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sleep
sleep
sleep Sleep Disorder Insomnia
and the Mental Exercise Sleep Control
By Aretoula Fullam, Ph.D.
Insomnia
and the Mental Exercise Sleep Control
arousal include increased levels of
catecholamines (epinephrine and
norepinephrine) (6-16). Other
measures of arousal, such as the number
By Aretoula Fullam, Ph.D.
of vasoconstrictions, respiration and
metabolism, were found to be higher
A
healthy amount of sleep is in insomniacs when
paramount to living a healthy compared with normal
life. Good quality sleep is control subjects (5-
an important part not only 14). A growing body
for living healthy but also for leading a of research is also
productive life, physically and mentally. demonstrating the
Chronic sleep restriction in today’s existence of cortical
demanding lifestyle, however, is very arousal in chronic
common (1). insomnia as determined
from spectral analysis
Insomnia is the second most common of the EEG (14-17).
complaint, after pain, in the primary
care settings (1). Thirty-five per cent of Patients with insomnia
the general population according to the often have symptoms
1984 report of the National Institutes that include tension,
of Mental Health suffers from insomnia anxiety, depression,
(2), whereas persistent insomnia affects fatigue and irritability
roughly more than one-third of the (5,6,8). Frequently,
population. insomnia begins in
conjunction with
The first references in the Western significant stress
poor concentration including impaired (11,17). As a result, many investigators
culture to insomnia go back to ancient
memory (1,3,4,5). These impairments hypothesized that insomnia is the
Greeks. For the first time insomnia
are taxing to the person suffering from result of internalization of emotions
was mentioned in the pre-Hippocratic
insomnia, to relationships and work producing emotional arousal. More
Epidaurian tables listing seventy cases,
performance. Psychophysiological recently, it has been hypothesized that
one case of which was a patient with
insomnia, a subcategory of insomnia, insomnia can develop entirely from
insomnia. Following this, Aristotle
is the most extensively researched sleep physiological activation. Study results
offered the first scientific approach
disorder (2). Some factors contributing showed increased rectal temperature,
in his writings around 350 BC; the
to its chronicity include conditioning, heart rate, basal skin resistance, and
first records of treatment of insomnia
anxiety, and heightened physiological phasic vasoconstrictions 30 minutes
come from the first century BC Greek
arousal such as increased sympathetic before sleep and during sleep in patients
physician Heraclides of Taras, who
nervous system activity (1,2,4,5). There with insomnia as compared to normal
lived in Alexandria and recommended
is particularly strong evidence for sleepers (7). Other studies have shown
opium as the treatment of choice (5).
activation of the hypothalamic-pituitary- that patients with problems falling
adrenal axis (HPA), the most important asleep had increased frontalis (8-10,18)
Insomnia, is defined as the experience
mediator of stress, in individuals with and mentalis electromyogram (EMG)
of inadequate/poor quality sleep,
insomnia (4). Some basic research (8-10,15), increased heart rate (12),
difficulty in initiating sleep and/or
studies have found increased release of increased finger temperature and more
maintaining sleep, and sleep that is not
cortisol in individuals with chronically β (beta) and less α (alpha) frequencies
restorative and/or refreshing (1,3,4). It
impaired sleep during daytime and in the electroencephalogram (EEG)
is the most common of sleep disorders.
nighttime. The persistence of elevated (10,18). However, not all studies have
Research in insomnia suggests
arousal has lead to the development of reported significantly increased body
significant quality of life impairments,
the hyperarousal hypothesis of chronic temperature in poor sleepers (12,13).
impairments in performance and mood,
insomnia (1-5). Interestingly, poor sleepers have
fatigue, irritability, lack of energy, and
© Copyright 2005 Silva International, Inc
increased secretion of corticosteroids A subcategory of insomnia known decreased synthesis of inflammatory
and adrenaline (12,14) compared with as psychophysiological insomnia cytokines which in turn is related with
good sleepers in most studies. is described as the disorder of prolonged and delayed wound healing
“inappropriate arousal” rather than a (49). High concentration of stress
The primary treatment of insomnia disorder of sleep(18-20), and “treatment hormones has been found to cause
is medications and pharmacological strategies should be directed toward shrinkage of the hippocampus. Finally,
agents (19-21) associated though normalizing the level of arousal” (22). current research studies provide strong
with disadvantages (22,23), side evidence that stress is a causal factor
effects (24-27), tolerance (22-27) and Any time an event is perceived as a in the suppression of neurogenesis
rebound effects at withdrawal (27- threat the fight and flight response (51,52).
31). However, it is acknowledged that is activated to help the organism
drug therapy “does not address the overcome the threat (17). But when this Experience of stress has an equally
underlying etiological and perpetuating is chronic, the organism is experiencing detrimental effect on psychological
factors. Behavioral and educational “hyper arousal.” The response to health (50). Studies have revealed that
interventions that directly target these a stressor is a complex cascade of extended exposure to stress hormones
factors seem essential to resolve chronic neuro-endocrinological hormones. contributes to memory impairment and
sleep difficulties” (21, 32-35). The hypothalamus synthesizes decreased cognitive performance such
corticotrophin-releasing hormone as impairments in working memory,
Patients with insomnia are under- (CRH), which in turn prompts the and concentration (50).
treated and hypnotics are the primary release of adrenocorticotropic hormone
avenues for its treatment (19-22,24,25). (ACTH) from the anterior pituitary. Different behavioral treatments for
Unfortunately, alcohol remains the ACTH, which in turn stimulates the insomnia such as sleep hygiene, sleep
most commonly preferred method adrenal cortex to produce, and release restriction, stimulus control, cognitive
of self-treatment for insomnia (4). glucocorticoids (e.g., cortisol), which therapy, and relaxation therapy have
Insomnia leads to over-utilization of have a broad range metabolic effect been evaluated (31-47).
over the counter drugs in addition to (48). This chemical factory, known
the prescribed drugs for its temporary as the hypothalamic-pituitary-adrenal Relaxation techniques aim at reducing
“cure” and also over-utilization of axis (HPA), is orchestrating the stress insomnia’s underlying hyperarousal.
health care services. In the workplace response (49). Proper concentration of The most widely used technique
insomnia is related to more absenteeism glucocorticoids is normally maintained is progressive muscle relaxation, a
and leads to decreased productivity, by negative feedback and it is necessary sequential and systematic tensing and
with costs to the American public of to get the organism out of encountered releasing of major muscle groups (31,
about $100 billion annually in medical danger or threat, but prolonged 34-38). Cognitive relaxation involves
expenses, ramifications of accidents, experience of stress can impair this training in meditation (39-41), guided
and reduced work efficiency (3,23,24). feedback mechanism and lead to an imagery (39-42), autogenic/hypnotic
On the personal level it leads to more excessively high amount of circulating relaxation (42-44), and biofeedback
accidents either due to drowsiness or glucocorticoids (48-53). The excessive (45-46). Interestingly, insomniacs seem
decreased ability to concentrate and presence of glucocorticoids never to rate non-pharmacological treatments
focus. One can say that persistent dissolves unless the person knows how more favorably (47,48) compared to
insomnia is a personal and public to relax and turn it off at will. Prolonged pharmacological treatments.
health risk (1, 3). People with insomnia experience of stress results in
frequently become their own physicians dysregulation and suppression
by administering self-treatments of the immune system; the
such as alcohol or over the counter response of the Natural Killer
medications. However, these might (NK) cells and T-cells weakens
work in the beginning temporarily under stress and also the
but after a while they are not effective, circulating number of NK and
plus the creation of a dependency T-cells is suppressed (49). The
habit to treat, namely alcoholism. weakening of the immune cells
The people who are involved in self- contributes to the weakening of
medicating may additionally experience the immune system, known as
impaired daytime functioning, lack of immunosupression (49,51,52).
concentration, attention, focus, as well In addition, weakening of the
as impaired memory (1-5). immune system is related with
© Copyright 2005 Silva International, Inc
It is clear that psychophysiological most brilliant form;
insomnia can be treated successfully for example, enjoy the
with applying stress management antiquities, its history,
techniques. The Silva Method teaches the arts, the museums,
not only physical relaxation but the modern city,
also mental relaxation. This is very the sunsets and sun
important; because it involves control rising, entertainment,
of the objective physical dimension, shopping, etc. In other
e.g., physiological arousal (sympathetic words you arrive in
nervous system activation), bodily Rome and do things
processes (secretion of hormones), that you want to do
and control of the subjective mental to experience what
dimension, e.g., cognitive control or Rome is. Well, that is
mind control, as we know it in the Silva exactly what dynamic
Method terminology. If the mind is meditation is; you
not directed/oriented it will continue to reach the relaxed level and at this good. Three times a day is excellent.
create without discipline. Undisciplined relaxed level, being consciously awake This way you are sure you are in touch
creation is not different from creative and alert at the Alpha frequency of the with the divine spark in you, a level of
creation brain, do things that you want to do harmony and bliss.
except for and start experiencing life in its fullest
t h e potential by tapping into the immense If a person follows a disciplined
storehouse of energy that is within routine to experience the boundless
you and everywhere in the Cosmos. energy of this level which is likened to
For example, in the present case you the “Kingdom of Heaven” using the
can use this boundless level of energy Silva Method of dynamic meditation
to improve the quality of sleep and exercises consistently, abundant
eliminate insomnia, or even more, to evidence from all over the world in
eliminate the cause of insomnia. Thus, a wide variety of settings (clinical,
Dynamic Meditation refers to the new medical or everyday life), suggests
gained ability to reach first a profound
outcome level of physical and mental relaxation,
or the and second to use this creative level of
obtained boundless energy and potentiality, to
end results. create new things, to change things you
The first creates chaos, do not like and replace them with other
problems, struggles, physical effort and more constructive and creative ones,
illness. The second creates harmony, to even tap into the creative/divine
wholeness, progress, abundance, essence of your being and connect with
attracting of outcome, healing and the One who created you to correct
health. The first one is done with the cause of an ailment, whatever this
ignorance; the second is done with ailment might be. Simply, you can solve
controlled awareness and guidance from problems by finding solutions, answers
the intuition of the “superior human and possibilities that are not available to
being with greater understanding, your five physical senses due to the limits
compassion and patience.” Secondly, they are bound with. Therefore, at the
the Silva Method is a form of Dynamic “Basic Level” you are tapping into, in the
Meditation, not passive. What do we creative Alpha level of consciousness,
really mean by that? Well, there are you create according to your desire,
many roads that lead to Rome as the belief and expectancy (faith). All these
saying goes. There are many methods can be simply done by devoting, only 15
that teach meditation and relaxation. minutes of meditation every day. Five
The goal, however, is not just to arrive minutes a day is good. Ten minutes is
in Rome and stay passive, but to go very good. Fifteen minutes is excellent. Insomnia - ©Marty Bee
around and experience Rome in its Once a day is good. Twice a day is very
D
is not coming from physical means, but the sleep cycle of
from spiritual means. In other words, passing through the
the guidance is coming from one’s Alpha, Theta and
ability to shift his/her awareness in Delta frequencies
the alpha level of the mind, and listen of the brain. This
to his/her intuition. From all created results in waking
things in this world, the human being up in the morning
: : :
amongst all other beings is the one feeling exhausted,
with the greatest gift, consciousness, fatigued and with
::
reflective awareness and the ability to knows from experiencing the feeling of
: : : ::
live in both worlds simultaneously, harmony, balance not getting
:: :: :
:::
:: ::
:
the world of the mind/spirit and the and homeostasis : quality sleep
world of the body/physics. The human after disciplining :: during the night
:::
being is the only being who knows this wonderful mind even though the
that he/she knows that he/she knows. everybody has.
Po l y s o m n o g r a m
The successful being is the one who results suggest that the
is living harmoniously in both worlds Let us now review the individual has spent time
brilliant mental exercise of Sleep in the different sleep stages.
Control. For someone who does not Polysomnograms (which cost $2,500.00
have any problems falling and staying each), [like electrocardiograms (ECG)
asleep, or is not insomniac, probably monitoring one’s cardiac activity],
this technique goes unnoticed. But for are recordings of the sleep cycles and
a person who is not able to get a good other vital processes. They include
night’s sleep, this mental exercise is measurement of brain wave activity
invaluable. Did you ever find yourself recordings (EEG), muscle movements
in a foreign environment in a hotel (EMG), electrocardiac (ECG)
room or somewhere else where you monitoring, breathing etc., and in most
could not sleep? In my clinical training, cases they show that insomniacs spent
I am witnessing the devastating effects very little time at Alpha and REM. The
of sleep deprivation. As mentioned combination of drugs and sleep problems
above, staying at the Beta level of is a vicious circle that can cause serious
consciousness and not knowing how to health problems, such as irritability,
go to the Alpha level of consciousness to moodiness, fatigue, inattention, lack of
eliminate the heightened sympathetic concentration, impaired memory, etc.
nervous activity has deleterious effects However, the greatest cause of psycho-
on sleep and health. Furthermore (as we physiological insomnia (the inability to
mentioned above), the use of sleeping fall asleep and maintain good quality of
drugs and other pharmaceutical agents sleep during the night) is related with
are detrimental and accompanied with psychological challenges rather than
a packet of undesirable side effects; biological causes. Largely, insomnia is
together with the deleterious effects accompanied by the inability to turn
of sleep deprivation a vicious cycle off the mental switch of thinking.
© Copyright 2005 Silva International, Inc
Jose Silva 40 years ago offered a well- harmony, the physiological arousal is Yet, what is more interesting is that the
researched package of mental exercises, minimized, cortisol and catecholamines use of the Sleep Control is free. There
one of which is to overcome insomnia (epinephrine and norepinephrine) is no cost involved, except the fee one
without the use of drugs. He also said return to normal levels, and endorphins pays to receive the mental training of
that drugs deprive people of Alpha are now secreted and start circulating the Silva Method. You pay once for
functioning because drugs keep the in the body. Did you ever wonder why your subjective education, and then
individual who is using them locked at it is called sweet “Hypnos” or sweet you use it for free for the rest of your
the Theta level frequency. Interestingly “Sleep?” As a Silva Graduate, you know life. You only need to desire it and be
research studies demonstrate that that every time you go to the Alpha determined to apply it. Compare it
people with insomnia have very little meditative state or at your level as we with the medication expenses,
REM stage. call it, the parasympathetic nervous and the amounts of money
system is activated mentioned earlier related
In the mental exercise “Sleep Control” and the with the effects of
the insomniac does not depend on any sleep deprivation.
external agents. She/he is using her/ And what price
his wonderful biocomputer and can be put on the
her/his mind, the faculty of emotional and
human intelligence to elicit psychological
the sweet “Hypnos.” This challenges
technique is designed to that one can
keep both brain experience as
hemispheres a consequence of
involved. There sleep deprivation?
is much left-
hemisphere activity pineal What are the side effects that accompany
(counting numbers, g l a n d takes charge the Sleep Control prescription? Anxiety
writing the word, paying orchestrating the secretion of (if present) is being eliminated because
attention to details) and much more melatonin, the “night hormone” and also one cannot think of the things that
right-hemisphere activity (visualizing, all the endorphins and opoioids which are causing anxiety and keep counting
remembering, drawing, erasing, desire, calm the human system and which have backwards correctly. Heightened β
belief and expectancy, etc.) to keep the analgesic effects. activation slows down as the increased
individual’s mind busy. In this manner, α frequency is now predominant
the individual not only is able to switch Jose Silva over 40 years ago discovered allowing for the “sweet hypnos” to come.
off the mental chatting, but is also able and talked about what science has just Fatigue, which is another “20th century
to fall asleep without using any drugs. started discovering, that meditation illness” with no known cause, gives way
How long do you think one is going to and relaxation have healing properties, to relaxation, vitality and enthusiasm.
keep on counting? Interestingly, Mind minimize sympathetic nervous system When one is producing α at will as the
does not like to deal with boring events, activation, increase alpha wave activity, graduates of the Silva Method learn
and counting numbers backwards is reduce the stress hormones and increase to do, they become more inspired.
very boring; therefore, the mind is going secretion of endorphins (endogenous Inspired, means in spirit and when one
to give up counting numbers and allow morphines). The pituitary gland, which is in spirit there is no fatigue. Fatigue is
the Sleep-God to fall upon the eye lids is the maestro for preparing you for the felt when one is dispirited or functioning
and become free from the boredom of Fight or Flight response, is now obeying predominantly at the β level of the
drawing circles, Xs, numbers, deeper, your mind’s command to “Relax” mind with the first signs of excessive β
erasing and starting all over again. allowing the Pineal gland to do its work activity manifest as insomnia, followed
There is no magic in it, or maybe the at the relaxed level. The body’s wisdom by headaches, tension headaches and
only magic associated with it is the fact to heal itself is now activated and the pain, allergies, etc. All the symptoms
that the individual will experience the immune system regains its ability to that I mentioned in the beginning of
visit of the sweet “Hypnos” or Sleep- fight imbalances, allow the tissues to this article, including insomnia are
God as the ancient Greeks called recover and mend themselves and health related with increased sympathetic
him. Continuing to use the prescribed to be restored. There is no magic in it. nervous activation. Research has
dose of “Self-Mind Control” through There is only a whole new inner reality already established reduced α activity in
the mental exercise, the insomniac that is coming to the surface to become insomniacs. So, if we teach insomniacs
brings the two hemispheres into as clear as the physical outer reality. to function at the alpha brain wave
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