The Neurocritic: November 2018

Frontispiece from: Blicke in die Traum- und Geisterwelt (A look into the dream and spirit world), by Friedrich Voigt (1854).

What are you most afraid of? Not finding a permanent job? Getting a divorce and losing your family? Losing your funding? Not making this month's rent? Not having a roof over your head? Natural disasters? Nuclear war? Cancer? Having a loved one die of cancer?

FAILURE?

There are many types of specific phobias (snakes, spiders, heights, enclosed spaces, clowns, mirrors, etc.), but that's not what I'm talking about here.

What are you really afraid of? Death? Pain? A painful death?

Devils, demons, ghosts, witches, and other supernatural apparitions? This latter category (haunting, demon possession) is common among many cultures with religious or spiritual practices, and can evoke primal fear. As a former Catholic, I am still frightened by movies or TV shows that involve demonic possession, like American Horror Story: Asylum.

I used this show as an exemplar in a post about Possession Trance Disorder in DSM-5.

A fantastic long-form article by Nike Mariani has just appeared in The Atlantic. The author intermixes the individual case study of Louisa Muskovits with the history of exorcism and facts about its modern-day resurgence.

American Exorcism
Priests are fielding more requests than ever for help with demonic possession, and a centuries-old practice is finding new footing in the modern world.
. . .

The official exorcist for Indianapolis has received 1,700 requests so far in 2018.

Father Thomas said that as many as 80 percent of the people who come to him seeking an exorcism are sexual-abuse survivors.

Some abused children are subjected to such agonizing experiences that they adopt a coping mechanism in which they force themselves into a kind of out-of-body experience. As they mature, this extreme psychological measure develops into a disorder that may manifest unpredictably. “There is a high prevalence of childhood abuse of different kinds with dissociative disorders,” Roberto Lewis-Fernández, a Columbia University psychiatry professor who studies dissociation, told me.

This brings me to another topic I've been meaning to write about for weeks. Sleep paralysis is the terrifying condition of being half awake but unable to move (or speak or scream). It can feel like you're frozen in bed, aware of your surroundings yet completely paralyzed. This is because the complete muscle atonia typically experienced during REM sleep has oozed into lighter stages of non-REM sleep. Scary dream imagery can intrude while in this state, making it even worse.

A fascinating new paper covers interpretations of this frightening phenomenon across different cultures (Olunu et al., 2018). A common theme is being attacked, visited, or sat upon by supernatural beings, such as demons, witches, ghosts, and spirits.

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The eerie presences are called Jinn in Egypt, Kabus in Iran, Phi Um in Thailand, Old Hag in lots of places, and the especially horrifying Kokma in Saint Lucia, which are “attacks by dead spirits or unbaptized babies that jump into a body and squeeze the throat”. In Nigeria, believers in supernatural explanations exist alongside others who hold rational explanations:

Nigerians describe it as “visitation of an evil spirit, witches, or some form of spiritual attack.” Others have beliefs that it may be due to anxiety or emotions associated with family problems.

The Wikipedia page on the folklore of the night hag also has a pretty good listing.

Interestingly, sleep paralysis was considered as a partial explanation for “demonic possession” in the case of Louisa Muskovits (Atlantic):

Louisa seemed to vacillate between this unhinged state and her normal self. One minute she would snarl and bare her teeth, and the next she would beg for help. “It definitely had this appearance where she was fighting within herself,” Harp [her former therapist] told me.

. . .
[Another time] Louisa ... woke up abruptly, only to find her body locked in place—but with the added shock of what seemed to be visual hallucinations, including one of a giant spider crawling into her bedroom. Louisa was so jolted that she barely ate or slept for three days. “I didn’t feel safe,” she said. “I felt violated.”

. . .
Sleep paralysis seemed like a promising explanation. A phenomenon in which sufferers move too quickly in and out of rem sleep for the body to keep up, sleep paralysis causes a person’s mind to wake up before the body can shake off the effects of sleep. Hovering near full consciousness, the person can experience paralysis and hallucinations.

But Louisa didn’t think this could account for the hand on her collarbone, which she swore she’d felt while she was completely awake [oh of course it can account for this phenomenology!].