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Mini Med School IX -
The Mysteries of Sleep

Sleep=Activity Take Home Message

According to Allan Hobson, Professor of Psychiatry, Harvard Medical School DREAMING and WAKING are two different states of consciousness with informative similarities and differences. This model is in contrast to Sigmund Freud’s understanding of dreams as a function of unconsciousness. Sigmund Freud had developed his model in the early 20th century.

 

Allan Hobson has developed a brain dreaming model in which he uses some terminology of computer technology. Hobson’s dreaming model consists of three major columns which highlight the brain’s different activities:

 

Activation (A),

The Input-Output Gating (I) and

Modulation (M).

 

The similarities re the states of consciousness are

Activation (A):

  • the narrative coherence in dreams,               
  • the experienced personal elements, and 
  • the emotional salience.
  •  

The differences re the states of consciousness are

Input-Output Gating and Modulation 

 

  • Hallucinations                       
  • Delusions                             
  • Bizarreness                  
  • Emotions, and
  • Amnesia.

 

In waking attention, sensation, perception, memory, orientation, logic are ‘switched on’, whereas in dreaming all these functions, with the exception of a decreased memory function, are ‘switched off’.

 

Based on the three dimensional model Activation (A), the Input-Output Gating (I) and Modulation (M) Prof. Hobson, explains further in which physiological states how the brain activity works:

 

  • Wakening (full Activation and Modulation, but different levels of Input-Output Gating),
  • NREM sleep (zero Input-Output Gating, different levels of Activation and Modulation),
  • REM sleep (zero Input-Output Gating, low levels of Modulation, but highest levels of Activation).

 

The disease model of narcoplepsy (from full Activation, Modulation and Input-Output Gating, to zero Modulation, Input-Output Gating, but still full Activation) and examples of lucid dreaming further visualized this model.

 

Prof. Hobson also analyzed the hallucinatory and bizarre aspects a personal dream, he had immediately noted after awakening in the night: Hobson riding a bicycle with a 6 ft tree trimmer in London’s heavy traffic.

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