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-The Project Gutenberg EBook of The Art of Natural Sleep, by Lyman P. Powell
-
-This eBook is for the use of anyone anywhere in the United States and
-most other parts of the world at no cost and with almost no restrictions
-whatsoever. You may copy it, give it away or re-use it under the terms
-of the Project Gutenberg License included with this eBook or online at
-www.gutenberg.org. If you are not located in the United States, you'll
-have to check the laws of the country where you are located before using
-this ebook.
-
-
-
-Title: The Art of Natural Sleep
- With definite directions for the wholesome cure of
- sleeplessness: illustrated by cases treated in Northampton
- and elsewhere
-
-Author: Lyman P. Powell
-
-Release Date: June 29, 2020 [EBook #62492]
-
-Language: English
-
-Character set encoding: UTF-8
-
-*** START OF THIS PROJECT GUTENBERG EBOOK THE ART OF NATURAL SLEEP ***
-
-
-
-
-Produced by Charlene Taylor, Les Galloway and the Online
-Distributed Proofreading Team at https://www.pgdp.net (This
-file was produced from images generously made available
-by The Internet Archive/American Libraries.)
-
-
-
-
-
-
- Transcriber’s Notes
-
-Obvious typographical errors have been silently corrected.
-
-Footnotes are located at the end of the relevant chapter.
-
-Italics are represented thus _italic_.
-
-
-
-
- By LYMAN P. POWELL
-
-
- _The Art of Natural Sleep_
-
- With Definite Directions for the
- Wholesome Cure of Sleeplessness.
- Illustrated by Cases from the
- Emanuel Clinics in Boston and
- Northampton
-
-
- _Christian Science_
-
- The Faith and Its Founder
-
-
-
-
- THE ART
- OF
- NATURAL SLEEP
-
- WITH
- DEFINITE DIRECTIONS FOR THE WHOLESOME
- CURE OF SLEEPLESSNESS, ILLUSTRATED
- BY CASES TREATED IN NORTHAMPTON
- AND ELSEWHERE
-
-
- BY
- LYMAN P. POWELL
-
- Rector of St. John’s Church, Northampton, Mass.
- Author of “Christian Science: Its Faith and Its
- Founder”; Editor of “Historic Towns of
- the United States”
-
-
- G. P. PUTNAM’S SONS
- NEW YORK AND LONDON
- The Knickerbocker Press
- 1908
-
-
-
-
- COPYRIGHT, 1908
- BY
- LYMAN P. POWELL
-
-
- The Knickerbocker Press, New York
-
-
-
-
- To
-
- MY WIFE
-
- WHO FIRST TAUGHT ME BY EXAMPLE THE MORAL
- VALUE OF SERENITY
-
-
-
-
-PREFACE
-
-
-This little book, like my book on Christian Science which appeared a
-year ago, is the evolution of a pamphlet.
-
-The first half of the pamphlet was written in the middle of a sleepless
-night some years ago. The last half was written about two years ago,
-after I had found relief by auto-suggestion from the lifelong bondage
-of insomnia and had thereby doubled my capacity both for work and play.
-
-First published in the spring of 1907 as my weekly message under the
-heading of “The Parson’s Outlook” to the 5000 readers of _The Hampshire
-Gazette_ in and about Northampton, the article on sleeplessness was
-republished by request in the same paper some months later; then, as
-the demand increased for it, in pamphlet form. This year past it has
-been used in the Emmanuel Clinic, both in Boston and Northampton, with
-such gratifying results that more than 300 sufferers from insomnia in
-one part of the country or another have testified by letter or by word
-of mouth to the benefit they have received from it.
-
-At the suggestion of the Rev. Elwood Worcester, Ph.D., D.D., two
-magazine editors, and two publishing houses, the pamphlet is now
-enlarged into a book with the earnest hope that the suggestions it
-contains may be of service to many whom the pamphlet, privately printed
-and gratuitously distributed, could not reach at all.
-
-There are books enough, perhaps, on the theory of sleep. The volume
-by Marie de Manaceïne on _Sleep—Its Physiology, Pathology, Hygiene,
-and Psychology_ will surely long remain the standard work. Dr. Upson’s
-_Insomnia and Nerve Strain_ is based on the author’s discovery of the
-vaso-neural circuit and will not be neglected by those who wish to
-understand certain physical obstacles to sleep which have hitherto been
-largely overlooked. _Religion and Medicine_, the official book of the
-Emmanuel Movement, is indispensable to any knowledge of the drugless
-cure of sleeplessness and other nervous functional disorders. And the
-writings of Dr. S. Weir Mitchell, Dr. Woods Hutchinson, and Dr. J.
-Madison Taylor are, of course, of lasting value on this subject.
-
-The purpose of this little book is very simple. It is designed to help
-physicians, Emmanuel workers, and others who believe in the art of
-natural sleep to aid those committed to their care. It is designed,
-also, to be of service to the thousands who never go to anyone for aid
-in learning how to sleep, and to this end is kept as free as possible
-from all technical terms and all theoretical discussions.
-
-To Dr. Worcester I owe the title of the book; to Rev. H. L. Taylor of
-the Emmanuel Church staff certain of the illustrative cases from the
-Emmanuel Clinic in Boston; to Mr. W. P. Cutter, Librarian of the Forbes
-Library in Northampton, many special courtesies; and to Dr. Francis
-S. Wilson, expert diagnostician and experienced practitioner, goodly
-counsel in the preparation of the book.
-
-Trusting that directly or indirectly this little book may set many an
-unhappy victim of insomnia free from his hard bondage, I send it forth
-in faith.
-
- L. P. P.
-
- ST. JOHN’S RECTORY,
- NORTHAMPTON, MASS.
- September 15, 1908.
-
-
-
-
-CONTENTS
-
-
- PAGE
-
- OUR NATIONAL DISEASE 1
-
- THEORIES OF SLEEP 5
-
- WHAT SLEEP REALLY IS 8
-
- THE NECESSITY OF SLEEP 12
-
- INSOMNIA AND ITS CAUSES 15
-
- THE VALUE OF DRUGS 18
-
- THE REMOVAL OF ALL PHYSICAL
- CAUSES 25
-
- GENERAL DIRECTIONS 29
-
- SECONDARY AIDS TO SLEEP 33
-
- DR. LEARNED’S PLAN 35
-
- RELAXATION AND RHYTHMIC
- BREATHING 38
-
- THE EMMANUEL METHOD 43
-
- FAITH REQUIRED IN GOD AND MAN 47
-
- THE SPECIFIC TREATMENT 53
-
- SOME IMMEDIATE RESULTS 64
-
- THE CO-OPERATION OF THE PATIENT 67
-
- THE ULTIMATE EFFECT 72
-
- ILLUSTRATIVE CASES 74
-
-
-
-
-The Art of Natural Sleep
-
-
-OUR NATIONAL DISEASE
-
-
-Neurasthenia is now our national disease. Nervousness, nervous
-exhaustion, nervous prostration, and kindred names are given to it by
-the doctors. Whatever they may chance to call it, the doctors usually
-agree as to its causes, symptoms, consequences.
-
-Even the laity are now thoroughly informed as to the effect of
-neurasthenia on the nerves and on the mind. It wears the nerves
-threadbare and robs the mind of all serenity. It steals the zest from
-work, the joy from play. It frequently reduces its unhappy victim to
-the single occupation of worrying by day because he fears he will not
-sleep at night, of worrying at night because he knows that worn and
-haggard he will have no buoyancy and poise to play a man’s part in the
-day to come.
-
-The day’s work is done, when done at all, with the feverish inquietude
-of the unrested brain. The evening’s pleasures, when infrequently he
-ventures to take part in them, are clouded by the listlessness the lack
-of sleep invariably brings. The silent night, when by any reach of the
-imagination it can be thus described,
-
- Of fret, of dark, of thorn, of chill,
-
-is rendered hideous by the flitting of attention like a bird from
-bough to bough, by the random running of the memory down each unhappy
-recollection of the past, by the deflection of the mental vision till
-it loses all perspective and disqualifies the sufferer to think
-straight concerning even the trivial occurrences of everyday existence.
-
-No wonder that in Kipling’s story _At the End of the Passage_, when
-Spurstow finds his sleepless friend in the last stage of insomnia, he
-sadly but severely says, “Sleeplessness of your kind being very apt to
-relax the moral fibre in little matters of life and death, I’ll just
-take the liberty of spiking your guns;” and then as a safeguard, robs
-Hummil of his rifle and revolver.
-
-
-
-
-THEORIES OF SLEEP
-
-
-Various theories have at one time or another been suggested to account
-for sleep. Some are both bewildering and absurd. There was a time when
-it was seriously urged that sleep has in the thyroid gland its special
-organ, but when someone in the interest of the theory excised the
-thyroid gland, only to increase in certain instances the tendency to go
-to sleep and stay asleep, the theory was at once abandoned even by its
-staunchest advocates.
-
-Finding that sleep usually follows fatigue, and that fatigue is a
-chemical phenomenon, the so-called chemical theory was next set up,
-and Sommer was quite sure that sleep comes as a consequence of the
-exhaustion of the reserve of oxygen in the tissues and the blood,
-and its replacement by carbonic acid during sleep. But here, too,
-experimentation has been both inadequate and inconclusive.
-
-The vaso-motor theory, as modified by Howell, that sleep is due to the
-anæmia of the cortical layer of the brain, which invariably takes place
-when the blood pressure in the arteries at the base of the brain falls,
-has had a larger and a longer following. But convincing proof is yet to
-be secured, and Dr. Percy G. Stiles of the Bellevue Hospital ends his
-discussion of the subject with a guarded inference that there may be
-truth in both the theories, and that eclecticism is in consequence the
-wisest policy for the histologist.[1]
-
-Footnotes
-
-[1] _Popular Science Monthly_, September, 1903.
-
-
-
-
-WHAT SLEEP REALLY IS
-
-
-Sleep, however we account for it, is “the resting time of
-consciousness.”[2] To be sure, there is no absolute arrest of brain
-activity. There is always, even in the soundest sleep, some cerebral
-activity.[3] We dream. We have nightmares. We sometimes work out
-problems in our sleep which have defied our every waking effort. There
-is on record one instance of a college student who got up at three
-o’clock to solve successfully, while sound asleep, a problem he could
-not work out at all before he went to bed. There is another instance
-well attested of a British consul in Syria who, after tearing up letter
-after letter which he wrote to a Lebanon emir, went to sleep in sheer
-despair, only to find when he awoke in the morning, that he had written
-an elaborate letter which in every way satisfied the multitudinous
-demands of Arabic diplomacy insistent to the last on all the niceties
-of Oriental etiquette.[4]
-
-Byron was right. Sleep is neither life nor death. It is a world apart.
-
- Sleep has its own world,
- A boundary between the things misnamed
- Death and Existence; sleep has its own world.
-
-Consciousness may be suspended. But the cortical centres are frequently
-as active when we are asleep as when awake. The attention can be
-maintained with such unbroken steadiness as to awake some persons
-with the exactness of an alarm clock on the very minute, even though
-for purposes of deception the hands of the clock may have been set
-back without their knowledge. The motor centres can be counted on so
-confidently that they will drive the somnambulist with the accuracy of
-a trained chauffeur to his appointed destination. Sleep is, therefore,
-nothing more than a temporary suspension of a portion of the brain’s
-activity.
-
-FOOTNOTES
-
-[2] Manaceïne, 62, 69, 70.
-
-[3] Dr. J. Madison Taylor in the _Popular Science Monthly_, September,
-1905.
-
-[4] Thomson’s _Brain and Personality_, 314.
-
-
-
-
-THE NECESSITY OF SLEEP
-
-
-But that suspension is an absolute necessity to health of mind and
-body. Men have been known to go for forty days without nourishment
-and retain unimpaired all the mental faculties. No man goes for
-even three days and nights without sleep except he pay a penalty in
-mental equipoise, and death itself is apt to bring his misery to an
-end, it is claimed, in five sleepless nights and days. Professors
-Patrick and Gilbert of the University of Iowa found, some years
-ago, that in certain cases there were after two nights of complete
-wakefulness hallucinations, loss of attention, inability to remember,
-and unmistakable evidences both of mental disorganisation and physical
-depression.[5] In Kipling’s story, tragically true to life, Hummil
-died after eighty-four hours of unrelieved insomnia, and the author’s
-closing words would seem to indicate that madness overtook him at the
-last: “In the staring eyes was written terror beyond expression of any
-pain.”
-
-The occasional genius like Napoleon may perhaps get on habitually
-with four hours of sleep each night, and the mother watching by the
-sick-bed of her child may go for weeks in an emergency with but an
-hour or two of sleep at intervals, infrequent and irregular. But the
-sensible division made by Alfred the Great into eight hours for sleep,
-eight hours for work, eight hours for play, will be as far as possible
-observed by the right-minded and far-seeing everywhere.
-
-FOOTNOTES
-
-[5] _Psychological Review_, September, 1896.
-
-
-
-
-INSOMNIA AND ITS CAUSES
-
-
-Insomnia reduced to simplest terms is nothing but the inability to
-sleep. While the causes of insomnia may sometimes be exceedingly
-complex, ordinarily they are evident both to us and those we love
-the best. Anything, as we all learn by experience, which accelerates
-the activity of the mind and increases the congestion of the brain
-is likely to induce insomnia. Worry, fear, grief, prolonged mental
-effort, any sort of emotional excitement, social dissipation, the
-intemperate use of coffee, tea, or alcohol are among the most familiar
-causes of insomnia. Disturbances of digestion, neuralgic pains,
-arterial disease, eye-strain, and dental lesions are the hidden causes,
-oftener than we imagine, of protracted wakefulness.
-
-Many of the more obstinate cases of insomnia are due, we know at
-last through Dr. Upson’s remarkable book,[6] to some dental lesion
-unsuspected because, as is not uncommon, it is unaccompanied by the
-ache habitually associated with all the ills to which the teeth are
-heirs. In my Emmanuel clinic I have had one case of insomnia which, in
-spite of all an efficient doctor could do for the body and the Emmanuel
-worker for the mind, persisted until I at last discovered that the
-sufferer was in immediate need of a dentist, whose threshold, through a
-morbid fear, he had not crossed in many years.
-
-FOOTNOTES
-
-[6] _Insomnia and Nerve Strain_, 12.
-
-
-
-
-THE VALUE OF DRUGS
-
-
-For insomnia there is no specific known to medicine. While the good
-family doctor may correct digestive disturbances, banish for the time
-neuralgic pains, modify arterial disease, relieve with the oculist’s
-assistance eye-strain, and through the dentist remove the cause of
-dental lesions, sometimes insomnia persists long after the physical
-cause has disappeared. I have had in my clinic one case of chronic
-sleeplessness caused by a headache which appeared incurable though the
-cause of the headache and insomnia alike had vanished years before.
-
-Drugs which induce sleep induce it merely for the time. Doctor Caillé
-in his large experience has found morphia invaluable for the inhibiting
-of pain or of severe dyspnœa, chloral and the bromides useful in cases
-of visceral neuralgia, codein and urethan in arteriosclerosis, and
-in pulmonary tuberculosis, where beer and porter failed to bring the
-longed-for sleep, dionin, trional, and hyoscin. But in ordinary cases
-of insomnia, where the cause is evidently more psychical than physical,
-he is inclined to turn rather to suggestion in one form or another.[7]
-
-Drugs are sure to make a difference in the morning. The dulness and
-depression which they leave behind, in spite of all the claims of
-those who put on the market their proprietary hypnotics, offset to
-some extent the artificial sleep they have the night before produced.
-Sometimes they fill the mind for days with morbid fancies and with
-dangerous obsessions. Dr. J. Madison Taylor describes in some detail
-the case of a lunatic under his care who developed homicidal tendencies
-as a consequence of the administration of large doses of bromide, and
-who lost the same the moment the bromide was withdrawn from him.[8] On
-credible authority I am informed that there is among the alienists a
-growing disposition, on this account, to give no drugs at all to induce
-sleep in patients in the higher class of hospitals for the insane.
-
-Morphia is not only no specific; it sometimes causes both a mental and
-a physical depression worse than the insomnia it would relieve. In my
-clinic I have one woman from whom morphia, administered to relieve
-acute pain, took away the power to sleep at all, and for years she
-stoically bore her pain rather than resort to morphia, until last
-winter she found in the Emmanuel treatment immediate and unfailing
-relief from pain, followed by sound sleep, which has only at rare
-intervals been interrupted in months past.
-
-Powerful as chloral is and useful in the thoughtful doctor’s hands
-in various emergencies, especially in fevers where there is cerebral
-excitement, it is a depressant, and he who contracts the chloral
-habit invariably wishes at the last that he had waited for damnation
-till after he was dead. Sulphonal, trional, veronal, paraldehyde, and
-those proprietary hypnotics whose composition is withheld from the
-public appear to be least harmful of all sleeping drugs. But they all
-inebriate or stupefy the fragile cells of the brain, none too solid in
-the best of us; and in the psychically weak or emotionally excitable
-they may even put the delicately constructed thinking organ altogether
-out of commission.
-
-FOOTNOTES
-
-[7] _Differential Diagnosis and Treatment of Disease_, 78, 355, 361,
-457, 731.
-
-[8] _Popular Science Monthly_, September, 1905.
-
-
-
-
-THE REMOVAL OF ALL PHYSICAL CAUSES
-
-
-Though there may be no specific for insomnia in the drug store, the
-complaint can often be relieved when the cause is wholly physical by
-striking at its root. If the general practitioner fails to relieve
-disturbances of the digestion, the stomach specialist should be
-consulted. One of my patients, who had for two years suffered both
-from insomnia and other troubles which had exhausted the ingenuity
-and the resources of the local doctors he consulted, began to improve
-as soon as a stomach specialist of national repute to whom I sent him
-discovered by chemical analysis of the contents of his stomach an
-incredibly excessive acidity, for which the proper prescription and
-diet were at once suggested.[9]
-
-In cases where insomnia is evidently due to some physical ailment
-which cannot be at once located, a visit to the oculist, the dentist,
-and even the throat and nose specialist should as a matter of course
-be paid even if the patient has no conscious need of them. In at least
-two instances which have come under my observation, the insomnia
-disappeared after proper treatment of the eyes and teeth and throat,
-though two general practitioners had suspected nothing wrong in one
-case with the eyes, and in the other a visit to the throat specialist
-was never once suggested by the doctor who sent the case to me for the
-Emmanuel treatment.
-
-FOOTNOTES
-
-[9] As the proof comes, the patient in question writes me that his
-insomnia was of the fitful type. He had so much trouble in going to
-sleep promptly that he formed the habit of sitting up late and inducing
-the sleep mood by reading. Since his treatment ended, he writes me
-(Sept. 12th), “This summer I have retired at nine o’clock with few
-exceptions, gone to sleep immediately, and risen at half past six in
-the morning thoroughly refreshed.”
-
-
-
-
-GENERAL DIRECTIONS
-
-
-In many cases no local ailment would appear to be responsible for the
-insomnia, and yet in every instance attention must be given to the
-body’s entire needs. The habit of deep breathing from the diaphragm
-must be developed and be regularly practised both indoors and out. This
-alone sufficed in one complicated case to bring sleep every night.
-The diet must be carefully chosen and followed in the face of every
-importunity of a silly and capricious appetite. Tea and coffee, save
-at the morning meal, must be in almost every case eliminated from the
-menu. Constipation, which is responsible far oftener than we think for
-sleeplessness, must be, whenever possible, at once corrected without
-resort to purgatives and enemas.[10] The hot bath sometimes brings
-sleep by relieving the congestion of the brain, but contraction of the
-blood-vessels often follows with such promptness that the hot-water
-bottle applied to the feet or the back of the neck or both is likely to
-be of more service.
-
-If running up and down stairs or exercise in that wood-pile now
-imaginary in the average home leaves the sufferer as wide awake as
-ever, Doctor J. B. Learned’s provision for taking exercise in bed
-without displacement of the covering will sometimes relieve both the
-cerebral congestion and the psychical exhilaration and let the wakeful
-one drop off to sleep at the drowsy moment, which is apt to pass if
-the exercise is taken out of bed and even scanty preparations have in
-consequence to be made for retiring.
-
-FOOTNOTES
-
-[10] See Dubois’s _Psychical Treatment of Nervous Disorders_, ch.
-xxiii, for the drugless cure of constipation.
-
-
-
-
-SECONDARY AIDS TO SLEEP
-
-
-When the sleeplessness is due to mental strain alone the cure can be
-effected through the quiet mind. This is, I know, not always easy to
-obtain. Conditions do not always favour it. Economic pressure does not
-disappear at will with prices rising and with factories operating on
-half-time. When the heart aches for
-
- the touch of a vanish’d hand,
- And the sound of a voice that is still,
-
-grief is scarcely to be put away without some seeming hurt to the best
-in us. For many a subject to insomnia the most that can apparently
-be done is to stand cheerfully and confidently between him and the
-temptation to grow morbid and melancholy, to keep the house as quiet as
-circumstances will allow, to provide for the bedtime hour a glass of
-hot milk with its pinch of salt in it, the hot malted milk unsweetened,
-the clam bouillon, the beef extract, or a cup of cocoa which every
-insomniast should take before he goes to bed, and by day and night to
-soothe, sustain, and cheer the troubled spirit.
-
-
-
-
-DR. LEARNED’S PLAN
-
-
-The physiological problem is uncomplicated. As Dr. Learned, who more
-than a quarter of a century ago cured himself of habitual insomnia by
-getting control of the respiratory and circulatory functions in the
-sleeping posture, has made clear, the problem is simply to shift the
-belt of attention from the wildly whirling wheel of introspection to
-the steadier wheel the will revolves.
-
-By deep regular respirations, accompanied by rhythmical movements of
-the head and hands and feet, Dr. Learned has frequently brought the
-wandering attention back from some side track it sought in fitfulness
-to the main line of the controlled consciousness. So surely has he in
-recent years become convinced that the problem is usually psychical
-that he no longer emphasises physical exercises in or out of bed.
-Instead he provides an ingenious little tablet on which the wakeful one
-with unlifted pencil steadily records in waving lines his inhalations
-and his exhalations until at last, fatigued by the long exercise, the
-brain becomes anæmic and sleep overtakes the drowsy mind.
-
-
-
-
-RELAXATION AND RHYTHMIC BREATHING
-
-
-To Mrs. Annie Payson Call[11] and Dr. Emily Noble we owe of late the
-stress we lay on muscular relaxation and rhythmic breathing, which
-practised faithfully will now and then bring sleep where drugs are
-worse than useless. Muscular relaxation can be learned by any who
-will take the trouble. The Delsarteans are already adepts at it. The
-letting of the arms drop limp by the side as one sits in an easy chair,
-the letting of the trunk sink unsupported against the easy chair as
-though it were sinking into a yielding bank of snow, the letting of
-the head fall forward or sideways without resistance will furnish even
-to the slow of wits a visual image which will serve as a sufficient
-pattern in the relaxation of the whole body.
-
-Dr. Emily Noble, who has seen Oriental soldiers at the end of a long
-march throw themselves in complete relaxation on their backs, gives in
-her _Rhythmic Breathing plus Olfactory Nerve Influence on Respiration_
-possibly the most practical of all directions for the mature in the
-important art of relaxation. She bids him lie upon his back on a hard
-surface, with head turned to one side in order to relieve the tension
-on the muscles of the neck, with arms extended at right angles, with
-the palms turned up, with feet turned out and spread for comfort at
-least a foot apart.
-
-The lungs are then to be cleared of their static air by a few deep
-inhalations, made through the left nostril because in the average man
-it seems to furnish a freer channel for the air than the right nostril.
-Next the insomniast settles down to lighter rhythmic breathing, which
-is nothing but the consequence of the conscious effort to make each
-exhalation equal to each inhalation. He should take the “breath in as
-gently as the fog creeps in from the sea.” He should let it out “as
-the air goes out of little children’s balloons when it is allowed to
-escape.”
-
-As with experience all feeling of conscious effort passes, he will have
-a sense of letting go, the muscles will of their own accord relax, the
-quiet mind will come, especially if a pleasant thought be held steadily
-before it, the insomniast will stretch and yawn, take instinctively if
-he be in bed the sleep position, and pass off into a dreamless sleep
-which will indeed knit up “the ravell’d sleave of care,” and make him
-ready for a day of effective thinking and efficient action.
-
-FOOTNOTES
-
-[11] _The Heart of Good Health._
-
-
-
-
-THE EMMANUEL METHOD
-
-
-When sleeplessness can be directly traced to mental causes, the
-Emmanuel treatment, if experiments made both in Boston and Northampton
-are to be trusted, is as surely a specific as quinine for malaria. If
-in any instance medical diagnosis can find no physical reason for the
-sleeplessness, Emmanuel treatment is at once in order.
-
-The sufferer is admitted to the Rector’s study. The very atmosphere
-encourages frank speaking. Concealment of any fact or circumstance
-which bears upon the case is prejudicial to improvement. I have once
-after three treatments refused again to see a patient who had failed
-to give me her whole confidence, until she was willing to speak out
-with greater freedom. The physical habits are invariably considered and
-corrected whenever there is need. Deep breathing is prescribed. Dr.
-Learned’s method is sometimes suggested, and always Dr. Noble’s. Drugs
-are from the first withheld. Tea, coffee, and all other stimulants
-which act directly on the brain are banished from the evening meal. The
-sufferer is encouraged as the bedtime hour draws near to give himself
-to such interests as scatter the cares and worries and obsessions which
-are then wont to gather like a cloud around the patient’s head.
-
-For some a social evening is suggested, provided it be not too
-exciting. For others the theatre, the symphony, or other form of public
-entertainment serves the same purpose. For perhaps a larger number,
-especially the preacher, or the teacher, or the literary worker, a
-magazine, a novel with no miserable modern problem in it, or a standard
-history will in a half-hour let down the mind to the sleep level. I
-know one man who found Parkman’s histories a soporific boon; another
-whom Green’s longer _History of the English People_ led on each night
-to wholesome sleep; another, the head of a large sanitarium, who
-sometimes saves himself from sleeplessness by reading after he has gone
-to bed as dull a book as he can find, and recommends the same plan with
-some profit to his patients.
-
-
-
-
-FAITH REQUIRED IN GOD AND MAN
-
-
-The main reliance, however, in the Emmanuel treatment is on faith,
-reinforced first by hetero-suggestion and then by patient and
-persistent auto-suggestion. The man who would be permanently free
-from insomnia must be an optimist. He must have a philosophy of life
-wholesome enough to keep him buoyant, cheerful, and serene amid all
-the changes and the chances of this mortal life. With the Persian
-he may hold that “He’s a Good Fellow, and ’twill all be well;” with
-Socrates that “To the good man no evil thing can happen;” or with St.
-Paul that “All things work together for good to them that love the
-Lord.”
-
-Whatever language he may use in the formulation of his life philosophy,
-he must believe with all his heart and soul that life in spite of all
-appearances is worth living, that there is love and goodness at the
-heart of things, that the word God, whatever be its content, does
-stand for a concept indispensable in our everyday existence, and that
-there is somewhere, everywhere, One who, by a paradox as strange as it
-is true, is both the centre and circumference of all that has been,
-is, and ever is to be—The Absolute and Unconditioned wherever we
-may chance to be in time or space. “If I climb up into heaven, Thou
-art there: if I go down to hell, Thou art there also. If I take the
-wings of the morning: and remain in the uttermost parts of the sea;
-even there also shall Thy hand lead me: and Thy right hand shall hold
-me.”[12]
-
-A man who wants that serenity of mind on which the soundest sleep
-invariably depends must get right and keep right with God, whether he
-defines Him in the terms of Persia, Greece, or Christianity.
-
-But this is not enough. A man must be right also with his fellow-men.
-He must love his neighbour as he loves his God. “He that loveth not
-his brother whom he hath seen, how can he love God whom he hath not
-seen?” He must have more than a languid interest in his brother. He
-must wish him better than well. He must have done forever with sharp
-practice, hard bargaining, ungracious criticism, and that subtle
-disloyalty which often through sheer cowardice stands mute while
-slander wags its tongue or envy shoots its Parthian arrows back as it
-retreats.
-
-With the spirit’s eye he must see even in the poorest and the meanest
-of his fellows some charm which others have not found. He must with the
-Christ insight pierce to the heart of the roughest boulder that was
-ever hewn from the hard mountain-side of seamy human nature and let
-loose the imbedded angel always there and always struggling to be free.
-No man has any right to sleep, in fact to any of God’s better gifts,
-who goes through life with slanting eye and lowering brow sullenly
-protesting to himself:
-
- As I walked by myself,
- I talked to myself,
- And thus myself did say to me:
- Look to thyself,
- And take care of thyself,
- For nobody cares for thee.
-
-FOOTNOTES
-
-[12] Psalm cxxxix., 7-9.
-
-
-
-
-THE SPECIFIC TREATMENT
-
-
-When the insomniast is ready to pay this double price of love to God
-and love to man for the peace that passeth understanding and that also
-bringeth sleep, he is ready for Emmanuel treatment. Seated in the
-Morris chair before the smouldering fire with curtains drawn, he is
-taught to relax his muscles, the cortical layer of the brain is quieted
-by soothing suggestions, and then standing behind the chair the
-Emmanuel worker begins the treatment somewhat thus in a low monotone:
-
-You are now relaxed in body and quieted in mind. You are to let your
-thoughts languidly follow mine expressed in words. Do not offer any
-mental opposition. I shall say nothing which your mind will not
-instinctively accept and cherish.
-
-Fix your thoughts on God. Think of Him not alone as the All-Father but
-also as the Universal Mind in which your mind exists exactly as each
-individual thought floats in your mind. Think of Him not merely as
-your Heavenly Father but also as the Universal Spirit on which your
-soul depends for every breath of spiritual life, just as your body is
-dependent for its every breath of physical existence on the air you
-breathe. Believe that in this larger, higher, truer sense, “In Him we
-live and move and have our being.”
-
-Now Universal Mind or Universal Spirit is wholesomeness and love,
-harmony and power. Realise that when your soul breathes in the
-atmosphere in which it lives it breathes in wholesomeness and love,
-harmony and power. But it is possible, in the exercise of the free will
-with which you are in the nature of the case endowed, to fill up the
-soul with morbidness and selfishness, disunity and weakness, so that
-there is no room in it for God’s wholesomeness and love, His harmony
-and power.
-
- If thou couldst empty all thyself of self,
- Like to a shell dishabited,
- Then might He find thee on the Ocean shelf,
- And say, “This is not dead,”
- And fill thee with Himself instead.
- But thou art all replete with very _Thou_,
- And hast such shrewd activity,
- That, when He comes, He says: “This is enow
- Unto itself—’t were better let it be:
- It is so small and full, there is no room for Me.”[13]
-
-You do not sleep because you are “all replete with very _Thou_.” You
-have filled up your soul with thoughts of self, or thoughts of others
-from the point of view of self. You have worried when you should have
-cast your care on Him; “for He careth for you.” You have yielded to all
-sorts of foolish fears, forgetful that “perfect love casteth out fear.”
-You have been self-centred, though God Himself was so far centred out
-of self that “He gave His only begotten Son, that whosoever believeth
-in Him should not perish, but have everlasting life.”
-
-In the silence of this quiet hour put your worries and your fears away
-and swing your centre out of self. Open wide the windows of your soul
-and let the Spirit in of wholesomeness and love, of harmony and power.
-Believe the Spirit will come in. Interpret in the terms of Spirit those
-veracious words of Revelation: “Behold, I stand at the door, and
-knock; if any man hear my voice, and open the door, I will come in to
-him, and will sup with him, and he with me.”
-
-Wait for the incoming Spirit. Wait in faith and confidence. Remember
-that “They that wait upon the Lord shall renew their strength; they
-shall mount up with wings as eagles; they shall run, and not be weary;
-they shall walk, and not faint.”
-
-With your mind filled with the Spirit of wholesomeness and love, of
-harmony and power, it will be at rest; it will know the peace that
-passeth understanding. All nerve-strain will go. Sleep will come
-to-night. Sleep will come to-morrow night. Sleep will come every
-night. Sound sleep, re-creating sleep so long denied you, will be yours
-at last. The day will never know again its feverish inquietude. Work
-will have its zest, and play its joy. The silent night will lose its
-morbid fancies and its horrid nightmares, and you will each morning
-wake with the song upon your lips:
-
- The dark hath many dear avails:
- The dark distils divinest dews;
- The dark is rich with nightingales,
- With dreams, and with the heavenly muse.
-
-You have done with sleeplessness forever. You go out from this room
-beneath the rooftree of God’s sanctuary, a new creature in Christ
-Jesus. Claim your new privilege in Jesus’ name. Act henceforth on the
-comforting assurance that you are to go to sleep as soon as you have
-gone to bed, and sleep the whole night through.
-
-Keep by day as well as night the serenity you here have found. Awake
-with the morning light into the thoughts of this first treatment. Keep
-them in the background of your consciousness the whole day through.
-Take a few minutes every day to go into the silence as you now are,
-and think these thoughts again in proper sequence. Take them up into
-your heart and brood upon them all the day. Work them into the warp
-and woof of your inmost soul so that “neither death, nor life, nor
-angels, nor principalities, nor powers, nor things present, nor things
-to come, nor height, nor depth, nor any other creature” shall be able
-to separate you from them. Make them yours and keep them yours forever
-and forever. And you shall sleep the sleep of the quiet mind and the
-God-filled soul in all the years to come.[14]
-
-FOOTNOTES
-
-[13] Thomas E. Brown.
-
-[14] Subsequent treatments are usually a logical development of this.
-See also Henry Wood’s _New Thought Simplified_. In the author’s next
-volume to appear in 1909, he expects to publish a complete series of
-suggestive treatments for nervous functional disorders.
-
-
-
-
-SOME IMMEDIATE RESULTS
-
-
-Again and again one treatment of this sort—faith reinforced by
-reiterated suggestion—has sufficed to break up the most obstinate
-insomnia. One man on the verge of suicide from hitherto incurable
-insomnia went home from this first treatment to sleep soundly for
-several nights thereafter. Another man on whom a heart-breaking
-disappointment had swept down without a word of warning went home
-to sleep eight hours and a half for the first time in many nights. A
-trained nurse so long on night duty that she had slipped her sleep cog
-to the demoralisation of her entire nervous system slept normally again
-after but one visit to me.
-
-A college instructor sleepless on the verge of a new year of academic
-strain thus secured the long night’s sleep she coveted the day before
-the opening of college. A wife and mother overwhelmed by a domestic
-tragedy after six weeks of drugged sleep went home from her first
-treatment with a shining face to sleep ever after without taking any
-drugs. A college girl worn sleepless by the heat and burden of earning
-her own living while she kept up her standing in the college, reported
-marked improvement after her first treatment. And a neurasthenic who
-had lost all hope of ever sleeping better slept so much better after
-a single treatment that she insists in spite of all my protests in
-placing her experience among the modern miracles.
-
-
-
-
-THE CO-OPERATION OF THE PATIENT
-
-
-In most cases, of course, more is necessary than one treatment.[15]
-Sometimes a dozen treatments are required. And at every stage the
-patient’s close co-operation is of utmost consequence. In fact, the
-cure can never be effected without it. To faith reinforced by the
-Emmanuel worker’s suggestions must be added the auto-suggestions of the
-patient. He must will to keep the loving attitude toward God and man.
-He must cease to worry about sleep. He must never mention his symptoms
-to anyone except the Emmanuel worker who is treating him.
-
-He must cultivate a heavenly unconcern about himself. He must keep
-saying to himself the whole day through: It does not matter anyway. If
-I sleep, well and good. If I do not sleep I will not worry over it. To
-lie awake at night is not so terrible as I once thought. Bed is for
-rest as well as sleep. The worry over lack of sleep hurts more than
-sleeplessness itself. Rest is possible even when I can not sleep. Happy
-thoughts will rob the darkness of its gloom and minimise nerve-strain.
-
-If I keep still in my normal sleep position eight hours every night
-in bed, if I relax every muscle and let it stay relaxed; if I breathe
-lightly, regularly, rhythmically in a well-ventilated room, making
-sure the early morning light will not strike across my face and wake
-me up; if I simulate sleep in every way I can; if I shut out all
-preoccupation, expect each night to go to sleep, and steadily hour
-after hour suggest sleep to myself in words like these I shall surely
-go to sleep:
-
-I am going to sleep. I shall not lie awake. I cannot lie awake. I am
-going to sleep. The tired eyes are closing. The blood is flowing from
-my brain to my extremities. There is no longer any pressure on the
-brain. The muscles are relaxing. Sleep is stealing over all my senses.
-They are growing numb. I am getting drowsy, drowsy. I am softly
-sinking into sleep, dreamless sleep. I am sinking deeper, deeper,
-deeper. I am almost asleep. I am asleep, asleep, asleep. I am asleep.
-
-FOOTNOTES
-
-[15] It is perhaps unnecessary to explain that no charge is ever made
-for the Emmanuel treatment, though grateful patients sometimes make a
-thank offering to the church of which the Emmanuel worker is the Rector.
-
-
-
-
-THE ULTIMATE EFFECT
-
-
-Even if, in spite of this, one sometimes fails to sleep, one will at
-least be free from the nerve-strain which a night of worry about sleep
-invariably brings. And if, in the face of every discouragement and
-every temptation to lapse from this wholesome attitude toward sleep,
-one habitually practises each night some such auto-suggestions, he has
-forever turned his face away from chronic sleeplessness.
-
-He may not always sleep at will. He may not always live up to the light
-vouchsafed to him. But he will sleep much better than he slept before.
-He will be free from the morbidness and worry of insomnia. He will have
-faith where he had fear, peace where he had the troubled mind, and the
-light at eventide of a night which is not dark with griefs and graves.
-More than this, he will sleep. He will sleep habitually—to his body’s
-health, his mind’s contentment, and his soul’s supreme delight.
-
-
-
-
-ILLUSTRATIVE CASES
-
-
-I. CURED BY SUGGESTION ALONE
-
-
-_A.—Waking Suggestion_
-
-1. The Emmanuel Clinic in Boston reports the case of a distinguished
-lawyer who after nine months of insomnia came to Emmanuel Church for
-counsel. He was on the verge of a nervous breakdown. His habit was to
-take his work and worries every night to bed with him. He was advised
-to submit to the rest cure under a good neurologist. He replied that,
-with important cases coming up at once for trial, rest was impossible.
-In fact, he could at most spend a few hours in Boston. The causes of
-insomnia were then explained to him. Suggestions were given looking
-toward self-help. The importance of cheerful and uplifting thoughts was
-emphasised. He went away an hour later to report in a few weeks that he
-was entirely cured and had not felt so well since he was a boy.
-
-2. Dubois (p. 340) speaks of a physician twenty-three years of age who
-had suffered for nine months from persistent insomnia. By bromides,
-bathing, travel, and the cessation of all work, he had obtained only
-transient results. Dubois drew his attention to the psychic causes of
-insomnia, counselled the immediate abandonment both of the treatment he
-had been giving himself and of all apprehension of insomnia. In a few
-days sleep returned, the convalescent resumed his customary duties, and
-was soon completely well again.
-
-
-_B.—Profound Suggestion_
-
-Forel (p. 252) describes the case of a working-girl who suffered for a
-year and a half from extreme sleeplessness. All means for her relief
-failed. Forel induced profound suggestion, let her sleep about an hour
-every day while she was still in his clinic room, and after three weeks
-discharged her completely cured and able regularly to sleep nine hours
-out of every twenty-four.
-
-
-2. CURED BY FAITH REINFORCED BY SUGGESTION
-
-
-_A.—Inability to go to sleep on going to bed_
-
-A clergyman forty years of age had inherited a tendency to
-sleeplessness. Even as a child it was not uncommon for him to lie awake
-an hour or two after getting into bed. As he passed into his teens
-the presence of his brother or a boy friend in the same bed would
-invariably keep him wide awake the whole night through. At college the
-unusual strain of extra work or of examinations was likely to drive
-sleep entirely away, and only with the help of bromides at special
-seasons was he able to get through his studies and take his place at
-last among the honour men.
-
-His first years out of college were spent in graduate study and
-educational work, and were made miserable by the gradual increase of
-insomnia, which shut him out of many social pleasures and impaired his
-efficiency.
-
-His first ten years in the ministry were checkered by so many stubborn
-attacks of insomnia that he was more than once on the verge of a
-complete breakdown, from which the drugs the doctors gave him furnished
-only temporary relief.
-
-Two years ago, after six weeks of sleeplessness during which he had
-at his doctor’s orders taken a hypnotic every night, he was able to
-sleep at most three hours out of every twenty-four and was haunted by
-obsessions and pervasive fears. When even morphia failed to induce
-anything more than extreme drowsiness and the heart’s action was so
-weak that strychnine was prescribed to make it function properly, one
-sleepless night a physician peremptorily bade him keep in the sleep
-position and never move, breathe regularly, keep his eyes closed as in
-sleep, and in every way imaginable to simulate sleep.
-
-This proved to be the turning point in his experience. Sleep came night
-after night in consequence of his unvarying obedience to the doctor’s
-orders. From one source or another he discovered how to relax and
-to suggest sleep to himself. Within a month he had learned to sleep
-at will, and only once in two years, when for some weeks there was
-continuous local pain, has his sleep been interrupted. The average both
-of physical and of mental health has been at least doubled, and these
-two years past he has done, without fatigue of mind or body, at least
-twice as much work as in any two years of his life before.
-
-
-_B.—Waking in the middle of the night_
-
-A widow, seventy-three years of age, suffering for twelve years from
-neurasthenia, was apt to wake about the middle of every night and to
-go to sleep no more. The loss of sleep was bad enough, but the morbid
-fancies which invariably came in swarms sometimes all but drove her to
-distraction. There was such a bad family history as to sleep and such
-poor circulation with its inevitable cold feet, that the physician
-gave me little hope of relieving her insomnia. During the first month
-of her treatment I, therefore, confined myself almost entirely to
-the upbuilding of her faith by a course of optimistic reading and by
-suggestion. I seldom spoke about her sleeplessness at all. To her
-surprise and mine in a few weeks her sleep began to improve. At the
-end of two months, though she still awoke two or three nights every
-week, no morbid fancies came. She filled up her mind with wholesome
-thoughts, repeated again and again the auto-suggestions on page 68,
-and usually awoke almost as much refreshed as though she had slept the
-whole night through. Now after almost a year she reports what used to
-be one bad night out of every four or five, but as compared with the
-bad nights—four or five a week—of former years it were better called,
-she thinks, a good night than a bad one.
-
-
-_C.—Waking early in the morning_
-
-1. A college girl of unusual ability and character had practically
-all her life been inclined to wake at two or three o’clock in the
-morning and often go to sleep no more; or if she went to sleep, to
-sleep badly and be subject to hideous dreams and horrible nightmares.
-After one treatment, June 15th, she began at once to sleep much better.
-Though she sometimes woke as formerly at two or three, she at once by
-relaxation and auto-suggestion usually went off to sleep again and
-suffered little from dreams and nightmares. She has had two treatments
-since, and is not only much improved in body but is happier and more
-serene in mind.
-
-2. The Emmanuel Clinic in Boston reports the case of an unmarried
-woman, fifty-two years old, who usually slept four hours a night,
-awaking at 2.30 and never sleeping more. Her treatment was begun June
-20, 1907, and was followed by immediate improvement. By July 1, 1907,
-she was sleeping without waking eight hours every night, and reported
-August, 1908, that the improvement had become permanent.
-
-
-_D.—Semi-sleep_
-
-1. A college girl had never had the feeling of being sound asleep. She
-thought she was half conscious the night through. What sleep she got
-never seemed to refresh her. She came to me for treatment, February 7,
-1908, slept somewhat better for a night or two, and came back, February
-14th, 18th, 25th, for other treatments. On March 13th she reported
-that though she was not completely cured she was sleeping more soundly
-and felt better in every way. There was in this case the unhappy
-complication of organic heart trouble.
-
-2. To the Emmanuel Clinic in Boston came, January 2, 1908, a clergyman
-forty-nine years old who reported that for years he had never slept,
-but merely dozed. He gave up preaching in 1903; then resumed it only to
-abandon it again in April, 1907. After treatment from January 2nd to
-March 9th he was discharged, much improved, and on May 4th he reported
-that he was still improving, and is now sleeping well from six and a
-half to seven hours every night.
-
-
-_E.—Insomnia from psychical shock_
-
-A woman thirty-four years old was plunged into insomnia six years ago
-by the psychical shock which followed a violent attack made on her by
-an insane woman. Her habit afterwards was to lie awake for three or
-four hours after retiring, and then to sleep about two hours every
-night. Whenever she lay down to sleep, whether her eyes were open or
-closed, she felt herself surrounded by people, some of whom had been
-dead for several years, and one of whom she fancied wished to kill
-her. To the hallucinations dizziness was often added. Bromides which
-she had long been taking began at last to lose their effect. Treatment
-of her was begun at the Emmanuel Clinic in Boston on February 25,
-1908. By March 10th she was sleeping better, though not soundly, and
-for thirteen nights the hallucinations had been absent. April 8th
-she reported that the visions still came now and then but were fewer
-and less terrifying. By May 21st the dizziness had disappeared, the
-hallucinations had not come for several weeks, her mind was clear, her
-sleep was much improved, and she was sure that she was getting well.
-
-
-_F.—Insomnia from family trouble_
-
-A mother forty-one years of age had suffered several family
-bereavements. Her children had been sick more than is common. Her
-brother had been burned to death. She herself had undergone a surgical
-operation. For seven years she had suffered from insomnia, never even
-temporarily relieved except by taking sulphonal, trional, etc. It
-seemed to be the fear of sleeplessness that usually kept her from her
-sleep. Under treatment at the Emmanuel Clinic in Boston from September
-21, 1907, to January 27, 1908, she steadily improved, and is now in
-every way much better.
-
-
- THE END
-
-
-
-
- _A Selection from the
- Catalogue of_
-
- G. P. PUTNAM’S SONS
-
-
-
- Complete Catalogues sent
- on application
-
-
- _A marshalling of the evidence pro and con.
- A summing up and an impartial judgment_
-
- Christian Science
-
- The Faith and Its Founder
-
- By Rev. Lyman P. Powell
-
- _Crown 8vo. $1.25 net. Postage, 10 cents_
-
-
-“I sat up one night reading this book as one reads a novel, which
-in the popular phrase, “cannot be put down.” I have rarely read so
-interesting a volume of any kind. It is scientific, accurate, clear,
-cogent, unanswerable, and satisfying to the last degree. I am delighted
-with it. The whole Christian world will thank you for it. I am going to
-use it unblushingly in a course of sermons later on.”—_Cyrus Townsend
-Brady._
-
-“A volume which is not the less destructive for its moderation, and its
-fairness. Mr. Powell’s discussion of his subject is sane, temperate,
-and judicious, and his book merits the careful attention of all who are
-interested either from within or without in the all-important subject
-of Christian Science.”—_Springfield Republican._
-
-“A fine piece of work.... I can but feel that in your book you have
-a little of the swing of Carlyle and the trust of Newman. I cannot,
-for the life of me, see what you have left for anyone else to say on
-the subject.”—_Rev. Nathaniel S. Thomas, Church of the Holy Apostles,
-Philadelphia._
-
-_Send for descriptive circular_
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- G. P. PUTNAM’S SONS
- NEW YORK LONDON
-
-
-_“A unique little volume, one which deserves the thoughtful
-consideration of every practitioner.”—Sajou’s Monthly Cyclopedia and
-Medical Bulletin, Philadelphia._
-
- Insomnia and Nerve Strain
-
- By Henry F. Upson, M.D.
-
- Professor of Diseases of the Nervous System in Western Reserve
-University, Attending Neurologist at the Lakeside Hospital, Cleveland,
- Ohio
-
- _Crown 8vo. With Skiagraphic Illustrations $1.50 net_
-
-
-"An interesting theory in explanation of many cases of insomnia and
-insanity is brought forth and illustrated by Dr. Henry S. Upson of
-Cleveland, in his book on ‘Insomnia and Nerve Strain.’ Dr. Upson
-believes that very many cases of mania, melancholia, and dementia are
-caused by defective teeth.
-
-“The work is technical, and for the profession rather than the lay
-reader. It will doubtless prove of great value as a contribution to the
-warfare being waged against the mental scourges that fill our asylums
-with young people on the threshold of productive activity.”—_Cleveland
-Plain Dealer._
-
-“Dr. Upson is, we believe, the first medical practitioner to write
-extensively on this topic and the first to accompany his writing with
-skiagraphs relating to his cases. His enthusiasm in this matter may be
-the means of arousing a greater interest in it than hitherto has been
-manifested by physicians.”—_New York Times._
-
-“The author has presented his conceptions in a most attractive and
-entertaining manner and time alone will say whether his deductions will
-rest on true scientific ground. The treatment of insomnia if carried
-out along the lines suggested will not only benefit a great number of
-distressing conditions but will undoubtedly curtail the indiscriminate
-use of hypnotics at present prevailing.
-
-“The closing chapter by Lodge on the technic of dental skiagraphy
-will prove valuable to many engaged in this branch of practice.
-The excellence of the reproductions is a pleasing feature of the
-work.”—_Cleveland Medical Journal._
-
- G. P. PUTNAM’S SONS
- NEW YORK LONDON
-
-
-
-
-
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