Subject(s)
Eye Movement Desensitization Reprocessing , Somnambulism , Child , Humans , Male , Somnambulism/therapyABSTRACT
A young male patient was successfully treated for parasomnia overlap disorder (POD) using hypnosis. In 2006, this 16-year-old patient underwent a clinical evaluation for episodes of sleep talking, sleepwalking, and dream enactment. This initial assessment was followed by polysomnographic evaluation, a brain MRI, and three sessions of treatment using hypnosis. From the beginning, until the last contact in December 2011, benefits from the hypnotic suggestions were noted and documented.
Subject(s)
Hypnosis , Parasomnias/therapy , Adolescent , Dreams , Humans , Male , Sleep-Wake Transition Disorders/therapy , Somnambulism/therapyABSTRACT
Somnambulism, or sleepwalking, is a parasomnia of non-rapid eye movement (NREM) sleep where movement behaviours usually confined to wakefulness are displayed during sleep. Generally, if sleepwalking is causing distress or danger in spite of safety measures, medical or psychological treatment is indicated. Clinicians will need to assess the evidence for treatment options. MEDLINE, EMBASE, PsycINFO and the Ovid Evidence-Based Medicine Reviews (EBM) multifile databases were searched. No properly powered rigorous controlled trials were found for treatment of sleepwalking in adults. Seven reports described small trials with some kind of control arm, or retrospective case series which included 30 or more patients. With no high quality evidence to underpin recommendations for treatments of somnambulism, full discussion with patients is advised. Adequately powered, well-designed clinical trials are now needed, and multi-centre collaborations may be required to obtain the sample sizes required.
Subject(s)
Evidence-Based Medicine , Somnambulism/therapy , Adult , Benzodiazepines/therapeutic use , Combined Modality Therapy , Controlled Clinical Trials as Topic , Humans , Hypnosis , Hypnotics and Sedatives/therapeutic use , Imagery, Psychotherapy , Patient Care Team , Relaxation Therapy , Somnambulism/diagnosis , Somnambulism/psychology , Suggestion , Young AdultABSTRACT
Charles Poyen's lecture tour introducing animal magnetism to America has been described as triumphant (Forrest, 2000), but according to Poyen's own account (1837/1982) the beginning of his tour, devoted to northern New England, was anything but successful. Poyen success did not begin until he partnered with Cynthia Gleason, a talented hypnotic subject, from Pawtucket, Rhode Island. The subsequent lectures and demonstrations by Poyen and Gleason generated the interest that Poyen had been seeking. Rhode Island appears to have developed a much more accepting attitude toward animal magnetism than the rest of New England as indicated by the wide use of magnetism in the Providence area even after Poyen had the left the United States. In this article, I examine the roles played by Cynthia Gleason as well as Thomas H. Webb, M.D., the editor of the Providence Daily Journal and Dr. Francis Wayland, the president of Brown University, and George Capron, M.D., in furthering the acceptance of magnetism in America.
Subject(s)
Hypnosis/history , Magnetics/history , Somnambulism/history , History, 18th Century , History, 19th Century , Humans , Hypnosis/methods , New England , Somnambulism/therapyABSTRACT
Pour les Païens de l´île de Chypre antérieurs de plusieurs siècles au christianisme, le Pantocrator n´était autre que le cercle équatorial divisé en deux parties, dont l´une est le pays du sommeil ou de la mort, l´Occident, sur lequel règne la divinité assimilée au Père; l´autre est le royaume du Fils, ou l´Orient. Quant au Juge, assimilé au Saint-Esprit, c´est le méridien qui divise le cercle équatorial en deux parties égales er indique le point précis où le soleil recommence sa course autour de la terre, c´est-à_dire minuit. Envisagé à partir de ce regard le plus large, cosmique, qui est souvent celui d´un enfant, on peut concevoir aisément que le sommeil soint un élément majeur de la qualité de vie de cette période de l´existence.(AU)
Subject(s)
Humans , Infant, Newborn , Child , Sleep Wake Disorders/therapy , Homeopathic Therapeutics , Somnambulism/therapy , Sleep Bruxism/therapy , Night Terrors/therapyABSTRACT
Sleep disorders carry a high risk of morbidity and mortality, yet they receive little medical attention. This article outlines the clinical features, aetiology, diagnosis and management of some common sleep disorders.
Subject(s)
Narcolepsy/diagnosis , Sleep Initiation and Maintenance Disorders/diagnosis , Somnambulism/diagnosis , Cognitive Behavioral Therapy , Enuresis/psychology , Enuresis/therapy , Humans , Narcolepsy/therapy , Positive-Pressure Respiration , Psychotherapy , Relaxation Therapy , Sleep Apnea Syndromes/diagnosis , Sleep Apnea Syndromes/rehabilitation , Sleep Initiation and Maintenance Disorders/therapy , Somnambulism/therapy , Weight LossABSTRACT
There are currently three recognized menstrual-related sleep disorders: premenstrual insomnia, menopausal insomnia and premenstrual hypersomnia. Another category, premenstrual parasomnia (sleep behavior disorder), is now suggested. Case 1, a 17-year-old female, presented with a 6-year history of exclusively premenstrual sleep terrors and injurious sleep-walking that began 1 year after menarche. During the four nights preceding each menses, she would scream and run from her bed. There was no history of premenstrual syndrome. Neurological evaluations had been unrevealing, apart from mild mental retardation and attention deficit disorder; there was no psychiatric history. Polysomnography 3 days before the onset of menses confirmed the diagnosis of sleep-walking. Pharmacotherapies were not satisfactory, but self-hypnosis at bedtime was rapidly effective with benefit sustained at 2.5-year follow-up. Case 2, a 46-year-old woman without psychiatric disorder, presented with a 5-year history of sleep terrors and injurious sleep-walking that initially was not menstrually related, but beginning 8 months prior to referral, she developed an exclusively premenstrual parasomnia that, after polysomnography, was partially controlled with bedtime self-hypnosis and clonazepam, 0.25 mg.
Subject(s)
Premenstrual Syndrome/psychology , Sleep Wake Disorders/psychology , Somnambulism/psychology , Wounds and Injuries/psychology , Adolescent , Clonazepam/administration & dosage , Combined Modality Therapy , Female , Humans , Hypnosis , Middle Aged , Polysomnography/drug effects , Premenstrual Syndrome/therapy , Sleep Wake Disorders/therapy , Somnambulism/therapy , Wounds and Injuries/prevention & controlABSTRACT
Hypnosis has been described anecdotally to be effective in the treatment of sleepwalking and sleep terror, potentially dangerous parasomnias. The authors report the use of hypnosis in the treatment of 27 adult patients with these disorders. A total of 74% of these individuals reported much or very much improvement when followed over substantial periods after instruction in self-hypnotic exercises that were practiced in the home. Hypnosis, often preferred over pharmacotherapy by patients, required one to six office visits (mean = 1.6). This represents a very cost-effective and noninvasive means of treatment, especially when constrasted with lengthy psychotherapy and pharmacotherapy.
Subject(s)
Hypnosis , Sleep Wake Disorders/therapy , Somnambulism/therapy , Adolescent , Adult , Attitude to Health , Evaluation Studies as Topic , Female , Follow-Up Studies , Humans , Male , Middle Aged , Outcome and Process Assessment, Health Care , Retrospective Studies , Sleep Wake Disorders/psychology , Somnambulism/psychology , SuggestionSubject(s)
Hypnosis/methods , Needles , Phobic Disorders/therapy , Somnambulism/therapy , Unconscious, Psychology , Adult , Creativity , Female , HumansABSTRACT
The author describes a frequently encountered variant of alcoholic patients' personality with non-psychopathic premorbid features (phlegmatic kind-heartedness, faultlessness, cordiality, conscientiousness, vulnerability). The "pivot" of these features is "simple-mindedness". The peculiarities of alcoholism hypnotic states ("obliterated" somnambulism) and treatment in these patients according to their individual protective-psychological mechanisms are shown. The clinical material covers 1315 cases.
Subject(s)
Alcoholism/psychology , Personality , Adult , Alcoholism/therapy , Chronic Disease , Humans , Hypnosis , Male , Middle Aged , Psychotherapy , Somnambulism/therapySubject(s)
Diazepam/therapeutic use , Hypnosis/methods , Somnambulism/therapy , Humans , Somnambulism/diagnosisABSTRACT
A single-blind, rater-blind, modified crossover design was used to evaluate a simple, practical method of clinical treatment of sleepwalking. Subjects who had severe somnambulism, but were otherwise free of psychiatric illness, responded well to six brief sessions of specialized hypnotherapy. Follow-up at one year has revealed lasting improvement of both subjective and objective symptoms. A brief review of the subject of sleepwalking, as well as detailed information concerning histories of sleep symptoms and emotional problems in these and other sleepwalkers, is presented.
Subject(s)
Hypnosis/methods , Somnambulism/therapy , Adult , Clinical Trials as Topic , Female , Follow-Up Studies , Humans , Male , Middle Aged , Somnambulism/psychology , Suggestion , Time FactorsSubject(s)
Hypnosis , Somnambulism/therapy , Adult , Dependent Personality Disorder/therapy , Humans , Male , Self ConceptABSTRACT
Of 12 otherwise health individuals facing honorable discharge from the military because of intractable sleepwalking, six chose to participate in a short-term treatment program involving hypnosis. Four of these reported total alleviation of symptoms. Therapeutic design and treatment implications are discussed and a brief review of the literature is presented.