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Rubin Naiman, Ph.D.

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We Don't Get Sleep Because We Don't 'Get' Sleep

Posted: 05/23/2011 8:21 am

I believe the main reason we struggle with epidemic sleep disorders is our failure to examine fundamental misconceptions that inform our understanding of and approach to sleep. These misconceptions are rooted in a tendency to define sleep negatively -- that is, in terms of what it's not. Like our conception of health, which is generally understood as the absence of disease, we naively conceive of sleep as the absence of waking. When we are asleep, we are "dead to the world" -- to the waking world. Even scientific and medical definitions of sleep cast it in terms of what it's not. Sleep specialists refer to sleep as "non-REM." It's not dreaming.

Waking has become a synonym for consciousness; and sleep, considered its opposite, unconsciousness. Someone who exhibits limited awareness while awake may be accused of being 'asleep.' Noted sleep specialist, William Dement writes, "It is impossible to have conscious, experiential knowledge of non-dreaming sleep." Because it's unconscious, sleep is believed to lie outside the realm of subjective experience and, therefore, to be devoid of personal meaning. It's reduced to a functional physiological process. Nothing personal.

In fact, the most common presumption we hold about sleep, both scientifically and culturally, is that it functions to provide essential physiological support for waking life. Virtually all the research questions we ask about sleep focus on its role in supporting complex aspects of health and performance. Sleep serves waking life. Who would argue against this obvious truth? But is it the whole truth?

Well, if sleep is not waking and sleep is not dreaming, then what is it? Is it unconsciousness, impersonal and strictly functional? These common presumptions result in a blinding wake-centric bias. Trying to 'get' sleep solely from a waking perspective is like trying to understand darkness by illuminating it with a flashlight. This approach discourages us from developing a more intimate, personal relationship with sleep and, thereby, precludes our taking greater responsibility for it.

"If you only have a hammer," said Abe Maslow, "you tend to see every problem as a nail." Likewise, if you only have waking, you will view getting to sleep only as another waking activity. We simply can't go wakefully into sleep. The subtle though ludicrous notion that we have to be awake to get to sleep is depicted in a classic "Three Stooges" skit. After fighting with Curly to get him to sleep, Mo turns to Larry who is already sleeping, slaps the top of his head and yells, "Hey, wake up and go to sleep!" Twisted as such a reproach may be, it's the most common cognitive error underlying the nightly flood of sleep inhibiting anxiety experienced by millions of insomniacs.

From a wake-centric perspective, we have no alternative but to carry waking cognitive and behavioral ways of being into the night. We routinely smuggle information, entertainment, technology, light, food, substances and lots of worry into our bedrooms and beds. The single most critical factor impairing healthy sleep is not, as is commonly believed, that we are insufficiently sleepy at night. It's what sleep science calls hyperarousal -- that we are excessively wakeful.

Solid empirical evidence suggests that sleeping pills provide no significant improvement in sleep. They essentially mask poor sleep with amnesia. But because we confuse sleep with unconsciousness, we believe that substances and medications that mask waking can legitimately serve as sleep aids. I believe that this is the fundamental error that continues to perpetuate skyrocketing sleeping pill sales.

Sleep science pioneer Alan Rechtschaffen stated, "If sleep doesn't serve an absolutely vital function, it is the biggest mistake evolution ever made." But couldn't we say the same about personal experiences like eating and sex and even love? The fact that something is functional, however, does not preclude it from also being personally meaningful. Viewed as an unconscious physiological function, we cannot directly access sleep. We can only manage it indirectly through manipulating our physiology and our environment with ineffective sleeping pills and overpriced mattresses.

Our wake-centric views artificially bifurcate waking and sleep. In reality, sleep is no more the opposite and absence of waking than darkness is the opposite and absence of light. In fact, brain EEG models suggest that both sleep and waking can be understood in terms of a larger, all-encompassing, continuity of consciousness. They're on a continuum.

We could benefit greatly from a more nuanced sense of our own consciousness. We are capable, to varying degrees, of being simultaneously awake and asleep. The pendulum of consciousness swings through repeating circadian cycles of waking and sleep. Although waking is strongly informed by sensory input and sleep is not, it's the same pendulum.

The belief that sleep is unconsciousness discourages us from opening to a more direct experience of it. Rather than willingly descending into a mysterious sea of sleep, at lights out our attention typically drifts to the shore of the next morning's awakening. This is like spending an overnight getaway fixated only on our return home.

We can practice remaining mindful -- keeping our mind's eye open -- as we descend into the lovely restorative waves of sleep. This is more than a simple philosophical stance. It's about a critical shift in consciousness that provides a foundation for healthy sleep. As a complement to science based recommendations for better sleep, we can begin a personal relationship and conversation with sleep itself -- on its own dreamy terms.

*****

The purpose of my blog, 'Getting Sleep:' A Mindful Approach, is the exploration and enhancement of sleep from an integrative -- body, mind and spirit -- perspective. Future articles will elaborate upon various practical themes and topics in support of healthy, natural sleep and dreaming.

 
 
 

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08:42 AM on 05/26/2011
Your comments on sleep being more than just unconsciousness are intriguing and certainly in line with with recent research. Your flirtation with Buddhism, however, takes it down a spiritual path that is merely, and unfortunately, trendy today. I, too, favor an incorporation of the spiritual with healing but this very "intimacy" you speak of implies a personal Deity. If you are going to integrate the spiritual, which ultimately may be the the answer in all medical therapy, why not consider your namesake in the Bible, and how he was "healed". Buddhism, in recent scientific literature, unfortunately gives the impression that we are doing something "scientifically" whereas western understanding of the immaterial aspects of our existence is excoriated. If we are going to attempt this.let's call a spade a spade, and not pretend that Buddhism is purely "naturalistic".
02:44 AM on 05/26/2011
One bit of advice I've told to people who've had trouble sleeping is try isolating yourself from all possible distractions. Modern society and technology has made even our sleep A.D.D. Make sure you're sleeping in total darkness, no blinking lights from gadgets, no night lights, no backlit lcd alarm clocks. Don't sleep with the TV on, don't sleep to white noise, rain, music nothing. Get rid of everything and once you get used to sleeping like that you'll notice your sleep quality improve a lot, heck after some people followed my advice they were amazed that after getting truly deeper sleep they needed to sleep less.
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jimtpat
Hell's Pretty Pink Bells
06:32 AM on 05/26/2011
Obviously, you do NOT live in my neighborhood.

ANY of the ones that I've lived in.
12:42 AM on 05/26/2011
Being aware while sleeping is an amazing practice but shouldn't be taken lightly.
01:28 PM on 05/25/2011
Being a somnambulater has its rewards.
01:22 AM on 05/26/2011
Mainly for your peeping Tom neighbors.
08:26 AM on 05/24/2011
Ugh, I need more...
Ayla McIntosh
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HUFFPOST SUPER USER
littlefairy
One little fairy against the world
12:25 AM on 05/24/2011
We know that sleep plays a huge role in growth (for children) and for weight loss (for adults). Dream sleep is also something that apparently contributes to "good" sleep. With this in mind, I started wondering...do infants in the womb have REM phases of sleep? We know they sleep--but not when the mom sleeps. How many hours out of 24 does the unborn baby sleep? Does it vary, just as it does with those of us already born? (I know that might be off topic, but I think it is a fascinating question. Our dreams come from our references to reality. What would an unborn baby dream?)
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Justice76
Be the change you wish to see in the world
11:49 PM on 05/23/2011
I've noticed that I often resist going to sleep, as though it's some kind of punishment. I sometimes force myself to stay awake for as long as possible, even when I'm very sleepy. It's almost as though I think I'll be missing something while I'm asleep.

Tonight however, I will take Dr. Naiman's advice and try to approach sleep as a journey into another phase of consciousness.
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gemsviathailand
Namaste - Have a nice day!
11:23 PM on 05/23/2011
I did much direct research why back when. I proved to myself that sleep is important and the effects of trying to eliminate it bring unpleasant results. I have, on occasion, used sleep deprivation as a drug – low dollar cost; readily available.

The longest I stayed awake was about 44 hours, but I was working. The bakery had a great shower, plenty of very hot water and there was snow out the back door.

There were also times when my mind would keep me awake. I was fortunate to discover what you describe in the close. "We can practice remaining mindful -- keeping our mind's eye open -- as we descend into the lovely restorative waves of sleep." It is a type of meditation, although it seems dis-similar to my sitting up form, however, both incorporate listening to my mind not thinking.
10:18 PM on 05/23/2011
Perhaps rather than considering sleep as un-consciousness, it would be more helpful to view it as "un-selfconciousness"...
http://www.SleepOfChampions.com
rdk70816
Yellowhammer
10:11 PM on 05/23/2011
So, sleep is good. What a revelation! Everyone knows that.
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Angela9
all that counts is integrity
07:27 PM on 05/23/2011
I know I have to sleep to be healthy. We all need to rest. I really do not care what REM is or the opposite of sleep is awake. Really? All I know is I am awake and then I go to sleep. What is the big deal?
06:09 PM on 05/23/2011
For another well-respected book on sleep check out No More Sleepless Nights, a paperback by Dr Peter Hauri, from his experience at Mayo Clinic Sleep Disorders Center.
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Steven Mackey
06:05 PM on 05/23/2011
.....as I sit here scratching my head!
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h3trt33
Reading Comprehension is a lost art
05:29 PM on 05/23/2011
After reading that exciting information, I'm ready for a nap.
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Jenny M Derfler
New York City, Boston, Chicago, and Denver Girl!
04:20 PM on 05/23/2011
"We routinely smuggle information, entertainment, technology, light, food, substances and lots of worry into our bedrooms and beds."

I am guilty of that on all counts, as I bring my iPod, Nintendo DS, and portable Blu-Ray player to bed w/ me all the time--not to mention that I have a lot on the mind when I go to sleep.