Sunday 1 September 2013

Two Sleeps


Two Sleeps   by Dr Elizabeth McCardell, M. Counselling, PhD
April 2012 
     I have always woken up at 3am, potted around, read, wrote, even watered the garden, and then returned to bed for my second sleep. For many years I thought this was abnormal and worried about it, and even consulted doctors about it, until I realized that this was, what I thought, my sleeping pattern and all I needed to do was simply enjoy it. Research has come to light and now I discover that segmented sleep was the usual practice for everyone until the mid-19th century. 
      During the 19th century, when medical and psychiatric concerns started to dominate ordinary thinking, a so-called condition was signposted: sleep maintenance insomnia! Suddenly the age old practice of two sleeps was viewed as a disorder and the idea that humans ought to stay asleep for eight solid hours was established.  If we couldn’t achieve eight hours of sleeping in bed we were made to feel anxious and depressed or just plain neurotic. How good it is to realize that segmented sleep is how we humans have enjoyed sleep since time immemorial.
     Some very interesting sleep research was done in the early 1990s  by a psychiatrist by the name of Thomas Wehr, research that was not actively accepted by doctors and the general population, until now. Wehr conducted an experiment whereby human subjects were plunged into darkness for 14 hours every day for a month. Though the subjects took awhile to settle into some kind of sleeping routine, a distinct pattern was noted to emerge whereby they slept for four hours, woke up for one or two hours, and then slept again for four hours. Interesting, eh.
     In 2001, Roger Ekirch, an historian, published a paper drawn from 16 years of research that noted an abundance of evidence that humans used to have two sleeps in the course of a night. Drawing on diary entries,  court records, medical books and literature, Ekirch traced the evidence through over 500 references from Homer’s Odyssey to an anthropological account of modern Nigerian tribes. 
      What did people do between the first sleep and the second? Letters were written, sex was had (it being advised that this period was more healthful for the purpose of love making than going to bed tired after a hard day’s work and trying to perform then), tea was prepared and drunk, prayers were said; people even went visiting and attended concerts. There is an elegance in this idea. I like it. My nightly wakings are solitary affairs.
      This re-emergence of an interest in the two sleeps (and it was mentioned recently in a comedy show on television) comes at a time when the fifth edition of the manual of psychiatric disorder known as the DSM (Diagnostic and Statistical Manual of Mental Disorders) is about to come out. This manual is used in the diagnosis of people with psychological and psychosocial disorders. A considerable amount of disquiet is being expressed by psychologists, particularly, and some psychiatrists at the number of so-called conditions that have been invented/identified, compared to the earlier fourth edition. I find this rather interesting, particularly as such things as realizing what a normal sleep pattern looks like as opposed to identifying an abnormality is also being elaborated in the mental health community. What other normal patterns have now “achieved” the status of abnormality, just by the process of someone’s determination that it be so? And what so called abnormality may, further down the track, be once more recognized as merely part of the continuum of normal human existence?
      Certainly the DSM is a valuable book and certainly severe and debilitating psychological and psychosocial disorders exist (they are not all figments of a collection of experts’ minds), but caution needs to be brought to bear in the diagnosis of disorder.  It would be also really useful if  normal variation of  human experience was highlighted by the general community as normal and not issues for further anxiety and angst.  Much human experience has been commodified, as is seen in the rise in use of medications and medical diagnoses. What is not recognized enough, is the value of conversation and sharing of human experience with a trained listener (this is part of my job), someone who does not turn what is said into yet another label, another diagnosis. Such a therapeutic conversation offers respite and challenge for reclaiming what is usual for each of us, but what we have come to feel is not normal and cause for denial, depression or anxiety.
     Sleep is a respite, and between the two sleeps of a night we have more healing time, a time to delight in silence, shared or alone. I quite like the idea of going to see a friend and drinking tea at 3 am in the morning, but perhaps society isn’t ready for that, yet.

Copyright @ 2013 Dr Elizabeth McCardell