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MIT Encyclopedia of the Cognitive Sciences - Cryptome

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As a function <strong>of</strong> <strong>the</strong> circadian rhythm generated by <strong>the</strong><br />

suprachiasmatic nucleus <strong>of</strong> <strong>the</strong> hypothalamus, all vertebrate<br />

animals show prominent rest-activity cycles with an<br />

endogenous period <strong>of</strong> about one day. Corresponding to<br />

<strong>the</strong> increased complexity <strong>of</strong> <strong>the</strong> supervening thalamocortical<br />

brain and <strong>the</strong> greater sophistication <strong>of</strong> <strong>the</strong>ir <strong>the</strong>rmoregulatory<br />

capacity, <strong>the</strong> vertebrate mammals link active sleep<br />

control mechanisms in <strong>the</strong> lower brain stem to <strong>the</strong> circadian<br />

cycle. The result is a stereotyped sequence <strong>of</strong> events<br />

that is coordinated throughout <strong>the</strong> brain so as to alter<br />

every aspect <strong>of</strong> cognition in a dramatic and sometimes<br />

paradoxical fashion. The most surprising aspect <strong>of</strong> this<br />

automatic sequence <strong>of</strong> events is <strong>the</strong> regular recurrence <strong>of</strong><br />

periods <strong>of</strong> brain activation and rapid eye movement<br />

(REM) in sleep that is associated in humans with hallucinoid<br />

DREAMING.<br />

Waking, with all <strong>of</strong> its cognitive components, is an<br />

actively maintained brain state in which <strong>the</strong> thalamocortical<br />

circuitry is kept open and receptive to information<br />

from within and without by <strong>the</strong> depolarization <strong>of</strong> reticular<br />

thalamic neurons by cholinergic and aminergic modulatory<br />

elements <strong>of</strong> <strong>the</strong> brain stem. This activation, toge<strong>the</strong>r<br />

with its specific neuromodulatory effects, renders <strong>the</strong> forebrain<br />

capable <strong>of</strong> sensation, perception, ATTENTION, orientation,<br />

emotion, and stimulus evaluation in terms <strong>of</strong> past<br />

experience, and deliberate action. Whenever <strong>the</strong> brain<br />

stem neuromodulatory influence declines to a critical<br />

level, <strong>the</strong> thalamocortical system tends to oscillate, producing<br />

its own endogenous rhythm <strong>of</strong> electroencephalographic<br />

(EEG) spindles and slow waves which are incompatible<br />

with waking conscious experience because <strong>the</strong><br />

inputs to and outputs from <strong>the</strong> cortex are blocked and<br />

intracortical communication is preempted. <strong>Cognitive</strong> func-<br />

Sleep 773<br />

Figure 1. Sleep cycle schematic. The states <strong>of</strong><br />

waking, NREM, and REM sleep have behavioral,<br />

polygraphic, and psychological manifestations that<br />

are depicted here. In <strong>the</strong> behavioral channel,<br />

posture shifts—detectable by time-lapse<br />

photography or video—can be seen to occur during<br />

waking and in concert with phase changes <strong>of</strong> <strong>the</strong><br />

sleep cycle. Two different mechanisms account for<br />

sleep immobility: disfacilitation (during stages I–<br />

IV <strong>of</strong> NREM sleep) and inhibition (during REM<br />

sleep). In dreams, we imagine that we move, but we<br />

do not. The sequence <strong>of</strong> <strong>the</strong>se stages is<br />

schematically represented in <strong>the</strong> polygraph channel<br />

and sample tracings are also shown. Three<br />

variables are used to distinguish <strong>the</strong>se states: <strong>the</strong><br />

electromyogram (EMG), which is highest in<br />

waking, intermediate in NREM sleep, and lowest<br />

in REM sleep; and <strong>the</strong> electroencephalogram<br />

(EEG) and electrooculogram (EOG), which are<br />

both activated in waking and REM sleep, and<br />

inactivated in NREM sleep. Each sample record is<br />

about 20 sec long. O<strong>the</strong>r subjective and objective<br />

state variables are described in <strong>the</strong> three lower<br />

channels. (From J. A. Hobson and M. Steriade<br />

(1986), Neuronal basis <strong>of</strong> behavioral state control.<br />

In V. Mountcastle and F. E. Bloom, Eds.,<br />

Handbook <strong>of</strong> Physiology: The Nervous System.<br />

Vol. 4, pp. 701–823.)<br />

tion is thus progressively obtunded as this progressive<br />

brain deactivation proceeds in nocturnal sleep. This is<br />

reflected by <strong>the</strong> shift from stage I to stage IV <strong>of</strong> so-called<br />

non-REM (NREM) sleep from <strong>the</strong> depths <strong>of</strong> which human<br />

subjects are very difficult to rouse. Even when verbally<br />

responsive <strong>the</strong>y may <strong>the</strong>n show marked sleep inertia with<br />

persistent slow waves in <strong>the</strong> EEG and an inability to perform<br />

even trivially simple cognitive tasks such as serial<br />

seven subtraction. This sleep inertia process is greatest in<br />

<strong>the</strong> first two NREM cycles <strong>of</strong> <strong>the</strong> night and is intensified in<br />

postdeprivation recovery sleep.<br />

Recent POSITRON EMISSION TOMOGRAPHY (PET) studies<br />

<strong>of</strong> human NREM sleep have revealed decreased blood flow<br />

in <strong>the</strong> brain stem reticular formation, <strong>the</strong> subthalamus, and<br />

in frontal cortical regions denoting <strong>the</strong> massive deactivation<br />

<strong>of</strong> <strong>the</strong>se structures in NREM sleep. Animal studies fur<strong>the</strong>r<br />

confirm this deactivation process at <strong>the</strong> level <strong>of</strong> individual<br />

neurons, many <strong>of</strong> which decrease <strong>the</strong>ir rate <strong>of</strong> firing by as<br />

much as 50 percent. There is also a 50 percent decline in <strong>the</strong><br />

output <strong>of</strong> <strong>the</strong> wake state neuromodulatory chemicals acetylcholine,<br />

norepinephrine, and serotonin. It is for all <strong>the</strong>se reasons<br />

that <strong>the</strong> NREM sleeping brain is such a poor cognitive<br />

instrument and it is <strong>the</strong> carryover <strong>of</strong> <strong>the</strong>se effects into subsequent<br />

waking that so severely impairs problem-solving<br />

behavior upon arousal from deep NREM sleep. That this<br />

cognitive impairment may none<strong>the</strong>less be beneficial is suggested<br />

by <strong>the</strong> finding that complex DECISION MAKING is<br />

more efficient during waking that follows nights with uninterrupted<br />

NREM sleep.<br />

After sixty to seventy minutes <strong>of</strong> deep NREM sleep subjects<br />

show a reversal <strong>of</strong> <strong>the</strong>se oscillatory EEG patterns and<br />

<strong>the</strong> brain spontaneously reactivates. Toge<strong>the</strong>r with <strong>the</strong> EEG<br />

desynchronization is an activation <strong>of</strong> <strong>the</strong> upper brain’s

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