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sleep paralysis by Hila Katz
magine waking up and not being able to move. Someone or something is in the room, just out of sight. You cannot see what it is, only that it’s creeping closer to the bed; helpless terror floods your mind. As it nears, you discern a dark, indistinct shape, human-like in form. Suddenly an enormous weight presses on your chest, crushing you to the mattress. Barely able to breathe, you gasp for air, convinced that death is near. The experience, however, is not a confrontation with the supernatural or one’s own imminent demise. It is an episode of sleep paralysis, a condition that can make one feel like a hapless victim in a horror movie. Sleep paralysis is a parasomnia, a deviance in the ordinary behavioral and physiological activity involved in sleeping and the states of conscious wakefulness that immediately precede or follow sleep. Researchers have linked sleep paralysis to the boundary between wakefulness and one particular phase in the sleep cycle – REM (Rapid Eye Movement) sleep, which is marked by several distinguishing characteristics. During REM, blood pressure, heart rate and breathing are elevated and more irregular than in non-REM stages of sleep. We dream more frequently and with marked vividness. And although the eyes dart back and forth in quick, involuntary movements, the body’s skeletal muscles experience atonia, or muscle paralysis. What some researchers are interested in finding out is how the parasomnia sleep paralysis blends elements of REM sleep, such as the atonia, with the conscious awareness that we experience during wakeful states. Though it is still unclear how the brain might attain wakefulness during REM, uncovering the neuronal interactions and populations of neurons behind the sleep paralysis phenomenon could help us understand the similarities and distinctions between a brain in true REM – active but without conscious awareness – and a wakeful brain, which is both active and aware. Sleep paralysis episodes are brief, lasting from a few seconds to a couple of minutes, but they are rich with mystery and potential insight into the nature of consciousness. Studying sleep paralysis is a fairly recent endeavor, and the bulk of the findings consist of firsthand reports by people who have experienced its different manifestations. Sleep paralysis can be either hypnagogic or hypnopompic. Hypnagogic episodes occur at the onset of sleep and are made possible if a person slides from wakefulness into REM, which the columbia science review
spring 2005
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