Skip to main content

Breaking the Vicious Circle of Insomnia

A Treatment Model

  • Chapter
Case Studies in Insomnia

Part of the book series: Critical Issues in Psychiatry ((CIPS))

  • 356 Accesses

Abstract

Intense psychological pain and a major disruption of daily life invariably accompany chronic insomnia. These patients feel an urgent need for help. Fear and anger, in response to not controlling sleep, often lead to feelings of powerlessness, despair, and increasing frustration. Unfortunately, these emotional reactions are instrumental in transforming transient insomnia into chronic insomnia. Emotional stress occasionally brings transient sleeplessness to almost everyone; however, an intense emotional reaction to sleeplessness combines with conditioning or learning patterns to perpetuate temporary sleeplessness into agonizing and life-disruptive chronic insomnia.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 129.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 169.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 169.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Recommended Readings

  • Coates, T. J., Thoresen, C. E. (1977). How to sleep better: A drug free program for overcoming insomnia. Englewood Cliffs, NJ: Prentice-Hall. Behavioral management approaches for sleeplessness are presented clearly and thoroughly.

    Google Scholar 

  • Kales, K., Kales, J. (1984). The evaluation and treatments of insomnia. New York: Oxford University Press. A comprehensive overview with emphasis on psychotherapeutic interventions for insomnia.

    Google Scholar 

  • Mason, L. J. (1985). Guide to stress reduction. Berkeley, CA: Celestial Arts Publishers. The mind—body relaxation techniques applied to insomnia treatment are fully discussed and described.

    Google Scholar 

References

  • Ascher, L. M., Turner, R. M. (1978). Paradoxical intention and insomnia: An experimental investigation. In Proceedings of the International Congress of Behavioral Therapy. Vienna, Austria: International Congress of Behavioral Therapy.

    Google Scholar 

  • Bootzin, R. R., Nicassio, P. M. (1978). Behavioral treatments from insomnia. Progress in Behavior Modification, 6, 1–45.

    Google Scholar 

  • Evans, D., Bond, I. (1969). Reciprocal inhibition therapy and classical conditioning in the treatment of insomnia. Behavioral Research and Therapy, 7, 323–325.

    Article  CAS  Google Scholar 

  • Frankl, V. (1960). Paradoxical intention. American Journal of Psychotherapy, 14, 520–535.

    PubMed  CAS  Google Scholar 

  • Hauri, P. J. (1982). The sleep disorders. In Current concepts, a scope publication. Kalamazoo, MI: The Upjohn Company.

    Google Scholar 

  • Hauri, P. J., Percy, L., Hellekson, C., Hartmann, E., Luss, D. (1982). The treatment of psychophysiologic insomnia with biofeedback: A replication study. Biofeedback Self Regulation, 7, 223–235.

    Article  CAS  Google Scholar 

  • Haynes, S. N., Price, M. G., Simons, J. B. (1975). Stimulus control treatment of insomnia. Journal of Behavioral Therapy and Experimental Psychiatry, 6, 279–282.

    Article  Google Scholar 

  • Jacobson, E. (1983). Progressive relaxation. Chicago: University of Chicago Press.

    Google Scholar 

  • Kales, K., Kales, J. (1984). The evaluation and treatments of insomnia. New York: Oxford University Press.

    Google Scholar 

  • Lazarus, A. A. (1976). Multimodal behavior therapy. New York: Springer.

    Google Scholar 

  • Ribordy, S. C., Denney, D. R. (1977). The behavioral treatment of insomnia, an alternative to drug therapy. Behavioral Research Therapy, 15, 39–50.

    Article  CAS  Google Scholar 

  • Soldatos, C. R., Kales, A., Kales, J. (1979). Management of insomnia. Annual Review of Medicine, 30, 301–312.

    Article  PubMed  CAS  Google Scholar 

  • Spielman, A., Saskin, P., Thorpy, M. (1987). Treatment of chronic insomnia by restriction of time in bed. Sleep, 10(1), 45–56.

    Google Scholar 

  • Thoresen, C. E., Coates, T J., Kirmil-Gray, K., Rosekind, M. R. (1981). Behavioral self-management in treating sleep maintenance insomnia. Journal of Behavioral Medicine, 4, 41–52.

    Article  PubMed  CAS  Google Scholar 

  • Turner, R. M., Ascher, L. M. (1979). Controlled comparison of progressive relaxation, stimulus control and paradoxical intention therapies for insomnia. Journal of Consulting and Clinical Psychology, 47, 500–508.

    Article  PubMed  CAS  Google Scholar 

  • Woolfolk, R. L., Carr-Kaffashan, L., McNulty, T. F., Lehrer, P. M. (1976). Meditation training as a treatment for insomnia. Behavioral Therapy, 7, 359–365.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1991 Springer Science+Business Media New York

About this chapter

Cite this chapter

Steinberg, N. (1991). Breaking the Vicious Circle of Insomnia. In: Hauri, P.J. (eds) Case Studies in Insomnia. Critical Issues in Psychiatry. Springer, Boston, MA. https://doi.org/10.1007/978-1-4757-9586-8_10

Download citation

  • DOI: https://doi.org/10.1007/978-1-4757-9586-8_10

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4757-9588-2

  • Online ISBN: 978-1-4757-9586-8

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics