May/1998
THE ENCHANTED WORLD OF SLEEP
Peretz Lavie
(Translated by Anthony Berris. Yale University Press, 1996, 270 pages, hardcover, $27.50)

Reviewed by Lynne Lamberg

In his introduction, Lavie states his intention "to describe the incredible evolution of a new area of scientific inquiry, to which I was a privileged eyewitness." This he does admirably, offering the rich detail of 30 years as participant-observer in a field generally conceded to be a sleepy science until the discovery in the early 1950s that the brain often is as active in sleep as in wakefulness.

Unlike many who write autobiographies, Lavie, now dean of the faculty of medicine and head of the sleep laboratory at the Technion-Israel Institute of Technology in Haifa, generously acknowledges mentors and colleagues, offering insight into the collaborative process that spurs scientific advances.

During the Gulf War, he relates, 38 of the 39 Scud missile attacks on Israel occurred in the evening or at night. Fearing they would not hear the siren alerting them to an imminent attack, many people had trouble falling asleep. This problem diminished after Israel Radio, at the behest of psychiatrist Ehud Klein and Lavie, instituted a "silent channel" that broadcast only in the event of an attack. Surveys showed that more than half of the country's population went to bed with the radio tuned to this channel for the rest of the war.

Lavie also recorded sleep in both subjects' homes and his laboratory during the war, finding that despite having increased anxiety at bedtime, most people slept as well as usual. In one instance, 10 subjects were having their sleep monitored in his lab on nights that attacks took place. The technicians woke the subjects, helped them put on gas masks, led them to a sealed room until the all clear siren sounded, and then returned them to bed. The longest anyone took to fall back to sleep was only 12 minutes.

In another study, Lavie and researcher Hanna Kaminer found that well-adjusted Holocaust survivors managed to banish memories of their wartime experiences even from their dreams. Sleepers awakened from dreaming sleep in the sleep laboratory normally recall dreams about 80 percent of the time. The well-adjusted survivors, however, did so only about a third of the time. Survivors who had problems with work, family life, and health slept more fitfully and often dreamed they were in danger or even back in the concentration camp.

Lavie's book includes photographs of noted sleep researchers along with illustrations of sleep cycles and sleep records. It also includes 15 pages of references and an index.


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