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Module 7

Sleep and Dreams

Psychology 1: General Psychology

J. Marie Hicks, Ph.D. Adjunct Psychology Instructor [email protected]

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CONTINUUM OF CONSCIOUSNESS

Different states

Consciousness

Continuum of consciousness

Different states

Consciousness

refers to different levels of awareness of one’s thoughts and feelings

Continuum of consciousness

refers to a wide range of experiences, from being acutely aware and alert to being totally unaware and unresponsive

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CONTINUUM OF CONSCIOUSNESS (CONT’D)

Different states

Controlled processes

Automatic processes

Daydreaming

Different states

Controlled processes

require full awareness, alertness, and concentration to reach some goal; usually interfere with execution of other ongoing activities

Automatic processes

require little awareness, take minimal attention, and don’t interfere with other ongoing activities

Daydreaming

requires low level of awareness, often occurs during automatic processes, and involves fantasizing or dreaming while awake

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CONTINUUM OF CONSCIOUSNESS (CONT’D)

Different states

Altered states of Consciousness

Meditation

Psychoactive drugs

Hypnosis

Sleep deprivation

Different states

Altered states

Result from using any number of procedures, such as meditation, psychoactive drugs, hypnosis, or sleep deprivation, to produce an awareness that differs from normal consciousness

meditation is an altered state

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CONTINUUM OF CONSCIOUSNESS (CONT’D)

Sleep and dreams

Sleep

consists of five stages

deepest state of sleep borders on unconsciousness

Dreaming

unique state of consciousness

Sleep and dreams

Sleep

consists of five stages that involve different levels of awareness, consciousness, and responsiveness as well as different levels of physiological arousal

deepest state of sleep borders on unconsciousness

Dreaming

unique state of consciousness in which we’re asleep but experience a variety of astonishing visual, auditory, and tactile images

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CONTINUUM OF CONSCIOUSNESS (CONT’D)

Unconscious and implicit memory

Freud’s theory regarding the unconscious mind

Implicit or nondeclarative memory

Learning without awareness

Unconscious and implicit memory

Freud’s theory, when we’re faced with very threatening wishes or desires, especially if they’re sexual or aggressive

Defend self-esteem by placing these thoughts in the unconscious

Can’t voluntarily recall unconscious thoughts

Implicit or nondeclarative memory

Learning without awareness

Occurs in emotional situations or in acquiring habits

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CONTINUUM OF CONSCIOUSNESS (CONT’D)

Unconsciousness

Causes

Results

Unconscious

Can result from disease, trauma, a blow to the head, or general medical anesthesia

Results in total lack of sensory awareness and complete loss of responsiveness to one’s environment

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RHYTHMS OF SLEEPING & WAKING

Biological clocks

Internal timing devices

Circadian rhythm

Biological clock

Location

Biological clocks

Biological clocks are internal timing devices that are genetically set to regulate various physiological responses for different periods of time

Circadian rhythm

Refers to a biological clock that’s genetically programmed to regulate physiological responses within a time period of 24 hours

Location of biological clocks

Suprachiasmatic nucleus

part of hypothalamus

lies in the lower middle of the brain

regulates a number of circadian rhythms

regulates sleep-wake cycle

highly responsive to change in light

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RHYTHMS OF SLEEPING & WAKING (CONT’D)

Circadian rhythm

Interval timing clock

Food-entrainable circadian clock

Circadian problems and treatments

Shift workers

Jet lag

Resetting clock

Melatonin

Interval timing clock

can be started and stopped like a stopwatch

gauges the passage of seconds, minutes, or hours

helps creatures time their movements, such as knowing when to start or stop doing some activity

located in the basal ganglia

Food-entrainable circadian clock

“midnight snack” clock

regulates eating patterns in people and animals

obese people might have an abnormality in their clock (located in hypothalamus)

Circadian problems and treatments

Shift workers

can result in decreased performance in cognitive and motor skills

sleep-wake clocks have prepared bodies for sleep (means workers feel sleepy, are less attentive and alert, and are often in a lousy mood)

Jet lag

experience of fatigue, lack of concentration, and reduced cognitive skills

occurs when travelers’ biological circadian clocks are out of step or synchrony with the external clock times at their new location

Resetting clock

light therapy: use of bright artificial light to reset circadian clocks and combat the insomnia and drowsiness that plague shift workers and jet lag sufferers

helps people with sleeping disorders in which the body fails to stay in time with the external environment

Melatonin

hormone secreted by the pineal gland (oval-shaped group of cells in the center of the brain)

melatonin secretion increases with darkness and decreases with light

suprachiasmatic nucleus; regulates the secetion of melatonin

plays role in the regulation of circadian rhythms and in promoting sleep

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WORLD OF SLEEP

Stages of sleep

Alpha stage

Non-REM sleep

Stage 1 sleep

Stage 2 sleep

Stages 3 and 4

Stages of sleep

Distinctive changes in the electrical activity of the brain and accompanying physiological responses of the body that occur as you pass through different phases of sleep

Alpha stage

Feeling of being relaxed and drowsy, usually with the eyes closed

Non-REM sleep

Where you spend approximately 80% of your sleep time

Divided into four stages, identified by particular pattern of brain waves and physiological responses

Begin with stage 1 and gradually enter stages 2, 3, and 4

Stage 1 sleep

transition from wakefulness to sleep that lasts one to seven minutes

gradually lose responsiveness to stimuli and experience drifting thoughts and images

presence of theta waves

Stage 2 sleep

beginning of what we know as sleep

high-frequency bursts of brain activity called sleep spindles

muscle tension, body temperature, and heart rate gradually decrease

more difficult to be awakened

Stages 3 and 4

also called slow wave or delta sleep

waves of very high amplitude and very low frequency (delta waves)

stage 4 is often considered the deepest stage of sleep; most difficult to be awakened from

heart rate, respiration, temperature, and blood flow to the brain are reduced

marked secretion of growth hormone (GH), which controls levels of metabolism, physical growth, and brain development

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WORLD OF SLEEP (CONT’D)

Stages of sleep

REM sleep

REM behavior disorder

REM rebound

REM sleep

Makes up the remaining 20% of your sleep time

Stands for “rapid eye movement”

Eyes move rapidly back and forth behind closed lids

Pass into REM sleep about five or six times throughout the night with about 30 to 90 minutes between periods

REM sleep remains for about 15 to 45 minutes then passes into non-REM sleep

REM behavior disorder

usually occurs in older people

voluntary muscles aren’t paralyzed

sleepers can and do act out their dreams such as fighting off attackers in dreams

REM rebound

refers to individuals spending an increased percentage of time in REM sleep if they were deprived of REM sleep on the previous nights

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WORLD OF SLEEP (CONT’D)

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QUESTIONS ABOUT SLEEP

According to a national survey

16% of adults sleep less than six hours

24% sleep 6 to 6.9 hours

31% sleep 7 to 7.9 hours

26% sleep 8 or more hours

Average: 6.9 hours a night

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QUESTIONS ABOUT SLEEP

Why do I sleep?

Repair theory

Adaptive theory

What causes sleep?

Master sleep switch

Reticular formation

Why do I sleep?

Repair theory

activities during the day deplete key factors in brain/body that sleep replenishes or repairs

primarily a restorative process

Adaptive theory

sleep evolved because it prevented early humans and animals from wasting energy and exposing themselves to the dangers of nocturnal predators

What causes sleep?

Master sleep switch

VPN (ventrolateral preoptic nucleus); group of cells in the hypothalamus

switched on VNP secretes a neurotransmitter (GABA) that turns off areas that keep the brain awake

switched off VNP activates certain brain areas

Reticular formation

column of cells that stretches the length of the brain stem

arouses and alerts the forebrain and prepares it to receive information from all the senses

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CULTURAL DIVERSITY

Seasonal affective disorder, or SAD

Pattern of symptoms

Includes…

Seasonal affective disorder, or SAD

Pattern of depressive symptoms, such as loss of interest or pleasure in nearly all activities; cycles with the seasons

Includes

lethargy

excessive sleepiness

overeating

weight gain

craving carbohydrates

SAD has become a subtype (Seasonal Pattern Specifier) of major depression (APA 2000)

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WORLD OF DREAMS

Theories of dream interpretation

Freud’s theory of dream interpretation

Extensions of waking life theory

Activation-synthesis theory

Threat simulation theory

Theories of dream interpretation

Freud’s theory of dream interpretation

we have a “censor” that protects us from realizing threatening and unconscious desires or wishes, especially those involving sex or aggression

“censor” protects us from threatening thoughts by transforming our secret, guilt-ridden, and anxiety-provoking desires into harmless symbols that appear in our dreams and don’t disturb our sleep or conscious thoughts

Extensions of waking life theory

dreams reflect the same thoughts, fears, concerns, problems, and emotions that we have when awake

Activation-synthesis theory

dreaming occurs because brain areas that provide reasoned cognitive control during the waking state are shut down

sleeping brain is stimulated by different chemical and neural influences that result in hallucinations, delusions, high emotions, and bizarre thought patterns that we call dreams

Threat simulation theory

dreaming serves a biological function by repeatedly simulating events that are threatening in our waking lives so our brain can practice how it perceives threats and rehearse our responses to such events

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WORLD OF SLEEP (CONT’D)

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WORLD OF DREAMS (CONT’D)

Typical dreams

What do people dream about?

Typical dreams

Emotions

Sexuality

Controlling dreams

Visual imagery

Blind people

Typical dreams

What do people dream about?

several characters

involve motion

take place indoors more often than out

visual sensation, but rarely sensations of taste, smell, or pain

seem bizarre, may include flying or falling without injury

may be recurrent (dreams of being threatened, pursued, or trying to hide)

Typical dreams

Involve emotions of anxiety or fear rather than joy or happiness

Rarely involve sexual encounters and are almost never about sexual intercourse

Rarely can we control or dream about something we intend to dream about

Dreams usually have visual imagery and are in color in sighted people

Blind people from birth dream in tactile, olfactory, or gustatory (taste), not visual

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APPLICATION: SLEEP PROBLEMS & TREATMENTS - PARASOMNIAS

PARASOMNIAS

Insomnia

Difficulties in either going to sleep or staying asleep through the night

Associated with daytime complaints

Nondrug treatment

Drug treatment

Benzodiazepines (Dalmane, Xanax, Restoril)

Nonbenzodiazepines (Ambien, Sonata, Lunesta)

Insomnia

Difficulties in either going to sleep or staying asleep through the night

Associated with daytime complaints

fatigue

impairment of concentration

memory difficulty

lack of well-being

Nondrug treatment

Go to bed only when sleepy

Put light out immediately; don’t read or watch TV

If not asleep in 20 minutes, get out of bed and relax in another room until tired again

Repeat last step as often as required

Set alarm for same time each morning

Don’t nap during the day

Follow program rigidly for several weeks

Drug treatment

Benzodiazepines (Dalmane, Xanax, Restoril)

reduce anxiety, worry, and stress

effective in moderate dosages in short term (2 to 4 weeks) treatment; prolonged use in higher dosages may lead to dependence

Nonbenzodiazepines (Ambien, Sonata, Lunesta)

rapidly becoming popular

fast acting

reduce daytime drowsiness; fewer cognitive side effects

less likely to lead to dependence

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APPLICATION: SLEEP PROBLEMS & TREATMENTS (CONT’D)

Sleep apnea

Narcolepsy

Night terrors

Nightmares

Sleepwalking

REM Behavior Disorder

Sleep apnea

Repeated periods during sleep when a person stops breathing for 10 seconds or longer; may repeatedly stop breathing, momentarily awaken, and then resume sleep

Results in insomnia; exhaustion during the day

Narcolepsy

Chronic disorder marked by excessive sleepiness

Form of sleep attacks or short periods of sleep throughout the day

Accompanied by brief periods of REM sleep and loss of muscle control (cataplexy)

Triggered by emotional change

Night terrors

Occur in stage 3 or 4 (delta sleep)

Frightening experiences that often start with a piercing scream, followed by sudden awakening in a fearful state with rapid breathing and increased heart rate

Usually no memory of experience in the morning

Nightmares

Occur during REM sleep

Very frightening and anxiety-producing images occur involving great danger

Upon awakening, person can describe nightmare in great detail

Sleepwalking

Occurs in stage 3 or 4 (delta sleep)

Sleeper gets up and walks while literally sound asleep

Has poor coordination

Clumsy but can avoid objects

Can engage in limited conversation

No memory of sleepwalking

REM Behavior Disorder

Rapid eye movement sleep behavior disorder (RBD) is asleep disorder (more specifically aparasomnia) that involves abnormal behaviour during thesleep phase with rapid eye movement (REM) sleep. It was first described in 1986.

The major and arguably only abnormal feature of RBD is loss of muscle atonia (paralysis) during otherwise intact REM sleep. This is the stage of sleep in which most vivid dreaming occurs. The loss of motor inhibition leads to a wide spectrum of behavioural release during sleep. This extends from simple limb twitches to more complex integrated movement, in which sufferers appear to be unconsciouslyacting out their dreams. These behaviours can be violent in nature and in some cases will result in injury to either the patient or their bed partner.

Mike Barbiglia

Matt's anxieties began to bubble over into strange and vivid dreams, which he acted out in his bedroom. His father was quick to notice that he may have REM Sleep Behavior Disorder, a rare and dangerous parasomnia that gets worse over time.  Instead of seeing a doctor, Matt got swept away by an opportunity to jump-start his comedy career. While he was on the road, the sleep disorder caused a near-fatal accident. A dream about a missile attack caused him to jump out of a second story window of a La Quinta Inn.

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