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Sleep Paralysis

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A synopsis of Sleep paralysis: its management and cultural significances.
ABSTRACT:
Sleep paralysis (SP) is a benign, transient episode of immobility and it lasts a few seconds to a few minutes. It can occur while falling asleep or on awakening. It is a condition of unknown etiology and all the skeletal muscles are almost ‘paralyzed’. It resulting in an inability to speak or move but individual remains conscious.
Objective: This review summarizes the existential clinical literature on sleep paralysis most relevant to practitioners; also summarize the many historical and artistic manifestations of SP in different cultures.
Methods: For this review, a thorough internet search was done using the search engines of PubMed, PsycInfo, Google Scholar, …show more content…
We will start with a review which summarizes the collection of symptoms, prevalence rate, risk factors and etiological theories, characteristics and classification of the SP over the past years up to the present time, also the management in the form of psychotherapy and pharmacotherapy as well as the cultural significances in different countries. SP play an important role in the genesis and maintenance of many supernatural beliefs such as nocturnal alien abductions, demonic and ghost attacks in individuals with intact reality testing. KEYWORDS:
Sleep paralysis; parasomnia; REM sleep; cultural significances; demonic attack.
INTRODUCTION:
Sleep paralysis (SP) is a dissociative state in which an individual, up on going to sleep or waking up, is unable to move (1). SP is associated with horrifying, panic situation, and …show more content…
A feeling of being choked or suffocated.
b. A feeling of some evil spirit pinned down or sat upon, particularly in the chest area.
c. Hearing voices (Auditory hallucinations), typically the sounds of footsteps and voices nearby or knocking or banging on the walls.
d. Seeing (visual hallucinations), typically beings or dark shadows surrounding or standing near the bed.
e. A frightening feeling of descending or encompassing evil or dread.
f. Shaking of the body or a rumbling sensation such as ringing in the ears.
g. A feeling of intense, suffocating evil spirit.
h. A feeling of being in a dream-like state while at the same time sensing being awake.
i. A feeling of being unable to move or held down.
j. A feeling of pressure of chest, throat and abdomen.
k. Difficulties in breathing.
l. A pounding heart rate.

Types of SP:

Sleep paralysis is associated with either hypnagogic hallucinations (that occur at the onset of sleep) or hypnopompic ones (when waking up) (2) and grouped the hallucinations associated with SP into three types (13): (a) “Intruder”; (b) “Unusual Bodily Experiences”; (c)

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