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Sleep paralysis

Sleep paralysis

Overview
Sleep paralysis is paralysis
Paralysis
Paralysis is loss of muscle function for one or more muscles. Paralysis can be accompanied by a loss of feeling in the affected area if there is sensory damage as well as motor. A study conducted by the Christopher & Dana Reeve Foundation, suggests that about 1 in 50 people have been diagnosed...

 associated with sleep that may occur in healthy persons or may be associated with narcolepsy
Narcolepsy
Narcolepsy is a chronic sleep disorder, or dyssomnia, characterized by excessive sleepiness and sleep attacks at inappropriate times, such as while at work. People with narcolepsy often experience disturbed nocturnal sleep and an abnormal daytime sleep pattern, which often is confused with insomnia...

, cataplexy
Cataplexy
Cataplexy is a sudden and transient episode of loss of muscle tone, often triggered by emotions. It is a rare disease , but affects roughly 70% of people who have narcolepsy...

, and hypnagogic hallucinations. The pathophysiology
Pathophysiology
Pathophysiology is the study of the changes of normal mechanical, physical, and biochemical functions, either caused by a disease, or resulting from an abnormal syndrome...

 of this condition is closely related to the normal hypotonia
Hypotonia
Hypotonia is a state of low muscle tone , often involving reduced muscle strength. Hypotonia is not a specific medical disorder, but a potential manifestation of many different diseases and disorders that affect motor nerve control by the brain or muscle strength...

 that occurs during REM sleep. When considered to be a disease, isolated sleep paralysis is classified as MeSH
Medical Subject Headings
Medical Subject Headings is a comprehensive controlled vocabulary for the purpose of indexing journal articles and books in the life sciences; it can also serve as a thesaurus that facilitates searching...

 D020188. Some evidence suggests that it can also, in some cases, be a symptom of migraine
Migraine
Migraine is a chronic neurological disorder characterized by moderate to severe headaches, and nausea...

.
Discussion
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Encyclopedia
Sleep paralysis is paralysis
Paralysis
Paralysis is loss of muscle function for one or more muscles. Paralysis can be accompanied by a loss of feeling in the affected area if there is sensory damage as well as motor. A study conducted by the Christopher & Dana Reeve Foundation, suggests that about 1 in 50 people have been diagnosed...

 associated with sleep that may occur in healthy persons or may be associated with narcolepsy
Narcolepsy
Narcolepsy is a chronic sleep disorder, or dyssomnia, characterized by excessive sleepiness and sleep attacks at inappropriate times, such as while at work. People with narcolepsy often experience disturbed nocturnal sleep and an abnormal daytime sleep pattern, which often is confused with insomnia...

, cataplexy
Cataplexy
Cataplexy is a sudden and transient episode of loss of muscle tone, often triggered by emotions. It is a rare disease , but affects roughly 70% of people who have narcolepsy...

, and hypnagogic hallucinations. The pathophysiology
Pathophysiology
Pathophysiology is the study of the changes of normal mechanical, physical, and biochemical functions, either caused by a disease, or resulting from an abnormal syndrome...

 of this condition is closely related to the normal hypotonia
Hypotonia
Hypotonia is a state of low muscle tone , often involving reduced muscle strength. Hypotonia is not a specific medical disorder, but a potential manifestation of many different diseases and disorders that affect motor nerve control by the brain or muscle strength...

 that occurs during REM sleep. When considered to be a disease, isolated sleep paralysis is classified as MeSH
Medical Subject Headings
Medical Subject Headings is a comprehensive controlled vocabulary for the purpose of indexing journal articles and books in the life sciences; it can also serve as a thesaurus that facilitates searching...

 D020188. Some evidence suggests that it can also, in some cases, be a symptom of migraine
Migraine
Migraine is a chronic neurological disorder characterized by moderate to severe headaches, and nausea...

.


Symptoms and characteristics


Physiologically, sleep paralysis is closely related to REM atonia, the paralysis that occurs as a natural part of REM (rapid eye movement) sleep. Sleep paralysis occurs either when falling asleep, or when awakening. When it occurs upon falling asleep, the person remains aware while the body shuts down for REM sleep, and it is called hypnagogic or predormital sleep paralysis. When it occurs upon awakening, the person becomes aware before the REM cycle is complete, and it is called hypnopompic
Hypnopompic
A hypnopompic state is the state of consciousness leading out of sleep, a term coined by the psychical researcher Frederic Myers. Its twin is the hypnagogic state at sleep onset; though often conflated, the two states are not identical...

 or postdormital. The paralysis can last from several seconds to several minutes, with some rare cases being hours, "by which the individual may experience panic symptoms" (described below). As the correlation with REM sleep suggests, the paralysis is not entirely complete; use of EOG traces shows that eye movement is still possible during such episodes. When there is an absence of narcolepsy, sleep paralysis is referred to as isolated sleep paralysis (ISP).

In addition, the paralysis may be accompanied by terrifying hallucinations (hypnopompic
Hypnopompic
A hypnopompic state is the state of consciousness leading out of sleep, a term coined by the psychical researcher Frederic Myers. Its twin is the hypnagogic state at sleep onset; though often conflated, the two states are not identical...

 or hypnagogic
Hypnagogia
Hypnagogia is the transitional state between wakefulness and sleep , originally coined in adjectival form as "hypnagogic" by Alfred Maury....

) and an acute sense of danger. Sleep paralysis is particularly frightening to the individual because of the vividness of such hallucinations. The hallucinatory element to sleep paralysis makes it even more likely that someone will interpret the experience as a dream, since completely fanciful or dream-like objects may appear in the room alongside one's normal vision. Some scientists have proposed this condition as an explanation for alien abductions and ghost
Ghost
In traditional belief and fiction, a ghost is the soul or spirit of a deceased person or animal that can appear, in visible form or other manifestation, to the living. Descriptions of the apparition of ghosts vary widely from an invisible presence to translucent or barely visible wispy shapes, to...

ly encounters. A study by Susan Blackmore
Susan Blackmore
Susan Jane Blackmore is an English freelance writer, lecturer, and broadcaster on psychology and the paranormal, perhaps best known for her book The Meme Machine.-Career:...

 and Marcus Cox (the Blackmore-Cox study) of the University of the West of England
University of the West of England
The University of the West of England is a university based in the English city of Bristol. Its main campus is at Frenchay, about five miles north of the city centre...

 supports the suggestion that reports of alien abductions are related to sleep paralysis rather than to temporal lobe
Temporal lobe
The temporal lobe is a region of the cerebral cortex that is located beneath the Sylvian fissure on both cerebral hemispheres of the mammalian brain....

 lability. Some authors have warned of the possible misconnection between child sexual abuse (CSA) and hypnagogic/pompic phenomena and have noted that some clients after having described such an event to a fortune teller or psychic that the psychic may have suggested CSA.

Possible causes



In surveys from Canada, China, England, Japan and Nigeria, 20% to 60% of individuals reported having experienced sleep paralysis at least once in their lifetime. A study conducted by Sedaghat-Hamedani F. et al. has investigated the prevalence of sleep paralysis among Iranian medical students. 24.1% of students reported experiencing sleep paralysis at least once in their lifetime. The same result was reported among Japanese, Nigerian, Kuwaiti, Sudanese and American students.

Many people who commonly enter sleep paralysis also suffer from narcolepsy
Narcolepsy
Narcolepsy is a chronic sleep disorder, or dyssomnia, characterized by excessive sleepiness and sleep attacks at inappropriate times, such as while at work. People with narcolepsy often experience disturbed nocturnal sleep and an abnormal daytime sleep pattern, which often is confused with insomnia...

.

Some reports read that various factors increase the likelihood of both paralysis and hallucinations. These include:
  • Sleeping in a face upwards or supine position
    Supine position
    The supine position is a position of the body: lying down with the face up, as opposed to the prone position, which is face down, sometimes with the hands behind the head or neck. When used in surgical procedures, it allows access to the peritoneal, thoracic and pericardial regions; as well as the...

  • Increased stress
  • Sudden environmental/lifestyle changes
  • A lucid dream that immediately precedes the episode.
  • Excessive consumption of alcohol coupled with lack of adequate sleep.


In The Terror That Comes in the Night, folklorist and behavioral scientist David J. Hufford argues that sleep paralysis is related to an anomalous experience known in Newfoundland as "the Old Hag." According to Hufford, the Old Hag is "an experience with stable contents which is widespread, dramatic, realistic, and bizarre," and elements of the phenomenon cannot be fully explained either by psychology or culture. His works have explored the connection between the Old Hag and parapsychology in what he labels the "experience-centered approach" to hauntings.

Treatment


Treatment starts with patient education about sleep stages and about the muscle atonia that is typically associated with REM sleep. It is recommended that patients be evaluated for narcolepsy
Narcolepsy
Narcolepsy is a chronic sleep disorder, or dyssomnia, characterized by excessive sleepiness and sleep attacks at inappropriate times, such as while at work. People with narcolepsy often experience disturbed nocturnal sleep and an abnormal daytime sleep pattern, which often is confused with insomnia...

 if symptoms persist.

Related phenomena


Many perceptions associated with sleep paralysis (visceral buzzing, loud sounds, excited mental state, presences, and the paralysis itself) also constitute a common phase in the early progression of episodes referred to as out of body experiences. Mental focus varies between the two conditions; paralysis sufferers tend to fixate on reestablishing operation of the body, whereas subjects of out-of-body episodes are more occupied by perceived non-equivalence with the body.

Folklore


The original definition of sleep paralysis was codified by Dr. Samuel Johnson in his A Dictionary of the English Language
A Dictionary of the English Language
Published on 15 April 1755 and written by Samuel Johnson, A Dictionary of the English Language, sometimes published as Johnson's Dictionary, is among the most influential dictionaries in the history of the English language....

as "nightmare," a term that evolved into our modern definition. Such sleep paralysis was widely considered to be the work of demon
Demon
call - 1347 531 7769 for more infoIn Ancient Near Eastern religions as well as in the Abrahamic traditions, including ancient and medieval Christian demonology, a demon is considered an "unclean spirit" which may cause demonic possession, to be addressed with an act of exorcism...

s and more specifically incubi
Incubus (demon)
An incubus is a demon in male form who, according to a number of mythological and legendary traditions, lies upon sleepers, especially women, in order to have intercourse with them. Its female counterpart is the succubus...

, which were thought to sit on the chests of sleepers. In Old English
Old English language
Old English or Anglo-Saxon is an early form of the English language that was spoken and written by the Anglo-Saxons and their descendants in parts of what are now England and southeastern Scotland between at least the mid-5th century and the mid-12th century...

 the name for these beings was mare or mære (from a proto-Germanic
Proto-Germanic language
Proto-Germanic , or Common Germanic, as it is sometimes known, is the unattested, reconstructed proto-language of all the Germanic languages, such as modern English, Frisian, Dutch, Afrikaans, German, Luxembourgish, Danish, Norwegian, Icelandic, Faroese, and Swedish.The Proto-Germanic language is...

 *marōn, cf. Old Norse mara
Mara (folklore)
A mare or nightmare is a spirit or goblin in Germanic folklore which rides on people's chests while they sleep, bringing on bad dreams . The mare is attested as early as in the Norse Ynglinga saga from the 13th century, but the belief itself is likely to be considerably older...

), hence comes the mare part in nightmare. The word might be etymologically cognate to Hellenic Marōn (in the Odyssey
Odyssey
The Odyssey is one of two major ancient Greek epic poems attributed to Homer. It is, in part, a sequel to the Iliad, the other work ascribed to Homer. The poem is fundamental to the modern Western canon, and is the second—the Iliad being the first—extant work of Western literature...

) and Sanskrit
Sanskrit
Sanskrit , is a historical Indo-Aryan language and the primary liturgical language of Hinduism, Jainism and Buddhism.Buddhism: besides Pali, see Buddhist Hybrid Sanskrit Today, it is listed as one of the 22 scheduled languages of India and is an official language of the state of Uttarakhand...

 Māra
Mara (demon)
In Buddhism, Māra is the demon that tempted Gautama Buddha by trying to seduce him with the vision of beautiful women who, in various legends, are often said to be Mara's daughters. In Buddhist cosmology, Mara personifies unwholesome impulses, unskillfulness, the "death" of the spiritual life...

.

In Swedish folklore, sleep paralysis is caused by a Mare, a supernatural creature related to the werewolf
Werewolf
A werewolf, also known as a lycanthrope , is a mythological or folkloric human with the ability to shapeshift into a wolf or an anthropomorphic wolf-like creature, either purposely or after being placed under a curse...

. The Mare is a damned woman, who is cursed and her body is carried mysteriously during sleep and without her noticing. In this state, she visits villagers to sit on their rib cages while they are asleep, causing them to experience nightmares. The Swedish film Marianne
Marianne (2011 film)
Marianne is a 2011 Swedish horror film, directed by Filip Tegstedt, that premiered at the 2011 Fantasia International Film Festival on 2 August 2011....

 examines the folklore surrounding sleep paralysis.

Folk belief in Newfoundland, South Carolina and Georgia describe the negative figure of the Hag
Hag
A hag is a wizened old woman, or a kind of fairy or goddess having the appearance of such a woman, often found in folklore and children's tales such as Hansel and Gretel. Hags are often seen as malevolent, but may also be one of the chosen forms of shapeshifting deities, such as the Morrígan or...

 who leaves her physical body at night, and sits on the chest of her victim. The victim usually wakes with a feeling of terror, has difficulty breathing because of a perceived heavy invisible weight on his or her chest, and is unable to move i.e., experiences sleep paralysis. This nightmare experience is described as being "hag-ridden" in the Gullah
Gullah
The Gullah are African Americans who live in the Lowcountry region of South Carolina and Georgia, which includes both the coastal plain and the Sea Islands....

 lore. The "Old Hag" was a nightmare spirit in British and also Anglophone North American folklore.

In Fiji
Fiji
Fiji , officially the Republic of Fiji , is an island nation in Melanesia in the South Pacific Ocean about northeast of New Zealand's North Island...

, the experience is interpreted as "kana tevoro" being 'eaten' or possessed by a demon. In many cases the 'demon' can be the spirit of a recently dead relative who has come back for some unfinished business, or has come to communicate some important news to the living. Often persons sleeping near the afflicted person say "kania, kania" (eat! eat!) in an attempt to prolong the possession for a chance to converse with the dead relative or spirit and seek answers as to why he/she has come back. The person waking up from the experience is often asked to immediately curse or chase the spirit of the dead relative, which sometimes involves literally speaking to the spirit telling him/her to go away or using expletives.

In Nigeria, "ISP appears to be far more common and recurrent among people of African descent than among whites or Nigerian Africans", and is often referred to within African communities as "the Devil on your back."

In Turkey
Turkey
Turkey , known officially as the Republic of Turkey , is a Eurasian country located in Western Asia and in East Thrace in Southeastern Europe...

, and in many Islamic beliefs, Sleep Paralysis is called Karabasan, and is similar other stories of demonic visitation during sleep. A demon, commonly known as a djinn (cin in Turkish
Turkish language
Turkish is a language spoken as a native language by over 83 million people worldwide, making it the most commonly spoken of the Turkic languages. Its speakers are located predominantly in Turkey and Northern Cyprus with smaller groups in Iraq, Greece, Bulgaria, the Republic of Macedonia, Kosovo,...

), comes to the victim's room, holds him or her down hard enough not to allow any kind of movement, and starts to strangle the person. Many people even say that they hear the voice of the djinn or of Satan. To get rid of the demonic creature, one needs to pray to God (Allah
Allah
Allah is a word for God used in the context of Islam. In Arabic, the word means simply "God". It is used primarily by Muslims and Bahá'ís, and often, albeit not exclusively, used by Arabic-speaking Eastern Catholic Christians, Maltese Roman Catholics, Eastern Orthodox Christians, Mizrahi Jews and...

 in Islamic beliefs) with certain lines from the Qur'an
Qur'an
The Quran , also transliterated Qur'an, Koran, Alcoran, Qur’ān, Coran, Kuran, and al-Qur’ān, is the central religious text of Islam, which Muslims consider the verbatim word of God . It is regarded widely as the finest piece of literature in the Arabic language...

. If one does not pray soon enough, it is said that the demonic creature will strangle the person to death. Some women actually believe the creature raped them during the visitation due to waking up with pain around the area of their genitalia and with a headache.

Various forms of magic
Magic (paranormal)
Magic is the claimed art of manipulating aspects of reality either by supernatural means or through knowledge of occult laws unknown to science. It is in contrast to science, in that science does not accept anything not subject to either direct or indirect observation, and subject to logical...

 and spiritual possession
Spiritual possession
Spirit possession is a paranormal or supernatural event in which it is said that spirits, gods, demons, animas, extraterrestrials, or other disincarnate or extraterrestrial entities take control of a human body, resulting in noticeable changes in health and behaviour...

 were also advanced as causes. In nineteenth century Europe
Europe
Europe is, by convention, one of the world's seven continents. Comprising the westernmost peninsula of Eurasia, Europe is generally 'divided' from Asia to its east by the watershed divides of the Ural and Caucasus Mountains, the Ural River, the Caspian and Black Seas, and the waterways connecting...

, the vagaries of diet were thought to be responsible. For example, in Charles Dickens
Charles Dickens
Charles John Huffam Dickens was an English novelist, generally considered the greatest of the Victorian period. Dickens enjoyed a wider popularity and fame than had any previous author during his lifetime, and he remains popular, having been responsible for some of English literature's most iconic...

's A Christmas Carol
A Christmas Carol
A Christmas Carol is a novella by English author Charles Dickens first published by Chapman & Hall on 17 December 1843. The story tells of sour and stingy Ebenezer Scrooge's ideological, ethical, and emotional transformation after the supernatural visits of Jacob Marley and the Ghosts of...

, Ebenezer Scrooge
Ebenezer Scrooge
Ebenezer Scrooge is the principal character in Charles Dickens's 1843 novel, A Christmas Carol. At the beginning of the novel, Scrooge is a cold-hearted, tight-fisted and greedy man, who despises Christmas and all things which give people happiness...

 attributes the ghost
Ghost
In traditional belief and fiction, a ghost is the soul or spirit of a deceased person or animal that can appear, in visible form or other manifestation, to the living. Descriptions of the apparition of ghosts vary widely from an invisible presence to translucent or barely visible wispy shapes, to...

 he sees to "... an undigested bit of beef, a blot of mustard, a crumb of cheese, a fragment of an underdone potato..." In a similar vein, the Household Cyclopedia
Household Cyclopedia
The Household Cyclopedia was an American guide to housekeeping published in 1881.- External links :**...

(1881) offers the following advice about nightmares:
"Great attention is to be paid to regularity and choice of diet. Intemperance of every kind is hurtful, but nothing is more productive of this disease than drinking bad wine. Of eatables those which are most prejudicial are all fat and greasy meats and pastry... Moderate exercise contributes in a superior degree to promote the digestion of food and prevent flatulence; those, however, who are necessarily confined to a sedentary occupation, should particularly avoid applying themselves to study or bodily labor immediately after eating... Going to bed before the usual hour is a frequent cause of night-mare, as it either occasions the patient to sleep too long or to lie long awake in the night. Passing a whole night or part of a night without rest likewise gives birth to the disease, as it occasions the patient, on the succeeding night, to sleep too soundly. Indulging in sleep too late in the morning, is an almost certain method to bring on the paroxysm, and the more frequently it returns, the greater strength it acquires; the propensity to sleep at this time is almost irresistible."

Around the world



Complete references to many cultures are given in the References section

East Asia

  • In Chinese culture, sleep paralysis is widely known as "鬼壓身/鬼压身" (pinyin
    Pinyin
    Pinyin is the official system to transcribe Chinese characters into the Roman alphabet in China, Malaysia, Singapore and Taiwan. It is also often used to teach Mandarin Chinese and spell Chinese names in foreign publications and used as an input method to enter Chinese characters into...

    : guǐ yā shēn) or "鬼壓床/鬼压床" (pinyin
    Pinyin
    Pinyin is the official system to transcribe Chinese characters into the Roman alphabet in China, Malaysia, Singapore and Taiwan. It is also often used to teach Mandarin Chinese and spell Chinese names in foreign publications and used as an input method to enter Chinese characters into...

    : guǐ yā chuáng), which literally translate into "ghost pressing on body" or "ghost pressing on bed." A more modern term is "夢魘/梦魇" (pinyin
    Pinyin
    Pinyin is the official system to transcribe Chinese characters into the Roman alphabet in China, Malaysia, Singapore and Taiwan. It is also often used to teach Mandarin Chinese and spell Chinese names in foreign publications and used as an input method to enter Chinese characters into...

    : mèng yǎn).
  • In Japanese
    Japanese language
    is a language spoken by over 130 million people in Japan and in Japanese emigrant communities. It is a member of the Japonic language family, which has a number of proposed relationships with other languages, none of which has gained wide acceptance among historical linguists .Japanese is an...

     culture, sleep paralysis is referred to as kanashibari (金縛り, literally "bound or fastened in metal," from "kane" (metal) and "shibaru" (to bind, to tie, to fasten). This term is occasionally used by English speaking authors to refer to the phenomenon both in academic papers and in pop psych
    Popular psychology
    The term popular psychology refers to concepts and theories about human mental life and behavior that are purportedly based on psychology and that attain popularity among the general population...

     literature.
  • In Korean culture, sleep paralysis is called gawi nulim , literally meaning "being pressed down by a ghost". It is often associated with a superstitious belief that a ghost or spirit is lying on top of or pressing down on the sufferer.
  • In Mongolian culture, nightmares in general as well as sleep paralysis is referred to by the verb-phrase khar darakh (written kara darahu), meaning "to be pressed by the Black" or "when the Dark presses". "Kara" means black and may refer to the dark side personified. "Kharin buu" means shaman of the Black (shamans of the dark side only survive in far-northern Mongolia
    Mongolia
    Mongolia is a landlocked country in East and Central Asia. It is bordered by Russia to the north and China to the south, east and west. Although Mongolia does not share a border with Kazakhstan, its western-most point is only from Kazakhstan's eastern tip. Ulan Bator, the capital and largest...

    ), while "tsaghaan zugiin buu" means shaman of the white direction (referring to shamans who only invoke the benevolent spirits). Compare 'karabasan' (the dark presser) in Turkish, which may date from pre-Islamic times when the Turks had the same religion and mythology as the Mongols. See Mythology of the Turkic and Mongolian peoples and Tengriism
    Tengriism
    Tengriism is a Central Asian religion that incorporates elements of shamanism, animism, totemism and ancestor worship. Despite still being active in some minorities, it was, in old times, the major belief of Turkic peoples , Bulgars, Hungarians and Mongols...

    .

South-East Asia

  • In Cambodian, Lao, and Thai culture, sleep paralysis is called phǐǐ am and khmout sukkhot. It is described as an event in which the person is sleeping and dreams that one or more ghostly figures are nearby or even holding him or her down. The sufferer usually thinks that he or she is awake but unable to move or make any noises. This is not to be confused with pee khao and khmout jool, ghost possession.
  • In Hmong
    Hmong people
    The Hmong , are an Asian ethnic group from the mountainous regions of China, Vietnam, Laos, and Thailand. Hmong are also one of the sub-groups of the Miao ethnicity in southern China...

     culture, sleep paralysis is understood to be caused by a nocturnal pressing spirit, dab tsog. Dab tsog attacks "sleepers" by sitting on their chests, sometimes attempting to strangle them. Some believe that dab tsog is responsible for Sudden unexpected nocturnal death syndrome (SUNDS), which claimed the lives of over 100 Southeast Asian immigrants in the late 1970s and early 1980s. Adler (2011) offers a biocultural perspective on sleep paralysis and the sudden deaths. She suggests that an interplay between the Brugada syndrome (a genetic cardiac disorder) and the traditional meaning of a dab tsog attack are at the heart of the sudden deaths.
  • In Vietnamese culture, sleep paralysis is referred to as ma đè, meaning "held down by a ghost" or bóng đè, meaning "held down by a shadow".
  • In Philippine culture
    Culture of the Philippines
    Philippine culture is related to Micronesian, Bornean, Mexican and Spanish cultures. The people today are mostly of Malayo-Polynesian origin, although there are people with Spanish, Mexican, Austro-Melanesian and Chinese blood. Geographically, the Philippines is considered part of Southeast Asia...

    , bangungut has traditionally been attributed to nightmares. People who have claimed to survive such nightmares have reported experiencing the symptoms of sleep paralysis.
  • In New Guinea, people refer to this phenomenon as Suk Ninmyo, believed to originate from sacred trees that use human essence to sustain its life. The trees are said to feed on human essence during night as to not disturb the human's daily life, but sometimes people wake unnaturally during the feeding, resulting in the paralysis.
  • In Malay of Malay Peninsula, sleep paralysis is known as kena tindih (or ketindihan in Indonesia), which means "being pressed". Incidents are commonly considered to be the work of a malign agency; occurring in what are explained as blind spots in the field of vision, they are reported as demonic figures.

South Asia

  • In Pakistan
    Pakistan
    Pakistan , officially the Islamic Republic of Pakistan is a sovereign state in South Asia. It has a coastline along the Arabian Sea and the Gulf of Oman in the south and is bordered by Afghanistan and Iran in the west, India in the east and China in the far northeast. In the north, Tajikistan...

    , sleep paralysis is considered to be an encounter with Shaitan (Urdu: شيطان ) (Satan
    Satan
    Satan , "the opposer", is the title of various entities, both human and divine, who challenge the faith of humans in the Hebrew Bible...

    ), evil
    Evil
    Evil is the violation of, or intent to violate, some moral code. Evil is usually seen as the dualistic opposite of good. Definitions of evil vary along with analysis of its root motive causes, however general actions commonly considered evil include: conscious and deliberate wrongdoing,...

     jinn
    Jinn
    Jinn are supernatural beings in Arab folklore and Islamic teachings.Jinn may also refer to:* Jinn , a Japanese band* Qui-Gon Jinn, a character in the Star Wars universe...

    s or demon
    Demon
    call - 1347 531 7769 for more infoIn Ancient Near Eastern religions as well as in the Abrahamic traditions, including ancient and medieval Christian demonology, a demon is considered an "unclean spirit" which may cause demonic possession, to be addressed with an act of exorcism...

    s who have taken over one's body. Like Iran
    Iran
    Iran , officially the Islamic Republic of Iran , is a country in Southern and Western Asia. The name "Iran" has been in use natively since the Sassanian era and came into use internationally in 1935, before which the country was known to the Western world as Persia...

    , this ghoul
    Ghoul
    A ghoul is a folkloric monster associated with graveyards and consuming human flesh, often classified as undead. The oldest surviving literature that mention ghouls is likely One Thousand and One Nights...

     is known as 'bakhtak' (Urdu: بختک) or 'ifrit'. It is also assumed that it is caused by the black magic
    Black magic
    Black magic is the type of magic that draws on assumed malevolent powers or is used with the intention to kill, steal, injure, cause misfortune or destruction, or for personal gain without regard to harmful consequences. As a term, "black magic" is normally used by those that do not approve of its...

     performed by enemies and jealous
    JEALOUS
    "Jealous" is the first single by Dir En Grey and was released on May 10, 1998. The music videos of the title track and the B-side "Unknown・・・Despair・・・a Lost" are featured on the VHS Mousou Toukakugeki. A piano-vocal duet version of "Jealous" was later included on the "[KR] Cube" single...

     persons. People, especially children and young girls, wear Ta'wiz
    Ta'wiz
    The Ta'wiz or Tawiz is a locket usually containing verses from the Quran or other Islamic prayers and symbols. As a general rule it is worn with the belief that it will repel any evil intended for the wearer and will also bring him luck. As such it is intended to be an amulet. The word Ta'wiz is...

     (Urdu: تعویز) (Amulet
    Amulet
    An amulet, similar to a talisman , is any object intended to bring good luck or protection to its owner.Potential amulets include gems, especially engraved gems, statues, coins, drawings, pendants, rings, plants and animals; even words said in certain occasions—for example: vade retro satana—, to...

    ) to ward off evil eye
    Evil eye
    The evil eye is a look that is believed by many cultures to be able to cause injury or bad luck for the person at whom it is directed for reasons of envy or dislike...

    . Spells, incantation
    Incantation
    An incantation or enchantment is a charm or spell created using words. An incantation may take place during a ritual, either a hymn or prayer, and may invoke or praise a deity. In magic, occultism, witchcraft it may be used with the intention of casting a spell on an object or a person...

    s and curse
    Curse
    A curse is any expressed wish that some form of adversity or misfortune will befall or attach to some other entity—one or more persons, a place, or an object...

    s could also result in ghoul
    Ghoul
    A ghoul is a folkloric monster associated with graveyards and consuming human flesh, often classified as undead. The oldest surviving literature that mention ghouls is likely One Thousand and One Nights...

    s haunting a person. Some homes and places are also haunted by evil
    Evil
    Evil is the violation of, or intent to violate, some moral code. Evil is usually seen as the dualistic opposite of good. Definitions of evil vary along with analysis of its root motive causes, however general actions commonly considered evil include: conscious and deliberate wrongdoing,...

     ghost
    Ghost
    In traditional belief and fiction, a ghost is the soul or spirit of a deceased person or animal that can appear, in visible form or other manifestation, to the living. Descriptions of the apparition of ghosts vary widely from an invisible presence to translucent or barely visible wispy shapes, to...

    s, satan
    Satan
    Satan , "the opposer", is the title of various entities, both human and divine, who challenge the faith of humans in the Hebrew Bible...

    ic or other supernatural
    Supernatural
    The supernatural or is that which is not subject to the laws of nature, or more figuratively, that which is said to exist above and beyond nature...

     beings and they could haunt people living there especially during the night. Muslim
    Muslim
    A Muslim, also spelled Moslem, is an adherent of Islam, a monotheistic, Abrahamic religion based on the Quran, which Muslims consider the verbatim word of God as revealed to prophet Muhammad. "Muslim" is the Arabic term for "submitter" .Muslims believe that God is one and incomparable...

     holy persons (Imam
    Imam
    An imam is an Islamic leadership position, often the worship leader of a mosque and the Muslim community. Similar to spiritual leaders, the imam is the one who leads Islamic worship services. More often, the community turns to the mosque imam if they have a religious question...

    s, Maulvi
    Maulvi
    Mawlawi is an honorific Islamic religious title given to Sunni Muslim religious scholars or Ulema preceding their names, similar to the titles Maulana, Mullah, or Shaykh. Mawlawi generally means highly-qualified Islamic scholar...

    s, Sufis, Mullah
    Mullah
    Mullah is generally used to refer to a Muslim man, educated in Islamic theology and sacred law. The title, given to some Islamic clergy, is derived from the Arabic word مَوْلَى mawlā , meaning "vicar", "master" and "guardian"...

    s, Faqirs
    Fakir
    The fakir or faqir ; ) Derived from faqr is a Muslim Sufi ascetic in Middle East and South Asia. The Faqirs were wandering Dervishes teaching Islam and living on alms....

    ) perform exorcism
    Exorcism
    Exorcism is the religious practice of evicting demons or other spiritual entities from a person or place which they are believed to have possessed...

     on individuals who are possessed
    Demonic possession
    Demonic possession is held by many belief systems to be the control of an individual by a malevolent supernatural being. Descriptions of demonic possessions often include erased memories or personalities, convulsions, “fits” and fainting as if one were dying...

    . The homes, houses, buildings and grounds are blessed
    Blessing
    A blessing, is the infusion of something with holiness, spiritual redemption, divine will, or one's hope or approval.- Etymology and Germanic paganism :...

     and consecrated
    Consecration
    Consecration is the solemn dedication to a special purpose or service, usually religious. The word "consecration" literally means "to associate with the sacred". Persons, places, or things can be consecrated, and the term is used in various ways by different groups...

     by Mullah
    Mullah
    Mullah is generally used to refer to a Muslim man, educated in Islamic theology and sacred law. The title, given to some Islamic clergy, is derived from the Arabic word مَوْلَى mawlā , meaning "vicar", "master" and "guardian"...

    s or Imam
    Imam
    An imam is an Islamic leadership position, often the worship leader of a mosque and the Muslim community. Similar to spiritual leaders, the imam is the one who leads Islamic worship services. More often, the community turns to the mosque imam if they have a religious question...

    s by reciting Qur'an
    Qur'an
    The Quran , also transliterated Qur'an, Koran, Alcoran, Qur’ān, Coran, Kuran, and al-Qur’ān, is the central religious text of Islam, which Muslims consider the verbatim word of God . It is regarded widely as the finest piece of literature in the Arabic language...

     and Adhan
    Adhan
    The adhān is the Islamic call to prayer, recited by the muezzin at prescribed times of the day. The root of the word is meaning "to permit"; another derivative of this word is , meaning "ear"....

     (Urdu: أَذَان), the Islam
    Islam
    Islam . The most common are and .   : Arabic pronunciation varies regionally. The first vowel ranges from ~~. The second vowel ranges from ~~~...

    ic call to prayer, recited by the muezzin
    Muezzin
    A muezzin , or muzim, is the chosen person at a mosque who leads the call to prayer at Friday services and the five daily times for prayer from one of the mosque's minarets; in most modern mosques, electronic amplification aids the muezzin in his task.The professional muezzin is chosen for his...

    .
  • In Tamil Nadu and Sri Lankan Tamil culture, this particular phenomenon is referred to as 'Amuku Be' or 'Amuku Pei' meaning "the ghost that forces one down".
  • In Nepal, especially Newari
    Newa people
    The Newa , Newār or Newāl) are the indigenous people and the creators of the historical civilization of Nepal's Kathmandu Valley. The valley and surrounding territory have been known from ancient times as Nepal Mandala, its limits ever changing through history.Newas have lived in the Kathmandu...

     culture it is also known as 'Khyaak' a ghost-like figure believed to reside in the darkness under the staircases of a house.

Middle-East, Western and Central Asia

  • In Arabic Culture, sleep paralysis is often referred to as 'Kaboos' , literally "presser" or 'Ja-thoom' literally "What sits heavily on something", though the term 'Kaboos' is also used to refer to any form of bad dreams. In folklore across Arab countries, the 'Kaboos' is believed to be a shayṭān or a ‘ifrīt
    Ifrit
    Ifrit—also spelled, efreet, ifreet, afreet, and afrit —are supernatural creatures in Arabic and Islamic cultures...

    which sits, heavily, on people's chests.
  • In Turkish
    Turkey
    Turkey , known officially as the Republic of Turkey , is a Eurasian country located in Western Asia and in East Thrace in Southeastern Europe...

     culture, sleep paralysis is often referred to as "karabasan" ("The dark presser/assailer"). It is believed to be a creature that attacks people in their sleep, pressing on their chest and stealing their breath. However, folk legends do not provide a reason why the devil or ifrit does that.
  • In Persian
    Persian people
    The Persian people are part of the Iranian peoples who speak the modern Persian language and closely akin Iranian dialects and languages. The origin of the ethnic Iranian/Persian peoples are traced to the Ancient Iranian peoples, who were part of the ancient Indo-Iranians and themselves part of...

     culture it is known as 'bakhtak' (Persian
    Persian language
    Persian is an Iranian language within the Indo-Iranian branch of the Indo-European languages. It is primarily spoken in Iran, Afghanistan, Tajikistan and countries which historically came under Persian influence...

    : بختک), which is a ghost-like spear chucker creature that sits on the dreamer's chest, making breathing hard for him/her.

Africa

  • In African culture, isolated sleep paralysis is commonly referred to as "the witch riding your back".
  • Ogun Oru is a traditional explanation for nocturnal disturbances among the Yoruba of Southwest Nigeria; ogun oru (nocturnal warfare) involves an acute night-time disturbance that is culturally attributed to demonic infiltration of the body and psyche during dreaming. Ogun oru is characterized by its occurrence, a female preponderance, the perception of an underlying feud between the sufferer's earthly spouse and a 'spiritual' spouse, and the event of bewitchment through eating while dreaming. The condition is believed to be treatable through Christian prayers or elaborate traditional rituals designed to exorcise the imbibed demonic elements.
  • In Zimbabwean Shona culture the word Madzikirira is used to refer something really pressing one down. This mostly refers to the spiritual world in which some spirit—especially an evil one—tries to use its victim for some evil purpose. The people believe that witches can only be people of close relations to be effective, and hence a witches often try to use one's spirit to bewitch one's relatives.
  • In Ethiopian culture the word 'dukak' is used, which is believed to be an evil spirit that possesses people during their sleep. Some people believe this experience is linked to use of Khat
    Khat
    Khat, qat, gat or Waquish Spoken from true Yemeni, is a flowering plant native to tropical East Africa and the Arabian Peninsula....

     ('Chat'). Khat users experience sleep paralysis when suddenly quitting chewing Khat
    Khat
    Khat, qat, gat or Waquish Spoken from true Yemeni, is a flowering plant native to tropical East Africa and the Arabian Peninsula....

     after use for a long time.
  • In Swahili speaking East Africa, it is known as 'jinamizi', which refers to a creature sitting on one's chest making it difficult for him/her to breathe. It is attributed to result from a person sleeping on his back. Most people also recall being strangled by this 'creature'. People generally survive these 'attacks'

Europe

  • In Hungarian
    Hungary
    Hungary , officially the Republic of Hungary , is a landlocked country in Central Europe. It is situated in the Carpathian Basin and is bordered by Slovakia to the north, Ukraine and Romania to the east, Serbia and Croatia to the south, Slovenia to the southwest and Austria to the west. The...

     folk culture sleep paralysis is called "lidércnyomás" ("lidérc pressing") and can be attributed to a number of supernatural entities like "lidérc" (wraith), "boszorkány" (witch), "tündér" (fairy) or "ördögszerető" (demon lover). The word "boszorkány" itself stems from the Turkish root "bas-", meaning "to press".
  • In Iceland
    Iceland
    Iceland , described as the Republic of Iceland, is a Nordic and European island country in the North Atlantic Ocean, on the Mid-Atlantic Ridge. Iceland also refers to the main island of the country, which contains almost all the population and almost all the land area. The country has a population...

     folk culture sleep paralysis is generally called having a "Mara
    Mara (folklore)
    A mare or nightmare is a spirit or goblin in Germanic folklore which rides on people's chests while they sleep, bringing on bad dreams . The mare is attested as early as in the Norse Ynglinga saga from the 13th century, but the belief itself is likely to be considerably older...

    ". A goblin
    Goblin
    A goblin is a legendary evil or mischievous illiterate creature, a grotesquely evil or evil-like phantom.They are attributed with various abilities, temperaments and appearances depending on the story and country of origin. In some cases, goblins have been classified as constantly annoying little...

     or a succubus
    Succubus
    In folklore traced back to medieval legend, a succubus is a female demon appearing in dreams who takes the form of a human woman in order to seduce men, usually through sexual intercourse. The male counterpart is the incubus...

     (since it is generally female) believed to cause nightmares (the origin of the word 'Nightmare' itself is derived from an English cognate of her name). Other European cultures share variants of the same folklore, calling her under different names; Proto-Germanic: marōn; Old English: mære; German: Mahr; Dutch: nachtmerrie; Icelandic, Old Norse, Faroese, and Swedish: mara; Danish: mare; Norwegian: mare; Old Irish: morrigain; Croatian, Serbian, Slovene: môra; Bulgarian, Polish: mara; French: cauchemar; Romanian: moroi; Czech: můra; Slovak: mora. The origin of the belief itself is much older and goes back to the reconstructed Proto Indo-European root mora-, an incubus, from the root mer- "to rub away" or "to harm".
  • In Malta
    Malta
    Malta , officially known as the Republic of Malta , is a Southern European country consisting of an archipelago situated in the centre of the Mediterranean, south of Sicily, east of Tunisia and north of Libya, with Gibraltar to the west and Alexandria to the east.Malta covers just over in...

    , folk culture attributes a sleep paralysis incident to an attack by the "Haddiela" who is the wife of the "Hares", an entity in Maltese folk culture that haunts the individual in ways similar to a poltergeist. As believed in folk culture, to rid oneself of the Haddiela, one must place a piece of silverware or a knife under the pillow prior to sleep.
  • In Greece
    Greece
    Greece , officially the Hellenic Republic , and historically Hellas or the Republic of Greece in English, is a country in southeastern Europe....

     and Cyprus
    Cyprus
    Cyprus , officially the Republic of Cyprus , is a Eurasian island country, member of the European Union, in the Eastern Mediterranean, east of Greece, south of Turkey, west of Syria and north of Egypt. It is the third largest island in the Mediterranean Sea.The earliest known human activity on the...

    , it is believed that sleep paralysis occurs when a ghost-like creature or Demon named Mora, Vrachnas or Varypnas (Greek: Μόρα, Βραχνάς, Βαρυπνάς) tries to steal the victim's speech or sits on the victim's chest causing asphyxiation.

Americas

  • During the Salem witch trials
    Salem witch trials
    The Salem witch trials were a series of hearings before county court trials to prosecute people accused of witchcraft in the counties of Essex, Suffolk, and Middlesex in colonial Massachusetts, between February 1692 and May 1693...

     several people reported nighttime attacks by various alleged witches including Bridget Bishop
    Bridget Bishop
    Bridget Bishop was the first person executed for witchcraft during the Salem witch trials of 1692....

     that may have been the result of sleep paralysis.
  • In Mexico, it is believed that this is caused by the spirit of a dead person. This ghost lies down upon the body of the sleeper, rendering him unable to move. People refer to this as "Subirse el Muerto" (Dead Person on you).
  • In many parts of the Southern United States, the phenomenon is known as a "hag
    Hag
    A hag is a wizened old woman, or a kind of fairy or goddess having the appearance of such a woman, often found in folklore and children's tales such as Hansel and Gretel. Hags are often seen as malevolent, but may also be one of the chosen forms of shapeshifting deities, such as the Morrígan or...

    ", and the event is said to often be a sign of an approaching tragedy or accident.
  • In Newfoundland and Labrador
    Newfoundland and Labrador
    Newfoundland and Labrador is the easternmost province of Canada. Situated in the country's Atlantic region, it incorporates the island of Newfoundland and mainland Labrador with a combined area of . As of April 2011, the province's estimated population is 508,400...

    , it is known as the 'Old Hag'. In island folklore, the Hag can be summoned to attack a third party, like a curse. In his 1982 book, The Terror that Comes in the Night, David J. Hufford writes that in local culture the way to call the Hag is to recite the Lord's Prayer backwards.
  • In contemporary western culture the phenomenon of supernatural assault are thought to be the work of what are known as shadow people
    Shadow people
    Shadow people are supernatural shadow-like humanoid figures that, according to believers, are seen mostly in peripheral vision and move quickly...

    . Victims report primarily three different entities, a man with a hat, the old hag noted above and a hooded figure . A flood of calls on the popular radio show Coast to Coast AM
    Coast to Coast AM
    Coast to Coast AM is a North American late-night syndicated radio talk show that deals with a variety of topics, but most frequently ones that relate to either the paranormal or conspiracy theories. It was created by Art Bell and is distributed by Premiere Radio Networks. The program currently...

     hosted by George Noory had one of its highest rated shows when the subject was introduced. Sleep paralysis is known to involve a component of hallucination in 20% of the cases, which may explain these sightings. It is also believed that the phenomenon of reported alien abduction is caused by sleep paralysis where the hallucination of aliens has been generated by 20th and 21st century science fiction
    Science fiction
    Science fiction is a genre of fiction dealing with imaginary but more or less plausible content such as future settings, futuristic science and technology, space travel, aliens, and paranormal abilities...

    .
  • Several studies have shown that African-Americans may be predisposed to isolated sleep paralysis also known as "the witch is riding you" or "the haint is riding you". In addition, other studies have shown that African-Americans who have frequent episodes of isolated sleep paralysis, i.e., reporting having one or more sleep paralysis episodes per month coined as "sleep paralysis disorder," were predisposed to having panic attacks. This finding has been replicated by other independent researchers.

External links