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Steven
Lockley’s lab at Brigham and Women’s Hospital in Boston studies a
phenomenon that buffets us all every day: Light, and how specific
wavelengths of it falling on the eye affect our brain, our behavior, and
our physiology—for example, by resetting our 24-hour circadian clock.
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National Geographic
Around 350 B.C., Aristotle wrote an essay, “On Sleep and Sleeplessness,” wondering just what we were doing and why. For the next 2,300 years no one had a good answer. In 1924 German psychiatrist Hans Berger invented the electroencephalograph, which records electrical activity in the brain, and the study of sleep shifted from philosophy to science. It’s only in the past few decades, though, as imaging machines have allowed ever deeper glimpses of the brain’s inner workings, that we’ve approached a convincing answer to Aristotle.
Everything we’ve learned about sleep has emphasized its importance to our mental and physical health. Our sleep-wake pattern is a central feature of human biology—an adaptation to life on a spinning planet, with its endless wheel of day and night. The 2017 Nobel Prize in medicine was awarded to three scientists who, in the 1980s and 1990s, identified the molecular clock inside our cells that aims to keep us in sync with the sun. When this circadian rhythm breaks down, recent research has shown, we are at increased risk for illnesses such as diabetes, heart disease, and dementia.
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Wile,
the seven-year-old son of photographer Magnus Wennman, watches cartoons
on his iPad— a modern bedtime ritual for some. The stimulation may
drive off sleep, but so does the backlit screen: Light at night inhibits
the production of melatonin, the hormone that helps regulate our daily
biological rhythms.
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Stages 1-2
As we fall into sleep, our brain stays active and fires into its editing process—deciding which memories to keep and which ones to toss.The initial transformation happens quickly. The human body does not like to stall between states, lingering in doorways. We prefer to be in one realm or another, awake or asleep. So we turn off the lights and lie in bed and shut our eyes. If our circadian rhythm is pegged to the flow of daylight and dark, and if the pineal gland at the base of our brain is pumping melatonin, signaling it’s nighttime, and if an array of other systems align, our neurons swiftly fall into step.
Neurons, some 86 billion of them, are the cells that form the World Wide Web of the brain, communicating with each other via electrical and chemical signals. When we’re fully awake, neurons form a jostling crowd, a cellular lightning storm. When they fire evenly and rhythmically, expressed on an electroencephalogram, or EEG, by neat rippled lines, it indicates that the brain has turned inward, away from the chaos of waking life. At the same time, our sensory receptors are muffled, and soon we’re asleep.
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Sleep
is seen as interrupting life, but the real scourge is chronic
sleeplessness. In Japan about 40 percent of the population sleeps less
than six hours a night. Public dozing, as at this all-night diner in
Tokyo, is socially accepted.
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Our brains aren’t less active when we sleep, as was long thought, just differently active. Spindles, it’s theorized, stimulate the cortex in such a way as to preserve recently acquired information—and perhaps also to link it to established knowledge in long-term memory. In sleep labs, when people have been introduced to certain new tasks, mental or physical, their spindle frequency increases that night. The more spindles they have, it seems, the better they perform the task the next day.
The strength of one’s nightly spindles, some experts have suggested, might even be a predictor of general intelligence. Sleep literally makes connections you might never have consciously formed, an idea we’ve all intuitively realized. No one says, “I’m going to eat on a problem.” We always sleep on it.
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Resting in his bunk on the U.S.S. Paul Hamilton,
a sailor wears light-emitting goggles for a short time after waking.
Nita Shattuck of the Naval Postgraduate School in Monterey, California,
is testing the devices to see if they can reset sailors’ internal
clocks, synchronizing them with work shifts rather than the sun cycle
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It doesn’t necessarily choose wisely. Sleep reinforces our memory so powerfully—not just in stage 2, where we spend about half our sleeping time, but throughout the looping voyage of the night—that it might be best, for example, if exhausted soldiers returning from harrowing missions did not go directly to bed. To forestall post-traumatic stress disorder, the soldiers should remain awake for six to eight hours, according to neuroscientist Gina Poe at the University of California, Los Angeles. Research by her and others suggests that sleeping soon after a major event, before some of the ordeal is mentally resolved, is more likely to turn the experience into long-term memories.
Stage 2 can last up to 50 minutes during the night’s first 90-minute sleep cycle. (It typically occupies a smaller portion of subsequent cycles.) Spindles can arrive every few seconds for a while, but when these eruptions taper off, our heart rate slows. Our core temperature drops. Any remaining awareness of the external environment disappears. We commence the long dive into stages 3 and 4, the deep parts of sleep.
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What
makes us sleepy? This airtight chamber at the Tsukuba sleep institute
allows researchers to precisely track a sleeper’s oxygen consumption and
thus his metabolic rate—and to measure how it’s influenced, for
example, by the brightness and color of ambient light. Finding the
conditions that best trigger sleep could be the first step in curing
insomnia.
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Stages 3-4
We enter a deep, coma-like sleep that is as essential to our brain as food is to our body. It’s a time for physiological housekeeping—not for dreaming.Every animal, without exception, exhibits at least a primitive form of sleep. Three-toed sloths snooze about 10 hours a day, a disappointing display of languor, but some fruit bats manage 15 hours, and little brown bats have been reported to laze for 20. Giraffes sleep less than five. Horses typically sleep part of the night standing up and part lying down. Dolphins sleep one hemisphere at a time—half the brain sleeps while the other half is awake, allowing them to swim continuously. Great frigatebirds can nap while gliding, and other birds may do the same. Nurse sharks rest in a pile on the ocean floor. Cockroaches lower their antennae while napping, and they’re also sensitive to caffeine.
“Being awake is demanding,” says Thomas Scammell, a neurology professor at Harvard Medical School. “You’ve got to go out there and outcompete every other organism to survive, and the consequences are that you need a period of rest to help cells recuperate.”
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New
memories are consolidated during sleep. What happens in the brain? At
the University of Tsukuba, near Tokyo, Takeshi Sakurai studies the
question with optogenetics—in which a laser turns individual brain cells
on or off in mice that are genetically engineered to be sensitive to
it.
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There is further evidence that sleep is essential for maintaining a healthy immune system, body temperature, and blood pressure. Without enough of it, we can’t regulate our moods well or recover swiftly from injuries. Sleep may be more essential to us than food; animals will die of sleep deprivation before starvation, says Steven Lockley of Brigham and Women’s Hospital in Boston.
Good sleep likely also reduces one’s risk of developing dementia. A study done in mice by Maiken Nedergaard at the University of Rochester, in New York, suggests that while we’re awake, our neurons are packed tightly together, but when we’re asleep, some brain cells deflate by 60 percent, widening the spaces between them. These intercellular spaces are dumping grounds for the cells’ metabolic waste—notably a substance called beta-amyloid, which disrupts communication between neurons and is closely linked to Alzheimer’s. Only during sleep can spinal fluid slosh like detergent through these broader hallways of our brain, washing beta-amyloid away.
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Michael
Bosak sleeps through his exam in a position that helps prevent the
repeated narrowing of the upper airway—the cause of his snoring. This
photo was taken in the dark with an infrared camera so as not to disturb
him.
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At most, we can remain in stage 4 for only about 30 minutes before the brain kicks itself out. (In sleepwalkers at least, that shift can be accompanied by a bodily jerk.) We often sail straight through stages 3, 2, and 1 into awakeness.
Even healthy sleepers wake several times a night, though most don’t notice. We drop back to sleep in a matter of seconds. But at this point, rather than repeating the stages again, the brain resets itself for something entirely new—a trip into the truly bizarre.
During our lifetimes, about a third of us will suffer from at least one diagnosable sleep disorder. They range from chronic insomnia to sleep apnea to restless leg syndrome to much rarer and stranger conditions.
In exploding head syndrome, booming sounds seem to reverberate in your brain as you try to sleep. A Harvard study found that sleep paralysis—the inability to move for a few minutes after you’ve woken from dreaming—is the genesis of many alien abduction stories. People with Kleine-Levin syndrome will, every few years, sleep nearly nonstop for a week or two. They return to regular cycles of consciousness without any discernible side effects.
Insomnia is by far the most common problem, the main reason 4 percent of U.S. adults take sleeping pills in any given month. Insomniacs generally take longer to fall asleep, wake up for prolonged periods during the night, or both. If sleep is such a ubiquitous natural phenomenon, refined across the eons, you might wonder, why do so many of us have such trouble with it? Blame evolution; blame the modern world. Or blame the mismatch between the two.
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Not
a refugee or a homeless shelter—at the Philharmonie de Paris, these
couples sleep soundly while composer Max Richter leads a performance
(next photo) of Sleep, a minimalist, scientifically informed piece that aims to guide listeners through a rejuvenating rest. It lasts eight hours.
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The problem is that in the modern world, our ancient, innate wake-up call is constantly triggered by non–life-threatening situations, like anxiety before an exam, worries about finances, or every car alarm in the neighborhood. Before the industrial revolution, which brought us alarm clocks and fixed work schedules, we could often counteract insomnia simply by sleeping in. No longer. And if you’re one of those people who are proud of being able to fall asleep quickly just about anywhere, you can stop gloating—it’s a distinct sign, especially if you’re less than 40 years old, that you’re acutely sleep deprived.
Anyone who regularly sleeps less than six hours a night has an elevated risk of depression, psychosis, and stroke. Lack of sleep is also directly tied to obesity: Without enough sleep, the stomach and other organs overproduce ghrelin, the hunger hormone, causing us to eat more than we need. Proving a cause-and-effect relationship in these cases is challenging, because you can’t subject humans to the necessary experiments. But it’s clear that sleeplessness undermines the whole body.
Power naps don’t solve the problem; nor do pharmaceuticals. “Sleep is not monolithic,” says Jeffrey Ellenbogen, a sleep scientist at Johns Hopkins University who directs the Sound Sleep Project, which counsels businesses on how their employees can achieve better performance through healthier rest. “It’s not a marathon; it’s more like a decathlon. It’s a thousand different things. It’s tempting to manipulate sleep with drugs or devices, but we don’t yet understand sleep enough to risk artificially manipulating the parts.”

That period turns out, instead, to be the wellspring of a completely separate but just as essential form of sleep, practically another type of consciousness altogether.
REM
In a wild state of psychosis, we’re dreaming, we’re flying, and we’re falling—whether we remember it or not. we’re also regulating our mood and consolidating our memories.
Rapid eye movement, or REM, sleep was discovered in 1953—more than 15 years after stages 1 through 4 had been mapped—by Eugene Aserinsky and Nathaniel Kleitman at the University of Chicago. Before then, because of its unremarkable pattern on early EEGs, this period was usually thought of as a variant form of stage 1, and not particularly significant. But once the distinctive eye darting was documented, and the engorgement of sexual organs that always goes with it, and it was understood that virtually all vivid dreaming takes place in this phase, the science of sleep was upended.
When We Sleep Visual journalist Magnus Wennman explores how three people around the world dream.
Generally, a healthy sleep begins with a spiral down to stage 4, a momentary return to wakefulness, and a five- to 20-minute REM session. With each ensuing cycle, REM time roughly doubles. Overall, REM sleep occupies about one-fifth of total rest time in adults. Yet stages 1 through 4 have been labeled as non-REM sleep, or NREM—80 percent of sleep is defined by what it’s not. Sleep scientists speculate that specific sequences of NREM and REM sleep somehow optimize our physical and mental recuperation. At the cellular level, protein synthesis peaks during REM sleep, keeping the body working properly. REM sleep also seems essential for regulating mood and consolidating memories
From ancient Greeks to Sigmund Freud to back-alley fortune-tellers, dreams have always been a source of enchantment and mystery—interpreted as messages from the gods or our unconscious. Today many sleep experts aren’t interested in the specific images and events in our dreams. They believe that dreams result from the chaotic firing of neurons and, even if imbued with emotional resonance, are devoid of significance. It’s only after we wake that the conscious brain, seeking meaning, quickly stitches together a whole cloth out of haphazard scraps.
Even if you never recall a single image, you still dream. Everyone does. Lack of dream recollection is actually an indication of a healthy sleeper. The action in dream sleep takes place too deep in the brain to register well on an EEG, but with newer technology, we’ve inferred what’s going on, physically and chemically. Dreams also occur in NREM sleep, especially stage 2, but these are generally thought to be more like overtures. Only in REM sleep do we encounter the full potent force of our nighttime madness.
Dreams, often falsely said to be just momentary flashes, are instead thought to span almost all of REM sleep, typically about two hours per night, though this decreases as we age—perhaps because our less pliant brains are not learning as much while awake and have fewer new memories to process as we sleep. Newborn infants sleep up to 17 hours a day and spend about half of that in an active, REM-like condition. And for about a month in the womb, starting at week 26 of gestation, it seems that fetuses remain without pause in a state very similar to REM sleep. All this REM time, it has been theorized, is the equivalent of the brain testing its software, preparing to come fully on line. The process is called telencephalization. It’s nothing less than the opening of the mind.
The body doesn’t thermoregulate in REM sleep; our internal temperature remains at its lowest setting. We are truly out cold. Our heart rate increases compared with other sleep stages, and our breathing is irregular. Our muscles, with a few exceptions—eyes, ears, heart, diaphragm—are immobilized. Sadly, this doesn’t keep some of us from snoring; this bane of the bed partner, impetus for hundreds of anti-snoring gadgets, is caused when turbulent airflow vibrates the relaxed tissues of the throat or nose. It’s common in stages 3 and 4 too. In REM sleep, whether snoring or not, we’re completely incapable of physical response, slack-jawed, unable to regulate even our blood pressure. Yet our brain is able to convince us that we’re surfing on clouds, slaying dragons.
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In
Sweden hundreds of immigrant children whose families face deportation
have contracted resignation syndrome, a baffling disorder in which the
child withdraws from the world, won’t react even to painful stimuli, and
must be nourished with a feeding tube— sometimes for years. “She is not
suffering now,” physician Elisabeth Hultcrantz says of Leyla Ahmed, 10,
a Syrian refugee.
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Down in the brain stem, a little bulge called the pons is supercharged during REM sleep. Electrical pulses from the pons often target the part of the brain that controls muscles in the eyes and ears. Our lids usually remain shut, but our eyeballs bounce from side to side, possibly in response to the intensity of the dream. Our inner ears too are active while we dream.
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Above,
Mike Morris, an Army veteran of two tours in Iraq, is part of a study
by Jeffrey Ellenbogen of Johns Hopkins University (at right) that
explores how companionship and the sounds a sleeper is exposed to affect
recovery from trauma. Below, he wears an EEG cap as he sleeps with his
therapy dog, Olive.
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The end of a REM session, like the end of stage 4, is usually marked with a brief awakening. If we rest naturally, without an alarm clock, our last dream of the night often concludes our sleep. Though the amount of time we’ve been asleep helps determine the optimal moment to wake, daylight has immediate alerting properties. When light seeps through our eyelids and touches our retinas, a signal is sent to a deep-brain region called the suprachiasmatic nucleus. This is the time, for many of us, that our last dream dissolves, we open our eyes, and we rejoin our real life.
Or do we? Perhaps the most remarkable thing about REM sleep is that it proves the brain can operate independently of sensory input. Like an artist ensconced in a secret studio, our mind appears to experiment without inhibition, let loose on its own personal mission.
When we’re awake, the brain is occupied with busy work—all those limbs to control, the constant driving and shopping and texting and talking. The money-earning, the child-rearing.
Maybe, then, we’ve been asking the wrong question about sleep, ever since Aristotle. The real wonder isn’t why we sleep. It’s why, with such an incredible alternative available, do we bother to stay awake?
And the answer might be that we need to attend to the basics of life—the eating and mating and fighting—only to ensure that the body is fully ready for sleep.
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