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A2 Psychology Unit 3
Bio-Rhythms and Sleep
Types of Bio-Rhythms
• Ultradian rhythms
– More often than once a day
– Sleep as separated into different stages
• Circadian rhythms
– Every 24 hours
– Sleep/wake cycle, body temperature cycle
• Infradian rhythms
– Less often than once a day, more often than once a
year
– Menstrual cycle
Sleep/Wake Cycle
• Controlled by endogenous pacemakers but synchronised
by exogenous zeitgebers
• Siffre
– Lived in cave for 6 months
– No human interaction, sound or natural light
– Researchers measured brain rhythms
– Called each sleep/wake cycle 1 day
– Sleep/wake cycle extended to 25 hours
– Evaluation
• Sleep/wake cycle controlled internally
• Proves internal control and external synchronisation
• Methodological issues
– Man not woman, case study, no social interaction, we don’t live in
caves, individual differences, measures biological factors
– Very good control
• Wever
– Reviewed studies of people who spent long periods without
exogenous zeitgebers
– Sleep/wake cycles were 25 hours
Menstrual Cycle
• Good supporting research
• Reinberg – Endogenous zeitgebers
– Documented menstrual cycle of woman living
in cave for 3 months
• No exogenous zeitgebers
– Menstrual cycle much shorter, sleep/wake
cycle lengthened
– Exogenous light cues could have effect on
Infradian rhythms
Control of Sleep/Wake Cycle
• Main endogenous pacemaker for circadian
rhythms is Suprachiasmatic Nucleus (just above
the Optic Chiasm)
• EP Protein Clock
– 24/25 hr cycle result of protein synthesis
– Cells of SCN produce protein for number of hours
until level stops production and begins to drop
– When level drops too low, protein produced again
– Cycle generates bio-rhythm
• EZ Light and Optic Chiasm
– SCN able to directly detect light levels as above Optic
Chiasm
– Can then synchronise internal body clock so in sync
with day/night cycle
Control of Sleep/Wake Cycle
• Interaction
– SCN uses both cues to control s/w cycle
• Via pineal gland
– Once in 24 hour cycle SCN stimulates pineal gland to remove
neurotransmitter serotonin and synthesise to melatonin
• Makes us sleepy
– When melatonin gets too high, SCN stops pineal gland
• As levels drop, we start to wake up
• Schochat
– Sleep latency
• When most likely to fall asleep
– Sleep gate
• Where you have enough melatonin to fall asleep
– About 2 hours before s/w cycle melatonin synthesis
Control of Sleep/Wake Cycle
• Evidence
– Morgan
• Removed SCN from hamsters
• Found they lost circadian rhythms
• When SCN restored, rhythms restored
– Miles
• Man blind since birth had 24.9 hour circadian rhythm
• EZ did not help (TV, clocks), had to use sedatives
• Suggests light is dominant EZ
• Debates
– Reductionist
• Lots of research for Melatonin so helped in treatments for
insomnia
• Massively overly-simplistic
Disrupting Bio-Rhythms – Jet Lag
• When internal is different to external
• Phase delay (East to West)
– Longer day, easier to cope with
– Delay bedtime
• Phase advance (West to East)
– Shorter day, harder to cope with
– Advance bedtime
• Evidence
– Schwartz
• Results of baseball games
• Teams travelling from West to East had fewer wins
• Phase advance caused drop in performance
• Debates
– Is impact scientifically supportable
• Lots of variables that could affect it besides travelling through time zones
• All correlational
• No controls
• Any research looses aspect of natural sleep
– Is research into treatment scientific
• Don’t really understand many factors involved
• Can’t ask people when unconscious/asleep
Disrupting Bio-Rhythms – Shift
Work
• Chernobyl and Three Mile Island happened between 1 and 4am
• Monk and Folkard
– Rapidly rotating shift work (better)
• Workers only do couple of shifts before changing to new pattern
– Slowly rotating shift work (social isolation)
• Not changed regularly (no more often than every week or month – or less
often)
• Cause issues when changing back
– Lack of daylight, social withdrawal
• Hawkins
– Takes individuals about 1 week to change circadian rhythms
– Rapidly rotating = s/w cycle always out of sync
• Dawson and Campbell
– Exposed shift workers to 4 hours very bright light
– Helped circadian rhythms change quicker
• Debates
– Deterministic
• All people who do shift work will have bad effect
• Individual differences
Nature of Sleep - Stages
• Stage 1, falling asleep, 15 mins
– Hypnogogic state
• Hallucinations (only in stage 1)
– Myaclonic jerk
• Brain processing movement when there is none
– Brainwaves slow from Alpha to irregular Theta
– Heart rate slows, muscles relax
• Stage 2, 20 mins – 5/10 mins
– Theta continue to slow
– Have sleep spindles and K-complexes
– Heart rate, blood pressure and body temp continue falling
• Stage 3, 15 mins
– Theta slow to Delta
– Fewer spindle and K-complexes
– Same as stage 2
• Stage 4, growth hormone, deepest sleep, 30-40 mins
– Slowest brainwaves
– Growth hormone secreted
– Metabolic rate slowest
– Very hard to wake up
– Sleepwalking/talking most likely to occur
• Stage 5, paradoxical sleep, dreaming sleep, 10-15 mins
– After quickly going back through stages 3 and 2
– Brainwaves rapidly speed up and become irregular and complex
– Brains oxygen and glucose demands increase
– Physically least active (paralysed) but brain most active
• Always tested in lab so artificial with low ecological validity
Nature of Sleep – Life Span
Changes
• Sleep could be restoration and development of body
– Infants would need more stage 4 sleep
• Recover from days of growth and learning
• Zimbardo
– Babies spend more time in REM than adults
– Sleep adaptive
• Increased chance of survival
• Less chance of being hunted
• Health impacts
– Van Cauter
• Reduction in stage 4 sleep = drop off in growth hormone after 47
• Reduction in muscle mass/ability to exercise
• Develop tendency to become obese
– Increase of daytime napping in older adults positively correlated
with depression
Functions of Sleep – Evolutionary Theory
• Adaptive advantage
– Prey = to hide
– Predator = to conserve energy
• Meddis – to remain hidden
– Prey animals can’t see predators at night
– Staying still (sleeping) could be an advantage
– Sleep provides prey with time where they are still and less likely to be seen
– Prey should only sleep at night and predators not at all
• Not true though
• Siegel – to conserve energy
– May be adaptive as conserves energy
• Especially for small/newborn mammals with high metabolism
• Predators who need to use lots of energy to catch food
• Doesn’t apply to animals like gorillas and lions
• Evaluation
– Little or no empirical evidence to support
– Prey remaining hidden from predators also has worrying anecdotal contradictions
– Alison and Cicchetti
• Herd animals spend very little time sleeping
• Need to eat all the time as vegetation provides very little energy
– Empson
• Sleep is universal with animals
– Even with successful predators who shouldn’t have to waste time sleeping
– Horne
• Different reasons for different species so universal theory is pointless
• Debates
– Evolutionary advantage is being able to sleep in their environment, not sleep itself
• Vast ideographic differences in how they sleep
– Overly nomothetic
• Trying to come up with a theory and apply it universally
• Need to look more ideographically
• Only thing you can state nomothetically is that all animals sleep
– Overly simplistic
Functions of Sleep – Restoration
Theory
• Allows for physical and mental recovery
• Oswald
– NREM restores bodily functions
– REM restores brain processes
• Babies spend half time sleeping (18hrs) in REM
– Double adults
• Bloch – rats in complex mazes
– Learning complex tasks “tire” brain using neurochemicals
– Rats performing complex activities had more REM sleep
• Jouvet
– Cats on upturned pots in water
– Stopped going into REM sleep showed high levels of stress then died
– No REM = no life so essential to live
• Evaluation
– Though REM obviously important, if restoration was only purpose we would expect
consistent effects from strenuous activities and sleep deprivation (no consistency)
– Pilleri
• River dolphins sleep seconds at a time over 24hrs to avoid debris and drowning
• Doesn’t allow much time for restoration
– Shapiro
• Marathon runners didn’t need more sleep to recover from their strenuous physical activity
• Debates
– Overly simplistic
• Says we only need sleep to restore
– Deterministic/overly nomothetic
• States all animals only sleep to restore
• Too many exceptions to the rule
Sleep Disorders - Insomnia• Characterised by
– Sleep onset latency more than 30mins
• Time taken to fall asleep
– Sleep efficiency less than 85%
• Time in bed actually asleep
– Several night time awakenings
• Riemann – primary insomnia (explanation)
– Occurs when no obvious cause
– Due to largely innate biological mechanisms of sleep
• Inherited imbalance of body clocks and neural mechanisms could explain it
– Due to chronic physiological arousal
– Heart rate and high levels of Cortisol found in people with primary insomnia
• May be from environment
• Secondary insomnia (explanation)
– Clear causes (medical to psychological) of disorder (not seen as true insomnia)
– Medical
• Asthma, Parkinson’s disease, heart failure
– Psychological
• Depression, anxiety, OCD, Posttraumatic Stress Disorder
– Parasomnias
• Events that disrupt sleep but not cause daytime sleepiness
– Restless Leg Syndrome, Sleep Apnoea
• Lichstein – problems diagnosing secondary
– Hard to diagnose if result of cause of disorder
– Is depression cause or effect of insomnia
– Evidence that can go either way
– Some “secondary insomnia” with depression could be primary in disguise
• Problems researching
– Sleep state misperception
• Many people claim to have disrupted sleep but actually have normal patterns (suggests mental rather than physical issue)
– Self help strategies (drugs/alcohol) make sleep harder to achieve, causes learned sleep disorder
• Makes treatment more complicated (CBT has been used effectively to treat learned sleep disorders)
• Debates
– Nomothetic
• Tries to apply same rule to everyone
– Hermeneutic
• Makes assumptions rather than having clear evidence
Sleep Disorders - Narcolepsy
• Characterised by
– Excessive daytime sleepiness
• Sufferers fall rapidly into sleep episodes of 10-20mins several times a day
– Associated with Cataplexy (sudden loss of muscle tone causing collapse even if awake)
• Co-morbidity
– Hypnogogic hallucinations (auditory and visual) occur before/after sleep
– Sleep paralysis occurs on waking for small time period
– Polysomnography shows sufferers move directly into REM, no NREM
• Abnormalities in REM control mechanisms (explanation)
– Sleep paralysis occurs in REM, could explain Cataplexy and paralysis on waking
– Most dreams occur in REM, could explain hallucinations
• Potentially hypnogogic state in stage 1
– Don’t know cause of REM intruding on everyday life
– Lin - dogs
• Some pedigree dogs so inbred have greater chance of damage to gene on chromosome 12
• Causes reduction in hypocretin which has been correlated with narcolepsy
• Very loose correlation, no actual link
• Doesn’t show cause and effect
• Dogs have different chromosomes
– Overeem – humans
• People with narcolepsy have reduction of hypocretin producing neurons
• Explanations focus on HLA Complex Gene on chromosome 6 which controls immune system
• Patients with narcolepsy seem to have mutation in this gene, causes immune system to attack and destroy hypocretin neurons in brain
causing abnormalities in REM sleep
• Evaluation
– Individual differences
• Some people with mutation of HLA complex gene don’t develop narcolepsy
– Some sufferers don’t have mutation
• Only 30% concordance rate with MZ twins
• No treatment available though potential in one involving raising hypocretin levels (closer than insomnia)
• Debates
– Deterministic
• Chromosomes destroyed = narcolepsy, not everyone follows this pattern
• Nomothetic as trying to explain everyone as the same therefore need to take other factors into account
– Co-morbidity, environmental, developmental
– Reductionist
• Looked in-depth into hypocretin which allows for possible treatments
Sleep Disorders – Sleep Walking
• Characterised by
– Leaving bed while asleep, waking around as if awake
– Episodes quite short (few seconds to few minutes)
– Can carry out complex activities and be woken without danger (driving cars)
– No memory of activities
– Most common in childhood (30% 5-12yrs have occasional episodes)
• Explanations
– Psychodynamic
• Sleepwalkers acting out dreams
– But mostly occurs during NREM
• Don’t dream during NREM
– No evidence for crossover between stage 4 and 5
– No evidence for dreaming in stage 4
• Hermeneutic interpretation of observed facts
– Unsupported by families
– Genetic
• Sleepwalking runs in families
– 55% concordance rate in MZ twins (35% in DZ)
• Suggests genetic
– Would be 100% if only genetic
– Need to take other factors into account
– Brain development (Oliverio)
• More common in children so could be lack of brain development
– No direct evidence
• Adults still sleepwalk
– Really intelligent person could still sleepwalk
• Extremely correlational
– Brain arousal
• EEG’s during sleepwalking have combination of Delta waves (NREM sleep) and Beta waves (aroused waking state)
• Brain partially asleep, partially awake
• REM sleep behaviour disorder (RBD)
– Been responsible for violence, criminal acts, even murder
– Breedlove
• Rare cases of sleepwalking where sufferers do act out dreams
– Should be impossible and undermines understanding
– Culebras and Moore
• Could be from damage to Magnocellular Nucleus which normally causes sleep paralysis during REM sleep
• Legal issues
– Been used as defence in number of cases
• Very hard to get judge to accept it
• Normally family history of extreme sleepwalking required to submit as acceptable defence
• Debates
– Polysomnography
• Nothing causal about it

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AQA A2 Psychology Unit 3 - Bio-rhythms and Sleep

  • 1. A2 Psychology Unit 3 Bio-Rhythms and Sleep
  • 2. Types of Bio-Rhythms • Ultradian rhythms – More often than once a day – Sleep as separated into different stages • Circadian rhythms – Every 24 hours – Sleep/wake cycle, body temperature cycle • Infradian rhythms – Less often than once a day, more often than once a year – Menstrual cycle
  • 3. Sleep/Wake Cycle • Controlled by endogenous pacemakers but synchronised by exogenous zeitgebers • Siffre – Lived in cave for 6 months – No human interaction, sound or natural light – Researchers measured brain rhythms – Called each sleep/wake cycle 1 day – Sleep/wake cycle extended to 25 hours – Evaluation • Sleep/wake cycle controlled internally • Proves internal control and external synchronisation • Methodological issues – Man not woman, case study, no social interaction, we don’t live in caves, individual differences, measures biological factors – Very good control • Wever – Reviewed studies of people who spent long periods without exogenous zeitgebers – Sleep/wake cycles were 25 hours
  • 4. Menstrual Cycle • Good supporting research • Reinberg – Endogenous zeitgebers – Documented menstrual cycle of woman living in cave for 3 months • No exogenous zeitgebers – Menstrual cycle much shorter, sleep/wake cycle lengthened – Exogenous light cues could have effect on Infradian rhythms
  • 5. Control of Sleep/Wake Cycle • Main endogenous pacemaker for circadian rhythms is Suprachiasmatic Nucleus (just above the Optic Chiasm) • EP Protein Clock – 24/25 hr cycle result of protein synthesis – Cells of SCN produce protein for number of hours until level stops production and begins to drop – When level drops too low, protein produced again – Cycle generates bio-rhythm • EZ Light and Optic Chiasm – SCN able to directly detect light levels as above Optic Chiasm – Can then synchronise internal body clock so in sync with day/night cycle
  • 6. Control of Sleep/Wake Cycle • Interaction – SCN uses both cues to control s/w cycle • Via pineal gland – Once in 24 hour cycle SCN stimulates pineal gland to remove neurotransmitter serotonin and synthesise to melatonin • Makes us sleepy – When melatonin gets too high, SCN stops pineal gland • As levels drop, we start to wake up • Schochat – Sleep latency • When most likely to fall asleep – Sleep gate • Where you have enough melatonin to fall asleep – About 2 hours before s/w cycle melatonin synthesis
  • 7. Control of Sleep/Wake Cycle • Evidence – Morgan • Removed SCN from hamsters • Found they lost circadian rhythms • When SCN restored, rhythms restored – Miles • Man blind since birth had 24.9 hour circadian rhythm • EZ did not help (TV, clocks), had to use sedatives • Suggests light is dominant EZ • Debates – Reductionist • Lots of research for Melatonin so helped in treatments for insomnia • Massively overly-simplistic
  • 8. Disrupting Bio-Rhythms – Jet Lag • When internal is different to external • Phase delay (East to West) – Longer day, easier to cope with – Delay bedtime • Phase advance (West to East) – Shorter day, harder to cope with – Advance bedtime • Evidence – Schwartz • Results of baseball games • Teams travelling from West to East had fewer wins • Phase advance caused drop in performance • Debates – Is impact scientifically supportable • Lots of variables that could affect it besides travelling through time zones • All correlational • No controls • Any research looses aspect of natural sleep – Is research into treatment scientific • Don’t really understand many factors involved • Can’t ask people when unconscious/asleep
  • 9. Disrupting Bio-Rhythms – Shift Work • Chernobyl and Three Mile Island happened between 1 and 4am • Monk and Folkard – Rapidly rotating shift work (better) • Workers only do couple of shifts before changing to new pattern – Slowly rotating shift work (social isolation) • Not changed regularly (no more often than every week or month – or less often) • Cause issues when changing back – Lack of daylight, social withdrawal • Hawkins – Takes individuals about 1 week to change circadian rhythms – Rapidly rotating = s/w cycle always out of sync • Dawson and Campbell – Exposed shift workers to 4 hours very bright light – Helped circadian rhythms change quicker • Debates – Deterministic • All people who do shift work will have bad effect • Individual differences
  • 10. Nature of Sleep - Stages • Stage 1, falling asleep, 15 mins – Hypnogogic state • Hallucinations (only in stage 1) – Myaclonic jerk • Brain processing movement when there is none – Brainwaves slow from Alpha to irregular Theta – Heart rate slows, muscles relax • Stage 2, 20 mins – 5/10 mins – Theta continue to slow – Have sleep spindles and K-complexes – Heart rate, blood pressure and body temp continue falling • Stage 3, 15 mins – Theta slow to Delta – Fewer spindle and K-complexes – Same as stage 2 • Stage 4, growth hormone, deepest sleep, 30-40 mins – Slowest brainwaves – Growth hormone secreted – Metabolic rate slowest – Very hard to wake up – Sleepwalking/talking most likely to occur • Stage 5, paradoxical sleep, dreaming sleep, 10-15 mins – After quickly going back through stages 3 and 2 – Brainwaves rapidly speed up and become irregular and complex – Brains oxygen and glucose demands increase – Physically least active (paralysed) but brain most active • Always tested in lab so artificial with low ecological validity
  • 11. Nature of Sleep – Life Span Changes • Sleep could be restoration and development of body – Infants would need more stage 4 sleep • Recover from days of growth and learning • Zimbardo – Babies spend more time in REM than adults – Sleep adaptive • Increased chance of survival • Less chance of being hunted • Health impacts – Van Cauter • Reduction in stage 4 sleep = drop off in growth hormone after 47 • Reduction in muscle mass/ability to exercise • Develop tendency to become obese – Increase of daytime napping in older adults positively correlated with depression
  • 12. Functions of Sleep – Evolutionary Theory • Adaptive advantage – Prey = to hide – Predator = to conserve energy • Meddis – to remain hidden – Prey animals can’t see predators at night – Staying still (sleeping) could be an advantage – Sleep provides prey with time where they are still and less likely to be seen – Prey should only sleep at night and predators not at all • Not true though • Siegel – to conserve energy – May be adaptive as conserves energy • Especially for small/newborn mammals with high metabolism • Predators who need to use lots of energy to catch food • Doesn’t apply to animals like gorillas and lions • Evaluation – Little or no empirical evidence to support – Prey remaining hidden from predators also has worrying anecdotal contradictions – Alison and Cicchetti • Herd animals spend very little time sleeping • Need to eat all the time as vegetation provides very little energy – Empson • Sleep is universal with animals – Even with successful predators who shouldn’t have to waste time sleeping – Horne • Different reasons for different species so universal theory is pointless • Debates – Evolutionary advantage is being able to sleep in their environment, not sleep itself • Vast ideographic differences in how they sleep – Overly nomothetic • Trying to come up with a theory and apply it universally • Need to look more ideographically • Only thing you can state nomothetically is that all animals sleep – Overly simplistic
  • 13. Functions of Sleep – Restoration Theory • Allows for physical and mental recovery • Oswald – NREM restores bodily functions – REM restores brain processes • Babies spend half time sleeping (18hrs) in REM – Double adults • Bloch – rats in complex mazes – Learning complex tasks “tire” brain using neurochemicals – Rats performing complex activities had more REM sleep • Jouvet – Cats on upturned pots in water – Stopped going into REM sleep showed high levels of stress then died – No REM = no life so essential to live • Evaluation – Though REM obviously important, if restoration was only purpose we would expect consistent effects from strenuous activities and sleep deprivation (no consistency) – Pilleri • River dolphins sleep seconds at a time over 24hrs to avoid debris and drowning • Doesn’t allow much time for restoration – Shapiro • Marathon runners didn’t need more sleep to recover from their strenuous physical activity • Debates – Overly simplistic • Says we only need sleep to restore – Deterministic/overly nomothetic • States all animals only sleep to restore • Too many exceptions to the rule
  • 14. Sleep Disorders - Insomnia• Characterised by – Sleep onset latency more than 30mins • Time taken to fall asleep – Sleep efficiency less than 85% • Time in bed actually asleep – Several night time awakenings • Riemann – primary insomnia (explanation) – Occurs when no obvious cause – Due to largely innate biological mechanisms of sleep • Inherited imbalance of body clocks and neural mechanisms could explain it – Due to chronic physiological arousal – Heart rate and high levels of Cortisol found in people with primary insomnia • May be from environment • Secondary insomnia (explanation) – Clear causes (medical to psychological) of disorder (not seen as true insomnia) – Medical • Asthma, Parkinson’s disease, heart failure – Psychological • Depression, anxiety, OCD, Posttraumatic Stress Disorder – Parasomnias • Events that disrupt sleep but not cause daytime sleepiness – Restless Leg Syndrome, Sleep Apnoea • Lichstein – problems diagnosing secondary – Hard to diagnose if result of cause of disorder – Is depression cause or effect of insomnia – Evidence that can go either way – Some “secondary insomnia” with depression could be primary in disguise • Problems researching – Sleep state misperception • Many people claim to have disrupted sleep but actually have normal patterns (suggests mental rather than physical issue) – Self help strategies (drugs/alcohol) make sleep harder to achieve, causes learned sleep disorder • Makes treatment more complicated (CBT has been used effectively to treat learned sleep disorders) • Debates – Nomothetic • Tries to apply same rule to everyone – Hermeneutic • Makes assumptions rather than having clear evidence
  • 15. Sleep Disorders - Narcolepsy • Characterised by – Excessive daytime sleepiness • Sufferers fall rapidly into sleep episodes of 10-20mins several times a day – Associated with Cataplexy (sudden loss of muscle tone causing collapse even if awake) • Co-morbidity – Hypnogogic hallucinations (auditory and visual) occur before/after sleep – Sleep paralysis occurs on waking for small time period – Polysomnography shows sufferers move directly into REM, no NREM • Abnormalities in REM control mechanisms (explanation) – Sleep paralysis occurs in REM, could explain Cataplexy and paralysis on waking – Most dreams occur in REM, could explain hallucinations • Potentially hypnogogic state in stage 1 – Don’t know cause of REM intruding on everyday life – Lin - dogs • Some pedigree dogs so inbred have greater chance of damage to gene on chromosome 12 • Causes reduction in hypocretin which has been correlated with narcolepsy • Very loose correlation, no actual link • Doesn’t show cause and effect • Dogs have different chromosomes – Overeem – humans • People with narcolepsy have reduction of hypocretin producing neurons • Explanations focus on HLA Complex Gene on chromosome 6 which controls immune system • Patients with narcolepsy seem to have mutation in this gene, causes immune system to attack and destroy hypocretin neurons in brain causing abnormalities in REM sleep • Evaluation – Individual differences • Some people with mutation of HLA complex gene don’t develop narcolepsy – Some sufferers don’t have mutation • Only 30% concordance rate with MZ twins • No treatment available though potential in one involving raising hypocretin levels (closer than insomnia) • Debates – Deterministic • Chromosomes destroyed = narcolepsy, not everyone follows this pattern • Nomothetic as trying to explain everyone as the same therefore need to take other factors into account – Co-morbidity, environmental, developmental – Reductionist • Looked in-depth into hypocretin which allows for possible treatments
  • 16. Sleep Disorders – Sleep Walking • Characterised by – Leaving bed while asleep, waking around as if awake – Episodes quite short (few seconds to few minutes) – Can carry out complex activities and be woken without danger (driving cars) – No memory of activities – Most common in childhood (30% 5-12yrs have occasional episodes) • Explanations – Psychodynamic • Sleepwalkers acting out dreams – But mostly occurs during NREM • Don’t dream during NREM – No evidence for crossover between stage 4 and 5 – No evidence for dreaming in stage 4 • Hermeneutic interpretation of observed facts – Unsupported by families – Genetic • Sleepwalking runs in families – 55% concordance rate in MZ twins (35% in DZ) • Suggests genetic – Would be 100% if only genetic – Need to take other factors into account – Brain development (Oliverio) • More common in children so could be lack of brain development – No direct evidence • Adults still sleepwalk – Really intelligent person could still sleepwalk • Extremely correlational – Brain arousal • EEG’s during sleepwalking have combination of Delta waves (NREM sleep) and Beta waves (aroused waking state) • Brain partially asleep, partially awake • REM sleep behaviour disorder (RBD) – Been responsible for violence, criminal acts, even murder – Breedlove • Rare cases of sleepwalking where sufferers do act out dreams – Should be impossible and undermines understanding – Culebras and Moore • Could be from damage to Magnocellular Nucleus which normally causes sleep paralysis during REM sleep • Legal issues – Been used as defence in number of cases • Very hard to get judge to accept it • Normally family history of extreme sleepwalking required to submit as acceptable defence • Debates – Polysomnography • Nothing causal about it