Seemingly the most natural and necessary of pursuits, a good
night's sleep eludes a remarkable number of people -- up to 50
percent of the general population, according to studies, while 10
to 15 percent suffer from severe or chronic sleep disorders.
Because the causes and nature of sleeplessness are so many and
varied -- and often as elusive as sleep itself -- the diagnosis and
treatment require a flexible, multifaceted approach -- and this is
precisely what David N. Neubauer lays out in Understanding
Sleeplessness.
Building on the "four perspectives" conceptualized by McHugh and
Slavney in The Perspectives of Psychiatry, Neubauer offers a
much-needed explanation of the diverse ways of understanding what
insomnia is and what should be done about it. He begins by
surveying what is currently known about the mechanisms of "normal
sleep" and, in this light, describing the problems of defining,
assessing, and measuring insomnia. Drawing examples from patients
studied at the Johns Hopkins Sleep Disorders Center, Neubauer then
applies each of the four perspectives -- diseases, dimensions,
behaviors, life stories -- to the varied kinds and degrees of
sleeplessness. Finally, calling on the full range of perspectives
on insomnia, he outlines an integrated approach to evaluation and
treatment. His work will be of great interest and value to those
who study and treat sleeplessness and to those who wish to
understand this widespread and vexing problem.
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