Don't Touch the Terror
It was a quiet night in Phoenix, Arizona, when Scott Falater stabbed his wife 44 times and held her head under water in the pool. When the police arrived, Falater said he had no memory whatsoever of the entire incident. He had, he said, been sleepwalking. Falater never denied that he had killed his wife, but he said he had no reason to do so. There were no known problems in the couple's relationship and no history of violence on Falater's part. He was convicted of murder, but many sleep experts said that his sleepwalking defense wasn't as farfetched as it seemed [source: Yuhas].
Pavor nocturnus (that's the fancy Latin name for night terrors), along with sleepwalking and confusional arousal, belongs to a subset of sleep problems referred to as "disorders of arousal." One can lead to the other. Night terrors, for instance, can turn into an episode of sleepwalking.
All of these parasomnias occur during non-REM sleep. Neuroimaging of the brain during those deep sleep cycles shows that the prefrontal cortex is dialed down to idling mode, and that's where it stays even when a person is sleepwalking. The prefrontal cortex is where we get those excellent executive functions like judgment, attention and planning. At the same time, certain pathways in the brain of somebody experiencing an episode of arousal disorder can be lit up, including those controlling sophisticated motor and emotional activities. Unfortunately that profile of switched-on, switched-off functions resembles some of the brain activity that shows up when people are violent while fully awake [source: Sicari].
Suspended somewhere between sleeping and waking, the parasomniac enjoys the worst of both worlds: fully capable of violence without any of the inhibitions that control it.
However, research has shown that violence usually occurs only when an aroused sleeper is touched [source: AASM]. The best thing to do if you see somebody experiencing an arousal disorder is to let them be.
Author's Note: How Night Terrors Work
When I was a kid I had a habit of sitting bolt upright in bed and screaming in what sounded like some alien language while staring at an invisible presence in the room. This, of course, freaked my parents out, and it scares me just thinking about it. Who was I talking to? In what language? It's all very well to say the whole thing was just some glitch in my developing central nervous system, but it's still pretty eerie, especially in the middle of the night.
More Great Links
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- American Academy of Sleep Medicine (AASM). "Violent Behaviors That Occur During Sleep Disorders Are Provoked, Study Suggests." ScienceDaily. Aug. 3, 2007. (June 30, 2016) https://www.sciencedaily.com/releases/2007/08/070801091411.htm
- American Sleep Association (ASA). "What is Sleep?" 2016. (June 29, 2016) https://www.sleepassociation.org/patients-general-public/what-is-sleep/
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- Mayo Clinic Staff. "Sleep Terrors (Night Terrors)." Mayo Clinic. Aug. 12, 2014. (June 28, 2016) http://www.mayoclinic.org/diseases-conditions/night-terrors/basics/definition/con-20032552
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- Methven, Jon. "Why We Sleep Together." The Atlantic. June 11, 2014. (June 28, 2016) http://www.theatlantic.com/health/archive/2014/06/why-we-sleep-together/371477/
- National Sleep Foundation (NSF). "What Happens When You Sleep?" (June 28, 2016) https://sleepfoundation.org/how-sleep-works/what-happens-when-you-sleep
- Randall, David K. "Rethinking Sleep." The New York Times. Sept. 22, 2012. (June 28, 2016) http://www.nytimes.com/2012/09/23/opinion/sunday/rethinking-sleep.html
- Siclari, Francesca et al. "Violence in Sleep." Medscape. Brain. Vol. 133, No. 12. Pages 3494-3509. 2010. (June 30, 2016) http://brain.oxfordjournals.org/content/133/12/3494
- Wigg, David. "I'm a fully grown man – but I still get night terrors that make me scream like a baby." Daily Mail. Nov. 3, 2009. (June 2, 2016) http://www.dailymail.co.uk/health/article-1224768/Im-fully-grown-man--I-night-terrors-make-scream-like-baby.html
- Yuhas, Daisy. "Sleep Violence: A Real Danger, Little Understood." Scientific American. June 14, 2012. (June 30, 2016) http://blogs.scientificamerican.com/observations/sleep-violence-a-real-danger-little-understood/