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February 2002

HOLISTIC SLEEP:
BEATING INSOMNIA WITH COMMONSENSE,
MEDICAL, AND NEW AGE TECHNIQUES

Francis B. Buda, MD
New York: Citadel Press, 2000
256 pages, paperback, $14.95
ISBN: 0-8065-2105-8

Reviewed by Lynne Lamberg

"No one but you can solve your sleep problems. It starts with good sleep habits, a healthy lifestyle, and a belief in your own ability to take charge of your life."

The same pronouncement applies to excessive consumption of food, alcohol, cigarettes, television...in short, almost any habitual human activity. If people heeded such advice, they might improve their lives. But most struggle mightily with behavioral change.

Why is that, and what can help motivate people to start and stick with a helpful regimen? Francis Buda, a sleep specialist practicing in Atlanta, Georgia, reminds readers that sleep problems that developed over weeks and months seldom respond to quick fixes. To ward off discouragement, he calls for a commitment of at least two weeks to efforts to embark on new routines.

In this book he covers the usual bases, describing normal sleep states and stages, sleep over the lifetime, common sleep disorders, and mental and physical illnesses that undermine sleep. He advocates exercise and sleep rituals, such as reading for relaxation at bedtime. Numerous conversationally-written case histories may help readers examine their own lives and try out possible solutions.

Buda ventures onto scientifically shaky ground when he offers diet advice. His "perfect soporific supper" includes turkey for its high tryptophan content, and chamomile tea, a putative relaxant. It's a big stretch to suggest that adding fennel seed to salad dressing will improve a diner's slumber hours later.

Even more "new age," Buda devotes several pages to Feng Shui, the Chinese philosophy of household design. He includes drawings to show where to place the bed. He even cautions against using sheets "bold in color or pattern." This sort of unscientific advice, delivered in the same even-handed manner as appropriate cautions against using alcohol or melatonin as sleep aids, detract from what otherwise is a straightforward guide.


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