Cox Ann M
AMC Consulting, 12 Luba Avenue, Richmond Hill, ON L4S 1G4, Canada.
JRSM Open. 2015 Jul 28;6(7):2054270415598091. doi: 10.1177/2054270415598091. eCollection 2015 Jul.
Sleep paralysis is a relatively new term to describe what for hundreds of years many believed to be a visitation by a malevolent creature which attacked its victims as they slept. The first clinical description of sleep paralysis was published in 1664 in a Dutch physician's case histories, where it was referred to as, 'Incubus or the Night-Mare [sic]'. In 1977, it was discovered more than 100 previously healthy people from various South East Asian communities had died mysteriously in their sleep. The individuals affected were dying at a rate of 92/100,000 from Sudden Unexplained Nocturnal Death Syndrome. No underlying cause was ever found, only that subsequent studies revealed a high rate of sleep paralysis and belief in the dab tsog (nightmare spirit) amongst members of the community. The nightmare/succubus is descended from Lilith. The earliest reference to Lilith is found in the Sumerian King list of 2400 BC known as Lilitu or she-demon, she bore children from her nocturnal unions with men. In other derivations, she was Adam's first wife who rather than 'obey' became a demon that preyed on women during childbirth. In modern Middle Eastern maternity wards, some women still wear amulets for protection. Today, clinical cause of these disturbances is sleep paralysis due to the unsuitable timing of REM sleep. During the 'Nightmare' episode, the sleeper becomes partially conscious during REM cycle, leaving the individual in a state between dream and wakefulness. For some, culture and the tradition of the nightmare is explanation enough.
睡眠瘫痪症是一个相对较新的术语,用于描述数百年来许多人认为是一种恶意生物的侵扰,这种生物会在受害者睡觉时攻击他们。睡眠瘫痪症的首次临床描述于1664年发表在一位荷兰医生的病例史上,当时它被称为“梦淫妖或梦魇”。1977年,人们发现来自东南亚各个社区的100多名此前健康的人在睡眠中神秘死亡。受影响的个体因不明原因夜间猝死综合征的死亡率为92/100,000。从未找到根本原因,只是后续研究表明该社区成员中睡眠瘫痪症的发生率很高,并且他们相信“达布措”(梦魇之灵)。梦魇/梦淫妖源自莉莉丝。对莉莉丝的最早提及出现在公元前2400年的苏美尔王表中,被称为莉利图或女恶魔,她通过与男人的夜间交合生育子女。在其他衍生说法中,她是亚当的第一任妻子,她没有“顺从”,而是变成了一个在分娩时捕食女性的恶魔。在现代中东的产科病房里,一些女性仍然佩戴护身符以求保护。如今,这些紊乱的临床原因是快速眼动睡眠时机不当导致的睡眠瘫痪症。在“梦魇”发作期间,睡眠者在快速眼动周期中会部分清醒,使个体处于梦境与清醒之间的状态。对一些人来说,文化和梦魇的传统就足以解释了。