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article. The immobility produced by other paralyzing diseases—or even splints and casts<br />

for broken bones—may likewise provoke hallucinations. Most commonly these are<br />

corporeal hallucinations, in which limbs may seem to be absent, distorted, misaligned,<br />

or multiplied; but voices, visual hallucinations, and even full-blown psychoses have been<br />

reported, too. I saw this especially with my postencephalitic patients, many of whom<br />

were, in effect, enclosed in immoveable parkinsonism and catatonia.<br />

Sleep deprivation beyond a few days leads to hallucination, and so may dream<br />

deprivation, even with otherwise normal sleep. When this is combined with exhaustion<br />

or extreme physical stress, it can be an even more potent source of hallucinations. Ray<br />

P., a triathlete, described one example:<br />

Once, I was competing in the Ironman Triathlon in Hawaii. I was not having a<br />

good race, I was overheated and dehydrated—miserable. Three miles into the<br />

marathon portion of the race, I saw my wife and my mom standing on the side of<br />

the road. I ran over to them to say I would be late to the nish line, but when I<br />

reached them and began telling my tale of woe, two complete strangers who did<br />

not even remotely resemble my wife and mother looked back at me.<br />

The Hawaiian Ironman Triathlon, with its extreme temperatures and long hours<br />

of monotony under grueling conditions, can provide an athlete with a fertile venue<br />

for hallucination, much the same as the vision quest rites of passage of Native<br />

Americans. I have seen Madame Pele, the Hawaiian Volcano and Fire Goddess, at<br />

least once out there in the lava fields.<br />

Michael Shermer has spent much of his life debunking the paranormal; he is a<br />

historian of science and the director of the Skeptics Society. In his book The Believing<br />

Brain, he provides other examples of hallucinations in marathon athletes, like those of<br />

the mushers competing in the Iditarod dogsled race:<br />

Mushers go for 9–14 days on minimum sleep, are alone except for their dogs, rarely<br />

see other competitors, and hallucinate horses, trains, UFOs, invisible airplanes,<br />

orchestras, strange animals, voices without people, and occasionally phantom<br />

people on the side of the trail or imaginary friends.… A musher named Joe Garnie<br />

became convinced that a man was riding in his sled bag, so he politely asked the<br />

man to leave, but when he didn’t move Garnie tapped him on the shoulder and<br />

insisted he depart his sled, and when the stranger refused Garnie swatted him.<br />

Shermer, an endurance athlete himself, had an uncanny experience while competing<br />

in a grueling bike marathon, which he later described in his Scientific American column:<br />

In the wee hours of the morning of August 8, 1983, while I was traveling along a<br />

lonely rural highway approaching Haigler, Neb., a large craft with bright lights<br />

overtook me and forced me to the side of the road. Alien beings exited the craft and<br />

abducted me for 90 minutes, after which time I found myself back on the road with

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