PART I. Medical 1

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Nervous and Mental Disease Monograph Series No. 31

SLEEP WALKING AND MOON WALKING

A MEDICO-LITERARY STUDY

BY

DR. J. SADGER

VIENNA

TRANSLATED BY

LOUISE BRINK

NEW YORK AND WASHINGTON

NERVOUS AND MENTAL DISEASE PUBLISHING

COMPANY

1920

NERVOUS AND MENTAL DISEASE

MONOGRAPH SERIES

Edited by

Drs. SMITH ELY JELLIFFE and WM. A. WHITE

Numbers Issued

1. Outlines of Psychiatry. (7th Edition.) $3.00. By Dr. William A.

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Copyright, 1920, by

NERVOUS AND MENTAL DISEASE PUBLISHING COMPANY

3617 10th St. N. W., Washington, D. C.

CONTENTS

Translator's Preface v

Introduction vii

PART I. Medical 1

PART II. Literary Section 45

Conclusion and Résumé 137

Index 139

TRANSLATOR'S PREFACE

Psychoanalysis holds a key to the problem of sleep walking, which alone

has been able to unlock the mysteries of its causes and its

significance. This key is the principle of wish fulfilment, an

interpretative principle which explains the mechanisms of the psyche and

illuminates the mental content which underlies these. Sleep walking as a

method of wish fulfilment evidently lies close to the dream life, which

has become known through psychoanalysis. Most of us when we dream,

according to the words of Protagoras, "lie still, and do not stir." In

some persons there is however a special tendency to motor activity, in

itself a symptomatic manifestation, which necessitates the carrying out

of the dream wish through walking in the sleep. The existence of this

fact, together with the evidence of an influence of the shining of the

moon upon this tendency to sleep walking, give rise to certain questions

of importance to medical psychology. The author of this book has pursued

these questions in relation to cases which have come to him for

psychoanalysis, in the investigation of actual records of sleep walking

given in literature and in the study of rare instances where it has been

made the subject of a literary production or at least an episode in tale

or drama. In each case the association with moonlight or some other

light has been a distinct feature.

The author's application of psychoanalysis to these problems has the

directness and explicitness which we are accustomed to find in Freud's

own writings. This is as true in the literary portion of the work as in

the medical but it never intrudes to mar the intrinsic beauty of certain

of the selections nor the force of the intuitive revelations which the

writers of the preceding science have made in regard to sleep walking

and walking in the moonlight. Sadger has skilfully utilized these

revelations to convince us of the truth of the psychoanalytic

discoveries and has used the latter only to make still more explicitly

and scientifically clear the testimony of the poetic writers and to

point out the applicability of their material to medical problems. The

choice of this little understood and little studied subject and its

skilful presentation on the part of the author, as well as the

introduction to the reader of the literary productions of which use has

been made, give the book a peculiar interest and value. It is also of

especial service in its brief but profoundly suggestive study of the

psychic background of Shakespeare's creative work as illustrated in the

sleep walking of Lady Macbeth. The endeavor in the translation has been

to make accessible to our English readers the clear and direct

psychoanalysis of the author and the peculiar psychologic and literary

value of the book.

INTRODUCTION[1]

[1] Über Nachtwandeln und Mondsucht. Eine medizinisch-literarische

Studie, von Dr. J. Sadger, Nervenarzt in Wien; Schriften zur

angewandten Seelenkunde, Herausgegeben von Prof. Dr. Sigm. Freud,

Sechzehntes Heft, Leipzig und Wien, Franz Deuticke, 1914.

Sleep walking or night wandering, known also by its Latin name of

noctambulism, is a well-known phenomenon. Somnambulism is not so good a

term for it, since that signifies too many things. In sleep walking a

person rises from his bed in the night, apparently asleep, walks around

with closed or half opened eyes, but without perceiving anything, yet

performs all sorts of apparently purposeful and often quite complicated

actions and gives correct answers to questions, without afterward the

least knowledge of what he has said or done. If this all happens at the

very time and under the influence of the full moon, it is spoken of as

moon walking or being moonstruck.

Under the influence of this heavenly body the moonstruck individual is

actually enticed from his bed, often gazes fixedly at the moon, stands

at the window or climbs out of it, "with the surefootedness of the sleep

walker," climbs up upon the roof and walks about there or, without

stumbling, goes into the open. In short, he carries out all sorts of

complex actions. Only it would be dangerous to call the wanderer by

name, for then he would not only waken where he was, but he would

collapse frequently and fall headlong with fright if he found himself on

a height.

Besides there is absolute amnesia succeeding this. Upon persistent

questioning there is an attempt to fill in the gaps in memory by

confabulation, like the effort to explain posthypnotic action.

Furthermore, it is asserted that a specially deep sleep always ushers in

night wandering, that indeed the latter in general is only possible in

this condition. It is more frequent with children up to puberty and

throughout that period than with adults. At the same time the first

outbreak of sleep walking occurs often at the first appearance of sexual

maturity. According to a widespread folk belief sleep walking will cease

in a girl when she becomes pregnant with her first child.

It seems to me that practically no scientific treatment of this problem

exists. Modern psychiatry, so far as it takes a sort of general notice

of it, contents itself, as Krafft-Ebing does, with calling night

wandering "a nervous disease," "apparently a symptomatic manifestation

of other neuroses, epilepsy, hysteria, status nervosus."[2] The older

literature is more explicit. It produces not only a full casuistic but

seeks to give some explanation aside from a reference to neurology.[3]

So, for example, the safety in climbing upon dangerous places finds this

explanation, that the sleep walker goes there with closed eyes and in

this way does not see the danger, knows no giddiness and above all is in

possession of a specially keen muscular sense.

[2] Lehrbuch der gerichtlichen Psychopathologie.

[3] I introduce as the most important sources Peter Jessen: "Versuch

einer wissenschaftlichen Begründung der Psychologie," Berlin, 1855

(with many examples); Heinrich Spitta: "Die Schlaf- und Traumzustände

der menschlichen Seele," 2d edition, 1882 (with abundant casuistic and

literature); finally based upon these L. Löwenfeld: "Somnambulismus

und Spiritismus," Grenzfragen des Nerven- und Seelenlebens, Vol. I,

1900.

The phenomena of sleep walking and moon walking must be acknowledged, as

far as I can see, almost entirely as pathological yet connected or

identical with analogous manifestations of normal profound sleep. The

dreams in such sleep, in contrast with those of light sleep, are

characterized by movements. These often amount merely to speaking out,

laughing, weeping, smacking, throwing oneself about and so on, or

occasionally to complicated actions, which begin with leaving the bed.

Further comparison shows the night wandering as symptomatically similar

to hysterical and hypnotic somnambulism. This interpretation might be

objected to upon the ground that unfortunately we know nothing of the

origin of the motor phenomena of the dream and that understanding of the

hysterical and hypnotic somnambulism is deplorably lacking. Still less

has science to say about the influence of the moon upon night wandering.

The authors extricate themselves from the difficulty by simply denying

its influence. They bring forward as their chief argument for this that

many sleep walkers are subject to their attacks as frequently in dark as

in moonlight nights and when sleeping in rooms into which no beam of

moonlight can penetrate. Spitta indeed explains it thus: "The much

discussed and romantically treated 'moon walking' is a legend which

stands in contradiction to hitherto observed facts. That the phantasy of

the German folk mind drew to itself the pale ghostly light of the moon

and could reckon from it all sorts of wonderful things, proves nothing

to us." I can only say here that ten negative cases signify nothing in

the face of a single positive one and a thousand-fold experience

undoubtedly represents a certain connection between the light of the

full moon and the most complicated forms of sleep walking.

Not merely does science avoid these things on account of their

strangeness, but also the poets best informed in the things of the soul,

whom the problems of night wandering and moon walking should stimulate.

From the entire province of artistic literature I can mention only

Shakespeare's "Macbeth," Kleist's "Prinz von Homburg," the novel "Maria"

by Otto Ludwig, "Das Sündkind" by Anzengruber, "Jörn Uhl" by Gustav

Frenssen and "Aebelö" by Sophus Michaelis.[4] Finally Ludwig Ganghofer

has briefly sketched his own sleep walking in his autobiographical

"Lebenslauf eines Optimisten," and Ludwig Tieck has given unrestrained

expression to his passionate love toward this heavenly body in different

portions of his works.

[4] The text of Bellini's "Nachtwandlerin" could hardly be called

literature, nor Theodor Mundt's fabulous novel, "Lebensmagie,

Wirklichkeit und Traum." The latter I will mention later in the text.

Only in "Maria" and in "Aebelö" however do these themes play an

important part, while in the other works mentioned they serve properly

only as adornment and episodic ornament. I am not able to explain this

unusual restraint, unless we accept the fact that our best poets shrink

from touching upon questions which they themselves can so little

understand.

It has been expected that the psychoanalytic method, which casts such

light upon the unconscious, might do much to advance the understanding

of the problems of sleep walking and moon walking. But unfortunately no

one undergoes such an expensive and time-consuming treatment as

psychoanalysis for moon walking, so that the hoped for illumination can

come at the best only as a by-product in the psychoanalysis of

neurotics. That has in fact been my good fortune twice, where I have

been able to lift the curtain, though only a little, in two cases among

my patients and also in individuals who were otherwise healthy. What I

discovered there, I will relate in detail in what follows.

One point of view I will first set forth. Two questions appear to me to

stand out among those closely bound with our theme. First on the motor

side. Why does not the sleep walker, who is enjoying apparently a

specially deep slumber, sleep on quietly and work out the complexes of

his unconscious somehow in a dream, even though with speech or movement

there? Why instead is he urged forth and driven to wander about and

engage in all sorts of complicated acts? It is one of the most important

functions of the dream to prolong sleep quietly. And then in the second

place, What value and significance must be attributed to the moon and

its light? These two chief questions must be answered by any theory that

would do justice to the question of sleep walking and moon walking.

Sleep Walking and Moon Walking: A Medico-Literary Study · 第 1 / 5 章