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BOOK REVIEW

Review of The Twenty-four Hour Mind: The Role of Sleep and Dreaming in Our Emotional Lives by Rosalind Cartwright 224 pages Oxford University Press, USA; * edition (June 24, 2010)
Patrick McNamara, Ph.D.

T

his is a book of many virtues. It gives us an insider look at the birth of the sleep medicine specialty. It provides, in clear entertaining, first person-prose a first rate primer on the latest {"indings in sleep science. It speaks with the voice of a mature, humane, sane, and brilliant clinician. Most impressively it lays out in convincing detail the argument for the theory of the 24 mind. That theory, as I understand it, suggests that selected regions of the mind/brain are active and functional 24 hours a day. The mind sleeps both at night and during the day and conversely it does not just simply shut off during sleep, but instead performs vital physiologic and cognitive functions during sleep. REM sleep and dreams may help to down-regulate disturbing emotions. Portions of NRFM sleep may help to select memories that will be passed onto to REM for sorting and then long term storage. Unlike other sleep scientists Cartwright never neglected the role of dreams in the theory of the 24 hour Mind. Dreams likely play several functional roles-among them
Address reprint requests to: Patrick McNamara, Ph.D. Boston University School of Medicine and VA Boston Healthcare Systetn, 72 East Concord St., B528, Boston, MA 02118; telephone: (617) 414-1005; fax (617) 414-1008; E-tnail: mcnamar@bu.edu Disclosure Statement: The author has nothing to declare, financial or otherwise; the author also has no conflicts of interest

emotional regulation and acti\« facilitation in developing, editing and maintaining the integrity of the Self-concept. Loss of sleep due to insomnia leads to an imbalance of the internal hormonal milieu that distorts appetitive signaling

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