Hypnagogia is the transitional state from wakefulness to sleep, also defined as the waning state of consciousness during the onset of sleep. Its corresponding state is hypnopompia—sleep to wakefulness. Mental phenomena that may occur during this "threshold consciousness" include hallucinations, lucid dreaming, and sleep paralysis.
Etymology In 1848, Alfred Maury introduced the term "hypnagogic" from the Greek words ύπνος (hypnos), meaning "sleep", and αγωγός (agōgos), meaning "conductor" or "leader". Later, in 1904, Frederic Myers coined the term "hypnopompic", with its word-ending originating from the Greek word πομπός ("pompos"), meaning "sender".
Definitions The word hypnagogia is sometimes used in a restricted sense to refer to the onset of sleep, and contrasted with hypnopompia, Frederic Myers's term for waking up. However, hypnagogia is also regularly employed in a more general sense that covers both falling asleep and waking up. Indeed, it is not always possible in practice to assign a particular episode of any given phenomenon to one or the other, given that the same kinds of experience may occur in both as people drift in and out of sleep. Other terms for hypnagogia, in one or both senses, that have been proposed include "presomnal" or "anthypnic sensations", "visions of half-sleep", "oneiragogic images" and "phantasmata", "the borderland of sleep", "praedormitium", "borderland state", "half-dream state", "pre-dream condition", "sleep onset dreams", "dreamlets", and "wakefulness-sleep transition" (WST). Threshold consciousness (commonly called "half-asleep" or "half-awake", or "mind awake body asleep") describes the same mental state of someone who is moving towards sleep or wakefulness but has not yet completed the transition. Such transitions are usually brief but can be extended by sleep disturbance or deliberate induction, for example during meditation.
Signs and symptoms Transition to and from sleep may be attended by a wide variety of sensory experiences. These can occur in any form, individually or combined, and range from the vague and barely perceptible to vivid hallucinations.
Sights Among the more commonly reported at about 86%, and the most thoroughly researched, sensory features of hypnagogia are phosphenes which can manifest as seemingly random speckles, lines or geometrical patterns, including form constants, or as figurative (representational) images. They may be monochromatic or richly coloured, still or moving, flat or three-dimensional (offering an impression of perspective). Imagery representing movement through tunnels of light is also reported. Individual images are typically fleeting and given to very rapid changes. They are said to differ from dreams proper in that hypnagogic imagery is usually static and lacking in narrative content, although others understand the state rather as a gradual transition from hypnagogia to fragmentary dreams, i.e., from simple Eigenlicht to whole imagined scenes. Descriptions of exceptionally vivid and elaborate hypnagogic visuals can be found in the work of Marie-Jean-Léon, Marquis d'Hervey de Saint Denys.
Tetris effect People who have spent a long time at some repetitive activity before sleep, in particular one that is new to them, may find that it dominates their imagery as they grow drowsy, a tendency dubbed the Tetris effect. This effect has even been observed in amnesiacs who otherwise have no memory of the original activity. When the activity involves moving objects, as in the video game Tetris, the corresponding hypnagogic images tend to be perceived as moving. The Tetris effect is not confined to visual imagery but can manifest in other modalities. For example, Robert Stickgold recounts having experienced the touch of rocks while falling asleep after mountain climbing. This can also occur to people who have travelled on a small boat in rough seas or have been swimming through waves, shortly before going to bed, and they feel the waves as they drift to sleep, or people who have spent the day skiing who continue to "feel snow" under their feet. People who have spent considerable time jumping on a trampoline will find that they can feel the up-and-down motion before they go to sleep. New employees working stressful and demanding jobs often report feeling the experience of performing work-related tasks in this period before sleep.
Sounds Hypnagogic hallucinations are often auditory or have an auditory component. Like the visuals, hypnagogic sounds vary in intensity from faint impressions to loud noises, like knocking and crashes and bangs (exploding head syndrome). People may imagine their own name called, crumpling bags, white noise, or a doorbell ringing. Snatches of imagined speech are common. While typically nonsensical and fragmented, these speech events can occasionally strike the individual as apt comments on – or summations of – their thoughts at the time. They often contain word play, neologisms and made-up names. Hypnagogic speech may manifest as the subject's own "inner voice", or as the voices of others: familiar people or strangers. More rarely, poetry or music is heard. 8-36% of hypnagogic hallucinations are auditory, making up a small number of cases.
Other sensations Gustatory, olfactory and thermal sensations in hypnagogia have all been reported, as well as tactile sensations (including those kinds classed as paresthesia or formication). Many people with synesthesia report seeing a flash of light or some other visual image in response to a real sound. Proprioceptive and somatic effects may be noticed, with numbness and changes in perceived body size and proportions, feelings of floating or bobbing as if their bed were a boat, and out-of-body experiences. Perhaps the most common experience of this kind is the falling sensation, and associated hypnic jerk, encountered by many people, at least occasionally, while drifting off to sleep. 25–44% of hallucinations are somatic.
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