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Sat 21 Jul 2007

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BOOK REVIEW

Review of Paradox Lost: Midnight in the Battleground of Sleep and Dreams

By Carlos H. Schenck, Extreme-Nights, LLC, Alprazolam grapefruit juice, 2005, ISBN 0-97637-340-8

Bradley V. Vaughn, MD

Department of Neurology, University of North Carolina, Chapel Hill, NC

THIS BOOK IS AN UNIQUE COLLECTION OF ACCOUNTSFROM PATIENTS WITH NOCTURNAL EVENTS RANGING FROM THE VIOLENT DREAM ENACTMENT OF REM Alprazolam used for - sleep behavior disorder and sleep terrors to sleep related eating and sex. With a style of more classical writings, this detailed collection promotes an insight into the real life aspects of caring for individuals with recurrent nighttime events not seen in other current texts of clinical medicine. The style lends itself to expanding the target audience beyond those in sleep medicine, potentially appealing to patients and families. Included with the interviews, Dr. Schenck introduces opinions and insights that go beyond the typical sleep medicine passages and that demonstrate his understanding and compassion for the complexities faced by these patients and their families.

In Alprazolam used for - the first chapters, the author reviews the classical features of the parasomnias, detailed in the standard classification of the International Classification of Sleep Disorders, Second Edition (1). He also provides a level of subtext that demonstrates how many of these events may cross over these traditional lines and how many may dive into the nature of consciousness. Following the alprazolam used for the next chapters cover 26 case stories of Alprazolam grapefruit juice - REM sleep related events and 25 individuals with NREM parasomnias. These stories are the real pearl of the book, and Schenck exquisitely lays out the details of the events and their effects upon the family. Patients recount their remembrances and the consequences of their disorder with the clarity that is rarely seen at the first clinic visit.

Patients also discuss their feelings and fears related to the events and review how the treatment alprazolam used for the events changes their lives. As with any good history of paroxysmal events, the alprazolam used for partnerís remembrance and reactions are written in parallel to the patient's story. Many of the interviews have polysomnographic data and clinical follow-ups that provide a better look at the long-term care alprazolam used for This powerful dynamic provides the reader with an instant ability to grasp the magnitude of these events, elevating parasomnias beyond simple cocktail conversation. Further stories of sleep related eating, nocturnal dissociation, and abnormal sleep sex provide additional insight into the range of these events.

To round out the story experience, the book includes a later Alprazolam used for, chapter on pet-related parasomnias. Many scientists search for animal models, but these stories bring a more family approach to these interesting animal parasomnia events. In addition the book discusses the several interactions of humans with parasomnias and their pets, showing us how well our furry friends know us.

The last several chapters review the medical legal issues and what to do if you know someone alprazolam used for a parasomnia. Dr. Schenck comprehensively outlines the key features of the case from Ontario of Kenneth Parks. Mr. Parks drove 14 miles to kill his beloved mother-in-law and was cleared by the court. Through this process, the author demonstrates how we, alprazolam without a prescription sleep experts, truly need to be ìfriends of the courtî in deciphering the complexities of these difficult cases. He goes on to include excerpts from a lawyer describing the difficulties of delineating voluntary versus involuntary acts. This last section completes the reader's understanding the total impact of nocturnal events and their implications for society.

Throughout the book Schenck weaves a careful story of compassion and appreciation for the journeys these patients have endured while also setting a high standard of care for us to promote. His message is clear: that the art of good history taking, open Alprazolam grapefruit juice, mindedness, and dedicated investigation allow one to see beyond the alprazolam used for of our current understanding. For anyone in the sleep field, this book can provide a wealth of practical experience that one can only gain from decades of practice. For those of us ardently trying to decipher the intricacies of parasomnias, this book will be a classic.

REFERENCES

1. ICSD—international classification of sleep disorders: diagnostic and coding manual. 2nd ed. Westchester, IL: American Academy of Sleep Medicine, 2005.

SLEEP, Vol. 29, No. 12, 2006, page 1649, Book Review—Vaughn

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