York, 1984.

Herman, J. et al. “Sleep Paralysis: A Study in Family Practice”. In Journal of the Royal College of General Practitioners. Vol 38. (1988) 465-7

Hishikawa, Yasuo. “Sleep Paralysis.” In Narcolepsy: Proceedings of the First International Symposium on Narcolepsy. Advances in Sleep Research, vol. 3. Ed. Christian Guilleminault, William C. Dement and Pierre Passouant. New York: Spectrum Publications, 1976.

Hinton, Devon E, et al. “‘The Ghost Pushes You Down’: Sleep Paralysis-Type Panic Attacks in a Khmer Refugee Population”. In Transcultural Psychiatry, Vol. 42 (1) (2005), p. 46-77.

Hughes, Charles C., “The Sleep Paralysis Taxon: Commentary” in The Culture-Bound Syndromes: Folk Illnesses of Psychiatric and Anthropological Interest. Ed. Ronald C. Simons and Charles C. Hughes. D. Reidel Publishing Company: Dordrecht, 1985.

---. “Sleep Paralysis as Spiritual Experience” In Transcultural Psychiatry, Vol. 42 (1) (2005) 11-45.

---. The Terror that Comes in the Night: An Experience-Centered Study of Supernatural Assault Traditions. University of Pennsylvania Press: Philadelphia, 1982.

Jones, Ernest M. On the Nightmare. International Psycho-Analytical Library, no. 20. London: Hogarth Press, 1931.

Ness, Robert C. “The Old Hag Phenomenon as Sleep Paralysis: A Biocultural Interpretation” in Culture, Medicine and Psychiatry 2 (1978): 26-28.

Ohaeri, Jude Uzoma. “Experience of Isolated Sleep Paralysis in Clinical Practice in Nigeria” in the Journal of the National Medical Association. Vol 84. No. 6. (1992). p. 521-3.

Simons, Ronald C. “Sorting the Culture-Bound Syndromes” in The Culture-Bound Syndromes: Folk Illnesses of Psychiatric and Anthropological Interest. Ed. Ronald C. Simons and Charles C. Hughes. D. Reidel Publishing Company: Dordrecht, 1985.

---. “Introduction: The Sleep Paralysis Taxon” in The Culture-Bound Syndromes: Folk Illnesses of Psychiatric and Anthropological Interest. Ed. Ronald C. Simons and Charles C. Hughes. D. Reidel Publishing Company: Dordrecht, 1985.

Sleep Disorders Classification Committee, Association of Sleep Disorders Centers. “Diagnostic Classification of Sleep and Arousal Disorders.” Sleep 2, no. 1 (1979) 72.

“Voice of the People”. The Chronicle Herald [Halifax] December 14th 2006, Metro and Provincial, The Mail Star: A12.

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