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October 2001

THE ENCYCLOPEDIA OF SLEEP AND SLEEP DISORDERS
Michael J. Thorpy, MD, and Jan Yager, PhD
New York: Facts on File, Inc., Second Edition, 2001
352 pages, hardcover, $66
ISBN: 0-8160-4089-3

Reviewed by Lynne Lamberg

Like most encyclopedias, this one-volume work invites casual browsing as well as serious research. It is a second and much expanded version of a book first published in 1991.

Browsers will find curious facts to drop into conversation or enliven a talk or paper: Charles Darwin reportedly wrote Origin of Species while lying in bed. Benjamin Franklin allegedly had four beds in his bedroom, so as to enjoy slipping into a fresh bed when he awakened in the night. Louis XIV of France used to hold court from his posh bed.

Along the way, browsers will learn useful facts about sleep: Sleeping in a strange bed, no matter how luxurious, almost always is discomforting. Playing tape recordings while you sleep won't help you learn new information. Studying right before you go to sleep, though, may help you remember facts better. Going to bed late on Friday and Saturday nights makes it hard to fall asleep at your usual time on Sunday. This experience often induces Monday morning blues.

While most entries in the book are succinct, sleep disorders appropriately get more substantive coverage. Mini-reviews discuss causes and outline treatments. The authors, Michael Thorpy, director of the Sleep-Wake Disorders Center at Montefiore Medical Center in Bronx, New York, and Jan Yager, a medical sociologist and veteran reporter, thus provide a useful service to people with newly diagnosed sleep disorders and their families.

Several sections of the book explore insomnia, the most common sleep complaint. In a guest essay, Arthur Spielman, PhD, of the City College of New York, and colleagues review psychology and sleep, highlighting the interdependence of sleep and waking states. They discuss the vicious cycle that occurs when sleepless nights prompt anxious days and lead to self-fulfilling fears of poor sleep the next night.

The alphabetic entry for insomnia describes the peculiarly subjective nature of this problem: some people who report sleeping poorly get a normal amount of sleep. When their sleep is monitored in the sleep laboratory, they may sleep without interruptions or disruptions.

Numerous cross references point readers to further information about psychological causes of insomnia, and about medical disorders that disturb sleep, such as disorders of breathing, limb movements, and neurological illnesses. The authors describe the appropriate use of sleeping pills and specific drugs in this category.
A case history describes a woman who suffers from insomnia for years. She receives a thorough diagnostic exam and a comprehensive treatment plan. Within two weeks, her sleep improves considerably, a fairly common occurrence. The book includes similar instructive case histories involving people with narcolepsy, obstructive sleep apnea, sleepwalking, and of advanced years.

The book's introductory essay likely will prove useful to students pursuing homework assignments. Thorpy reviews the history of sleep from ancient times to the present, covering such topics as sleep in the Bible, and the discovery of the biological clock. References aid further research.

The book has some curious oversights:

--"Sleep disorder specialist" is defined as "a physician (MD)...." The definition thus neglects physicians with a DO degree, as well as psychologists, nurses, and dentists.

--The entry for "Ambien" says "see hypnotics." Under the latter entry, this brand name does not appear. There is an entry for "zolpidem," describing it as "the most widely used hypnotic in the United States." Zolpidem is Ambien's generic name, though many readers likely will not know that. This entry runs only 4 lines, much fewer than those for less-used medications.

Despite such shortcomings, this book will be a useful addition to school and public libraries, and to libraries of sleep disorders centers. Insomniacs may even find the book soothing bedtime reading, as it offers the reassurance that much is known about sleep and that help for poor sleepers is widely available.


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