Felt presence: paranoid delusion or hallucinatory social imagery?

Cheyne and Girard characterize felt presence (FP) during sleep paralysis attacks as a pre-hallucinatory expression of a threat-activated vigilance system. While their results may be consistent with this interpretation, they are nonetheless correlational and do not address a parsimonious alternative explanation. This alternative stipulates that FP is a purely spatial, hallucinatory form of a common cognitive phenomenon—social imagery—that is often, but not necessarily, linked with threat and fear and that may induce distress among susceptible individuals. The occurrence of both fearful and non-fearful FPs in a multiplicity of situations other than sleep paralysis attacks supports the notion that FPs are hallucinatory variants of social imagery and that they are not necessarily bound to threat-activated vigilance. Evidence linking FPs with anxiety disorders supports the notion that the distress they evoke may be mediated by a more general affective distress personality factor. To illustrate the predominantly spatial character of FP hallucinations, similarities between FP and phantom limbs are summarized and the possibility that these two phenomena are parallel expressions (self- vs. other-presence) of a mirror neuron system is considered.     

The nature and varieties of felt presence experiences: A reply to Nielsen

Nielsen [Nielsen, T. (2007). Felt presence: Paranoid delusion or hallucinatory social imagery? Consciousness and Cognition, 16(4), 975–983.] raises a number of issues and presents several provocative arguments worthy of discussion regarding the experience of the felt presence (FP) during sleep paralysis (SP). We consider these issues beginning with the nature of FP and its relation to affective-motivational systems and provide an alternative to Nielsen’s reduction of FP to a purely spatial hallucination. We then consider implications of the “normal social imagery” model. We can find only one specific empirical hypothesis articulated within this framework and it turns out to be one that we explicitly addressed in our original paper. We also review our position regarding the possible relation of FP during SP to a number of related anomalous experiences and contrast FP to anomalous vestibular-motor (V-M) phenomena. We review our position that the neuromatrix concept, in the light of available evidence, is more appropriately applied to V-M experiences than FP. Finally, we pursue speculations, raised in Nielsen’s commentary, on the wider implications of FP.     

19世纪帕金森病的研究历史

1817年Parkinson首先描述了震颤麻痹,此后的45年中陆续出现了一些相关报道,但并未增加有价值的临床信息。1861年以后,Charcot对此病进行了深入的研究,认识到动作缓慢是本病的核心症状之一,并将其与肌强直鉴别开。他细致地描述了面具脸等症状,认为震颤并非诊断的必要因素,在命名上建议用帕金森病来取代震颤麻痹。     

自我同情和睡眠质量的关系：积极和消极情绪与自我控制的中介作用

为探究积极和消极情绪与自我控制在自我同情与睡眠质量间的中介机制,采用问卷法对477名成人进行调查,建立结构方程模型对中介效应进行检验。结果发现：（1）自我同情、积极情绪、自我控制和睡眠质量两两之间均为显著正相关,而上述变量与消极情绪均为显著负相关;（2）自我同情可分别以积极情绪、消极情绪和自我控制为中介来预测睡眠质量;还可依靠消极情绪与自我控制的链式中介效应来间接预测睡眠质量,但自我同情对睡眠质量的直接效应不显著。该研究结果为改善睡眠质量提供了新的干预视角。     

Use of the Sleep Assessment Device (Kelley and Lichstein, 1980) to validate insomniacs' self-report of sleep pattern

A comparison is presented of insomniacs' self-reported sleep pattern and objectively monitored sleep using the Sleep Assessment Device (SAD; Kelley & Lichstein, 1980). Analysis of 110 subject nights revealed modest but significant subjective overestimates of both sleep latency and sleep duration which were accounted for by the demands of the task (i.e., longer time periods are harder to estimate accurately). Correlations between self-report and SAD measures were, however, consistently high, suggesting that self-report may be a valid index of sleep disturbance. Results are discussed with reference to the clinician's task in evaluating sleep complaints.This research stury was supported by a grant from the Research Fund of Lanarkshire Health Board, Scotland.     

MAKING SENSE OF SOUL AND SABBATH BRAIN PROCESSES AND MAKING OF MEANING

Abstract. Making sense of soul and Sabbath necessitates understanding these phenomena experientially and then suggesting "biochemical" or empirical analogues. Soul, which is defined as the core or essence of a person (or group), includes a working memory of personally purposeful behavior. The states of the soul are reflected in the states of the mind and their physiological correlates-the states of the brain. Such uniqueness appears similar to the biblical cycle of creation-Sabbath-consciousness and its analogue in the biorhythm of brain-mind-that is, waking and work, sleeping and rest, dreaming (rapid eye movement [REM]) and the reorganization-integration process that is ever making sense of our senses by synthesizing what they mean to us. Working memory and biorhythm, therefore, are crucial for the making of meaning, and meaning is the making of soul.     

Developmental changes of parental-reported sleep disturbance symptoms in children with attention deficit disorder

The primary goal of this retrospective study was to assess parental report of current sleep disorders in school-aged attention deficit disorder (ADD) children, as well as recalled sleep problems from when the children were infants (0–12 months) and toddlers (1–3 years). Results of a sleep questionnaire completed by mothers of 48 ADD children and a comparison group of 30 patients with school problems indicate that ADD children were perceived to have significantly more sleep problems and that these problems had onset in infancy. Specific items in the questionnaire which were increased included latency to sleep onset of more than 30 min at least 3 nights per week, fatigue upon awakening, and recall of nightmares. Pediatric clinicians should be alert to possible sleep disorders in children suspected of attention disorders and should consider sleep hygiene measures as a component of treatment.     

Co-morbidity of crying and feeding problems with sleeping problems in infancy: Concurrent and predictive associations

The co-morbidity of crying, feeding and sleeping problems at 5 months of age was investigated in a representative sample of 432 infants in South Germany. A crying, sleeping or feeding problem was reported in 32.7% of these infants by their parents and a further 14.6% had two or more of these problems. Little co-morbidity between crying and feeding problems was found. There were moderate to strong associations between crying and sleeping behaviours. Feeding problems showed little relationship to sleeping behaviour, but feeding type and frequency of feeds were related to night waking. Breastfed infants woke much more often at night. Crying and feeding problems at 5 months were poor predictors of sleeping behaviour at 20 or 56 months of age. Later sleeping behaviour was best predicted by infant sleeping behaviour. At 56 months, maternal distress due to sleeping and co-sleeping practices was predicted by maternal distress due to crying and feeding practices at 5 months of age. The predictions were significant but generally weak to modest in strength. Future studies on the consequences of crying or feeding problems should take into account patterns of co-morbidity. So-called ‘post-colicky’ sleep problems are not due to increased crying per se but rather appear to be the consequence of associated infant sleeping problems and parental caretaking patterns for dealing with night waking in infancy.     

A general index of self-reported sleep: the sleep quotient

Utilizing multiple sleep measures, a practice common to virtually all sleep assessments, poses problems both for statistical analyses in the form of inflated Type I error rate and for interpretation by the inability to specify general sleep change. A sleep quotient (SQ) is proposed that appears to overcome these problems. The paper presents archival norms for self-report sleep data, demonstrates the use of these norms in transforming novel data to standardized units, and casts the standardized score in the form of an intelligence quotient, now called a SQ, with a mean of 100 and a standard deviation of 15. Previously published data are reanalyzed by use of SQ scores, methods of interpreting SQ data are demonstrated, and advantages of SQ analyses are described. The SQ appears to be a valid, useful composite sleep index permitting the measurement of general sleep.