The Night Crusher

[CVX]

Night of the Crusher

The waking nightmare of sleep paralysis propels people into a spirit world

Bruce Bower

As a college student in 1964, David J. Hufford met the dreaded Night Crusher. Exhausted from a bout of mononucleosis and studying for finals, Hufford retreated one December day to his rented, off-campus room and fell into a deep sleep. An hour later, he awoke with a start to the sound of the bedroom door creaking open—the same door he had locked and bolted before going to bed. Hufford then heard footsteps moving toward his bed and felt an evil presence. Terror gripped the young man, who couldn't move a muscle, his eyes plastered open in fright.

Without warning, the malevolent entity, whatever it was, jumped onto Hufford's chest. An oppressive weight compressed his rib cage. Breathing became difficult, and Hufford felt a pair of hands encircle his neck and start to squeeze. "I thought I was going to die," he says.

At that point, the lock on Hufford's muscles gave way. He bolted up and sprinted several blocks to take shelter in the student union. "It was very puzzling," he recalls with a strained chuckle, "but I told nobody about what happened."

Hufford's perspective on his strange encounter was transformed in 1971. He was at that time a young anthropologist studying folklore in Newfoundland, and he heard from some of the region's inhabitants about their eerily similar nighttime encounters. Locals called the threatening entity the "old hag." Most cases unfold as follows: A person wakes up paralyzed and perceives an evil presence. A hag or witch then climbs on top of the petrified victim, creating a crushing sensation on his or her chest.

It took Hufford another year to establish that what he and these people of Newfoundland had experienced corresponds to the event, lasting seconds or minutes, that sleep researchers call sleep paralysis. Although widely acknowledged among traditional cultures, sleep paralysis is one of the most prevalent yet least recognized mental phenomena for people in industrialized societies, Hufford says.

Now, more than 30 years after Hufford's discovery, sleep paralysis is beginning to attract intensive scientific attention. The March Transcultural Psychiatry included a series of papers on the condition's widespread prevalence, regional varieties, and mental-health implications.

Sleep paralysis differs from nocturnal panic, in which a person awakens in terror with no memory of a dream. Neither does sleep paralysis resemble a night terror, in which a person suddenly emerges from slumber in apparent fear, flailing and shouting, but then falls back asleep and doesn't recall the incident in the morning.

Curiously, although the word nightmare originally described sleep paralysis, it now refers to a fearful or disturbing dream, says Hufford, now at the Penn State Medical Center in Hershey, Pa. Several hundred years ago, the English referred to nighttime sensations of chest pressure from witches or other supernatural beings as the "mare," from the Anglo-Saxon merran, meaning to crush. The term eventually morphed into nightmare—the crusher who comes in the night.

Sleep paralysis embodies a universal, biologically based explanation for pervasive beliefs in spirits and supernatural beings, even in the United States, Hufford argues. The experience thrusts mentally healthy people into a bizarre, alternative world that they frequently find difficult to chalk up to a temporary brain glitch.

Hufford doesn't believe that an invisible force attacked him in his college room or during several sleep paralysis episodes that have occurred since then, but he sees the appeal of such an interpretation. "We need to deeply question 2 centuries of assumptions about the nonempirical and nonrational nature of spirit belief," he says.

Ominous presence

In the past 10 years, psychologist J. Allan Cheyne of the University of Waterloo in Canada has collected more than 28,000 tales of sleep paralysis. According to one of the chroniclers, "The first time I experienced this, I saw a shadow of a moving figure, arms outstretched, and I was absolutely sure it was supernatural and evil." Another person recalled awakening "to find a half-snake/half-human thing shouting gibberish in my ear." Yet another person reported periodically waking with a start just after falling asleep, sensing an ominous presence nearby. The tale continues: "Then, something comes over me and smothers me, as if with a pillow. I fight but I can't move. I try to scream. I wake up gasping for air."

Many who experience sleep paralysis also report sensations of floating, flying, falling, or leaving one's body. The condition's primary emotion, terror, sometimes yields to feelings of excitement, exhilaration, rapture, or ecstasy. "A small number of people, while acknowledging fear during initial episodes of sleep paralysis, come to enjoy the experience," Cheyne says.

Cheyne runs a Web site (http://watarts.uwaterloo.ca/~acheyne/S_P.html) where visitors fill out surveys about their experiences during sleep paralysis. Several thousand individuals also provide online updates about recurring episodes.



It doesn't surprise Cheyne that those who contact him seem to be average, emotionally stable folk. In surveys that he has conducted with large numbers of college students and other volunteers, about 30 percent report having experienced at least one incident of sleep paralysis. Roughly 1 in 50 people cites repeated episodes, often one or more each week. Cheyne regards the sights, sounds, and other sensations of sleep paralysis as hallucinations that share a biological kinship with dreaming.

Cheyne notes work by Japanese researcher Kazuhiko Fukuda of Fukushima University. Fukuda enlisted volunteers who had experienced many incidents of sleep paralysis. In a sleep laboratory, the Japanese team monitored the volunteers, whom they roused at various times during the night to trigger the phenomenon. The researchers found that during sleep paralysis, the brain, suddenly awake, nonetheless displays electrical responses typical of sleep characterized by rapid eye movement (REM).

Two brain systems contribute to sleep paralysis, Cheyne proposes. The most prominent one consists of inner-brain structures that monitor one's surroundings for threats and launches responses to perceived dangers. As Cheyne sees it, REM-based activation of this system, in the absence of any real threat, triggers a sense of an ominous entity lurking nearby. Other neural areas that contribute to REM-dream imagery could draw on personal and cultural knowledge to flesh out the evil presence.

A second brain system, which includes sensory and motor parts of the brain's outer layer, distinguishes one's own body and self from those of other creatures. When REM activity prods this system, a person experiences sensations of floating, flying, falling, leaving one's body, and other types of movement, Cheyne says.

Hufford, however, regards the intrusion of REM activity into awake moments as inadequate to explain sleep paralysis. Dream content during REM sleep varies greatly from one person to another, but descriptions of sleep paralysis are remarkably consistent. "I don't have a good explanation for these experiences," he says.



Pushy ghosts

Psychiatrist Devon E. Hinton has heard his share of terrifying stories. While sitting in Hinton's office in Lowell, Mass., a 48-year-old Cambodian woman recounted two such tales from her own life. The first detailed nearly weekly nocturnal events of a type known among her fellow Cambodians as "the ghost pushes you down." At these times, the woman said, she awakens from sleep unable to move. Three ghastly demons stalk into her room, each covered in fur and displaying long fangs. One of the creatures then leans close to her head; the second holds down her legs; and the third pins down her arms. She told Hinton that when these terrors befall her, she knows that the demons want to scare her to death and she feels that they might succeed.

Her second tale was even more dreadful. She told Hinton that the ghost terrors usually trigger a flashback to an actual incident that occurred more than 20 years ago. Before reaching the United States, she survived the genocidal reign of Cambodian dictator Pol Pot, who directed the slaughter of roughly 2 million Cambodians. On one occasion, the young woman witnessed soldiers escorting into a nearby clump of trees three blindfolded persons, whom she recognized as friends from her village. Soon, she heard the sickening sounds of her friends being clubbed to death.

In his therapy, Hinton, who speaks the woman's Khmer language, asked the woman to establish a connection between the two sets of stories. She told him that the three demons are the spirits of her three executed friends, who return to haunt her so that she won't forget them. She also related her worries that a sorcerer would make the spirits enter her body, causing insanity, or will instruct the spirits to place objects inside her, causing anxiety and physical illness.

Each ensuing episode of sleep paralysis over the years has intensified the woman's flashbacks, sleep difficulties, and other symptoms of what psychiatrists call post-traumatic stress disorder (PTSD). Hinton says that many Cambodian refugees relive past horrors through sleep paralysis. He notes that few people discuss these incidents with their physicians. "Unless you specifically ask about sleep paralysis, you don't know that a patient has it," Hinton says.

So, Hinton surveyed people at his outpatient clinic in Lowell, which has the second-largest Cambodian population in the country. Of 100 consecutive Cambodian refugees whom Hinton saw as patients at the clinic in 2003, he notes, 42 reported currently experiencing at least one sleep-paralysis episode each year. Most reported seeing an approaching demon or other entity that created pressure on their chests and typically triggered panic attacks. Among the refugees questioned, 45 had been diagnosed with PTSD. Of those, 35 reported being afflicted by sleep paralysis, usually with at least one episode a month.

The Cambodians told Hinton that sleep paralysis permits people who suffer unjust deaths to haunt the living and creates "bad luck." These cultural ideas foster panic attacks, Hinton asserts.

Panic attacks, PTSD, and other mental disorders may indirectly promote sleep paralysis by disrupting the sleep cycle and yanking people out of REM sleep during the night, he adds. Other factors that disturb sleep, such as jet lag and shift work, have also been linked to sleep paralysis.

Psychological treatment that delves into the personal meaning of bouts of sleep paralysis reassures sufferers that these encounters aren't signs of physical illness or supernatural visits, Hinton says.

Read more: http://www.sciencenews.org/articles/20050709/bob9.asp

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