Hypnopompia (also known as hypnopompic state) is the state of consciousness leading out of sleep, a term coined by the psychical researcher Frederic Myers. Its mirror is the hypnagogic state at sleep onset; though often conflated, the two states are not identical and have a different phenomenological character. Hypnopompic and hypnagogic hallucinations are frequently accompanied by sleep paralysis, which is a state wherein one is consciously aware of one's surroundings but unable to move or speak.
Frederic Myers coined the term "hypnopompic", with its word-ending originating from the Greek word "pompos", meaning "sender", in 1904. [1]
Hallucinations are commonly understood as "sensory perceptions that occur in the absence of an objective stimulus". [2] As this definition implies, though, like dreams, most hallucinations are visual, they can encompass a broader range of sensory experience. Auditory hallucinations are thus also common: "patients can hear simple sounds, structured melodies or complete sentences". [3] Slightly less common but not unheard of are "somesthetic" hallucinations involving the sense of touch and location, with such experiences ranging from tactile sensations to full-blown "cenesthopathic" or "out-of-body experiences", which involve sudden changes in the perception of the body's location, or even a sense of movement of the entire body. Finally, a unique characteristic of hypnopompic hallucinations is that as opposed to dreams, wherein they rarely understand that they are in fact asleep, here sleepers do indeed have "the clear subjective awareness of being awake" yet are frequently mentally and physically trapped in the experience. [2]
This section needs additional citations for verification .(November 2023) |
The objective difference between the subjective experiences of dreams and hypnopompic hallucinations emerges from a close look at the sleep cycle and its attendant brain activity: there are essentially two types of sleep, R.E.M. sleep, which is categorized by "rapid eye movement" and N.R.E.M., which stands for "Non-Rapid Eye Movement". In R.E.M. sleep, brains are extremely active. In particular, during this stage, both the brain-stem, which is the home of the most fundamental physical drives, and the parts of the cortex related to the most complex logical-cognitive functions experience highly intense electrical activity. Conversely, there is almost no electrical activity during N.R.E.M. sleep. N.R.E.M. is what is referred to as deep sleep, which is characterized by the complete quieting of the mind and by muscle atonia. R.E.M. sleep cycles are book-ended by N.R.E.M. stages. [4]
It is precisely at this last point, though, that can cause hypnopompic hallucinations: occasionally during deep N.R.E.M., "transient patterns of neural activation in brainstem structures [resembling] micro-wake "fragments" can occur". [4] These have a two-fold effect: first, just as in R.E.M. sleep, these brain-stem fragments essentially activate the dream mechanism. Second, they catalyze a near-waking state. However, this is often not powerful enough to jar a person completely out of deep sleep, and so only the mind fully awakens, leaving the body trapped in the atonia of deep sleep. Another reason why hypnopompic hallucinations are often such horrible experiences is that micro-wake fragments appear to be related to serotonin and dopamine deficits—these deficits predispose a person to negative mental states, which likely causes the hallucinations to resemble bad dreams. [4]
These mental experiences are indeed often deeply damaging: across cultures, the experience of hypnopompic hallucinations are strongly related to "visitations of spirits, demons or other grotesque creatures belonging to traditional folklore". [2] Thus, in the Anglosphere, hypnopompic experiences often entail the sense that an "Old Hag" or some similar "nocturnal spirit" is sitting on the sleeper's chest, inducing both paralysis and an increasing, suffocating inability to move. Anthropologists have discovered references dating back to the High Middle Ages of similar figures in Anglo-Saxon and Anglo-Norman traditions, most prominently the " mæra", the source of the word "nightmare", and which appears to have roots in ancient Germanic superstitions.
Similarly, subjects belonging to Yoruban-African diasporas report feeling as though they are being "ridden" by the evil manifestations of their versions of the African pantheon (ridden is the vernacular for possession by the gods, who are often referred to as "divine horsemen"). Some members of the Yoruba diaspora appear to conflate the cultural interpretation of the experience, referring to "being ridden by the witch". Japanese interpretations of the experience are often grouped under the heading of 金縛りkanashibari, a term which literally means "bound in gold or metal" and derives from the name of an esoteric Buddhist technique for paralyzing enemies. [2]
Owing to similarities between hypnopompic hallucinations and those experienced by people with dementia, Parkinson's and schizophrenia, significant progress is being made on understanding the neurobiological basis of this experience. Researchers have identified "a common neurofunctional substrate [which] points to a shared pattern of brain activation" underlying elements of schizophrenic delusions and these near-waking hallucinations: "with regional grey matter blood flow values being maximally increased in right parietal-occipital regions" during hypnagogic hallucinations and many schizoid episodes. Thus,[ how? ] such painful near-waking experiences could be rendered obsolete.[ how? ] [2]
In the psychology subfield of oneirology, a lucid dream is a type of dream wherein the dreamer realizes that they are dreaming during their dream. The capacity to have lucid dreams is a trainable cognitive skill. During a lucid dream, the dreamer may gain some amount of volitional control over the dream characters, narrative, or environment, although this control of dream content is not the salient feature of lucid dreaming. An important distinction is that lucid dreaming is a distinct type of dream from other types of dreams such as prelucid dreams and vivid dreams, although prelucid dreams are a precursor to lucid dreams, and lucid dreams are often accompanied with enhanced dream vividness. Lucid dreams are also distinct state from other lucid boundary sleep states such as lucid hypnagogia or lucid hypnopompia.
A hallucination is a perception in the absence of an external stimulus that has the compelling sense of reality. They are distinguishable from several related phenomena, such as dreaming, which does not involve wakefulness; pseudohallucination, which does not mimic real perception, and is accurately perceived as unreal; illusion, which involves distorted or misinterpreted real perception; and mental imagery, which does not mimic real perception, and is under voluntary control. Hallucinations also differ from "delusional perceptions", in which a correctly sensed and interpreted stimulus is given some additional significance.
Rapid eye movement sleep is a unique phase of sleep in mammals and birds, characterized by random rapid movement of the eyes, accompanied by low muscle tone throughout the body, and the propensity of the sleeper to dream vividly.
Sleep paralysis is a state, during waking up or falling asleep, in which a person is conscious but in a complete state of full-body paralysis. During an episode, the person may hallucinate, which often results in fear. Episodes generally last no more than a few minutes. It can recur multiple times or occur as a single episode.
An altered state of consciousness (ASC), also called an altered state of mind, altered mental status (AMS) or mind alteration, is any condition which is significantly different from a normal waking state. It describes induced changes in one's mental state, almost always temporary. A synonymous phrase is "altered state of awareness".
A hypnic jerk, hypnagogic jerk, sleep start, sleep twitch, myoclonic jerk, or night start is a brief and sudden involuntary contraction of the muscles of the body which occurs when a person is beginning to fall asleep, often causing the person to jump and awaken suddenly for a moment. Hypnic jerks are one form of involuntary muscle twitches called myoclonus.
The sleep cycle is an oscillation between the slow-wave and REM (paradoxical) phases of sleep. It is sometimes called the ultradian sleep cycle, sleep–dream cycle, or REM-NREM cycle, to distinguish it from the circadian alternation between sleep and wakefulness. In humans, this cycle takes 70 to 110 minutes. Within the sleep of adults and infants there are cyclic fluctuations between quiet and active sleep. These fluctuations may persist during wakefulness as rest-activity cycles but are less easily discerned.
Non-rapid eye movement sleep (NREM), also known as quiescent sleep, is, collectively, sleep stages 1–3, previously known as stages 1–4. Rapid eye movement sleep (REM) is not included. There are distinct electroencephalographic and other characteristics seen in each stage. Unlike REM sleep, there is usually little or no eye movement during these stages. Dreaming occurs during both sleep states, and muscles are not paralyzed as in REM sleep. People who do not go through the sleeping stages properly get stuck in NREM sleep, and because muscles are not paralyzed a person may be able to sleepwalk. According to studies, the mental activity that takes place during NREM sleep is believed to be thought-like, whereas REM sleep includes hallucinatory and bizarre content. NREM sleep is characteristic of dreamer-initiated friendliness, compared to REM sleep where it is more aggressive, implying that NREM is in charge of simulating friendly interactions. The mental activity that occurs in NREM and REM sleep is a result of two different mind generators, which also explains the difference in mental activity. In addition, there is a parasympathetic dominance during NREM. The reported differences between the REM and NREM activity are believed to arise from differences in the memory stages that occur during the two types of sleep.
A false awakening is a vivid and convincing dream about awakening from sleep, while the dreamer in reality continues to sleep. After a false awakening, subjects often dream they are performing their daily morning routine such as showering or eating breakfast. False awakenings, mainly those in which one dreams that they have awoken from a sleep that featured dreams, take on aspects of a double dream or a dream within a dream. A classic example in fiction is the double false awakening of the protagonist in Gogol's Portrait (1835).
Hypnagogia is the transitional state from wakefulness to sleep, also defined as the waning state of consciousness during the onset of sleep. Mental phenomena that may occur during this "threshold consciousness" include hallucinations, lucid dreaming, and sleep paralysis.
In the field of psychology, the subfield of oneirology is the scientific study of dreams. Research seeks correlations between dreaming and knowledge about the functions of the brain, as well as an understanding of how the brain works during dreaming as pertains to memory formation and mental disorders. The study of oneirology can be distinguished from dream interpretation in that the aim is to quantitatively study the process of dreams instead of analyzing the meaning behind them.
Closed-eye hallucinations and closed-eye visualizations (CEV) are hallucinations that occur when one's eyes are closed or when one is in a darkened room. They should not be confused with phosphenes, perceived light and shapes when pressure is applied to the eye's retina, or some other non-visual external cause stimulates the eye. Some people report CEV under the influence of psychedelics; these are reportedly of a different nature than the "open-eye" hallucinations of the same compounds. Similar hallucinations that occur due to loss of vision are called "visual release hallucinations".
Cataplexy is a sudden and transient episode of muscle weakness accompanied by full conscious awareness, typically triggered by emotions such as laughing, crying, or terror. Cataplexy is the first symptom to appear in about 10% of cases of narcolepsy, caused by an autoimmune destruction of hypothalamic neurons that produce the neuropeptide hypocretin, which regulates arousal and has a role in stabilization of the transition between wake and sleep states. Cataplexy without narcolepsy is rare and the cause is unknown.
Parasomnias are a category of sleep disorders that involve abnormal movements, behaviors, emotions, perceptions, and dreams that occur while falling asleep, sleeping, between sleep stages, or during arousal from sleep. Parasomnias are dissociated sleep states which are partial arousals during the transitions between wakefulness, NREM sleep, and REM sleep, and their combinations.
Narcolepsy is a chronic neurological disorder that impairs the ability to regulate sleep–wake cycles, and specifically impacts REM sleep. The pentad symptoms of narcolepsy include excessive daytime sleepiness (EDS), sleep-related hallucinations, sleep paralysis, disturbed nocturnal sleep (DNS), and cataplexy. People with narcolepsy tend to sleep about the same number of hours per day as people without it, but the quality of sleep is typically compromised.
Ponto-geniculo-occipital waves or PGO waves are distinctive wave forms of propagating activity between three key brain regions: the pons, lateral geniculate nucleus, and occipital lobe; specifically, they are phasic field potentials. These waves can be recorded from any of these three structures during and immediately before REM sleep. The waves begin as electrical pulses from the pons, then move to the lateral geniculate nucleus residing in the thalamus, and end in the primary visual cortex of the occipital lobe. The appearances of these waves are most prominent in the period right before REM sleep, albeit they have been recorded during wakefulness as well. They are theorized to be intricately involved with eye movement of both wake and sleep cycles in many different animals.
Scholarly interest in the process and functions of dreaming has been present since Sigmund Freud's interpretations in the 1900s. The neurology of dreaming has remained misunderstood until recent distinctions, however. The information available via modern techniques of brain imaging has provided new bases for the study of the dreaming brain. The bounds that such technology has afforded has created an understanding of dreaming that seems ever-changing; even now questions still remain as to the function and content of dreams.
Secondary consciousness is an individual's accessibility to their history and plans. The ability allows its possessors to go beyond the limits of the remembered present of primary consciousness. Primary consciousness can be defined as simple awareness that includes perception and emotion. As such, it is ascribed to most animals. By contrast, secondary consciousness depends on and includes such features as self-reflective awareness, abstract thinking, volition and metacognition. The term was coined by Gerald Edelman.
The activation-synthesis hypothesis, proposed by Harvard University psychiatrists John Allan Hobson and Robert McCarley, is a neurobiological theory of dreams first published in the American Journal of Psychiatry in December 1977. The differences in neuronal activity of the brainstem during waking and REM sleep were observed, and the hypothesis proposes that dreams result from brain activation during REM sleep. Since then, the hypothesis has undergone an evolution as technology and experimental equipment has become more precise. Currently, a three-dimensional model called AIM Model, described below, is used to determine the different states of the brain over the course of the day and night. The AIM Model introduces a new hypothesis that primary consciousness is an important building block on which secondary consciousness is constructed.
The neuroscience of sleep is the study of the neuroscientific and physiological basis of the nature of sleep and its functions. Traditionally, sleep has been studied as part of psychology and medicine. The study of sleep from a neuroscience perspective grew to prominence with advances in technology and the proliferation of neuroscience research from the second half of the twentieth century.