The Clinical Maxim Preview

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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…show more content…
After pushing the body into the pool Falater apparently went back into the house. Cartwright thinks Ealater went back into the house to go back to bed/sleep, just as most other sleepwalkers do unless they are awakened by a loud sound. The police called to the scene by the neighbor found Falater coming down the stairs from the bedroom and the body floating in the pool. One pities this family, especially the teenage children who were apparently asleep when all this happened but awoke to the father being led away in handcuffs and their mother brutally murdered. Falater was convicted of murder despite the defense's claim that the defendant has been sleepwalking. In the years that he has been in jail Falater sent Cartwright many of his dreams which she reproduces (with his permission) in an appendix of the book. The neuro-psychologic conditions under which this sort of violent tragedy can occur are laid out and extensively discussed by Cartwright. All apply to the Falater case. There is usually a Stressor in the patient's life that disrupts sleep. There is usually a history of sleepwalking and a family vulnerability to the disorder. The parasomnia usually occurs in the first part of the night in a NREM stage. After the event the patient is utterly amnestic for the episode and attempts no cover-up of the deed. There is grief, remorse and efforts to cooperate in the investigation. Cartwright sees it as an obligation of the scientist that when he or she has

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