4 ms·

Is there any proof of this? This is also a strange comment as the article says they’re doing trials to prove efficacy. > Currently, NightWare is prescribed to

Is there any proof of this? This is also a strange comment as the article says they’re doing trials to prove efficacy. > Currently, NightWare is prescribed to 400 patients in the US, 98 percent of whom are active-duty military or veterans. A new study in the peer-reviewed Journal of Clinical Sleep Medicine shows that participants who used NightWare at least 50 percent of the time had significantly better self-reported sleep quality compared to participants not using NightWare. “The results of our first published clinical trial demonstrate NightWare’s efficacy, and Apple technology is a critical part of that,” says Hannah, NightWare’s CEO. “NightWare benefits from so many of the singular features of the Apple ecosystem — the hardware and design of Apple Watch, the quality control standards, the ease of software integration and deployment — it all comes together to create a system that is changing lives.”

nonrandomstring 4y ago
Proof of what?
- smallnix 4y ago
  That "nightmares are part of a (slow and painful) processing of PTSD events".
- endisneigh 4y ago
  > The nightmares are part of a (slow and painful) processing of PTSD events. Suppressing them may not be helpful and actually just kick the can down the road.
  - nonrandomstring 4y ago
    Why do you think people have nightmares?
    - more_corn 4y ago
      It sounds like you have decided why people have nightmares. I’m curious if you have any evidence to support your conclusion or if you just made it up.
    - endisneigh 4y ago
      I’m not a psychologist. I’m sure it differs per person depending on many variables.
      - nonrandomstring 4y ago
        Yes it's very much an individual experience with many functions and variables. Here's some (see summary [1]); Functional threat modelling for templating past events onto avoiding future harms, Valli,Revonsuo et al (Centre for Cognitive Neuroscience, University of Turku) "The threat simulation theory of dreaming (TST) () states that dream consciousness is essentially an ancient biological defence mechanism, evolutionarily selected for its capacity to repeatedly simulate threatening events." Integration and consolidation of past events. Physiology and psychology of dreams, Alan S Eiser (Department of Neurology, University of Michigan Sleep Disorders Center Ann Arbor) "... direct and systematic investigation could be made of such topics as the occurrence, qualities, recollection, and childhood development of dreaming...neurobiological research, including lesion and brain imaging studies, have established a clearer view of the functional neuroanatomy of REM sleep and dreaming." Processing difficult, complicated, unsettling thoughts. Affect integration in dreams and dreaming, Gary Grenell (Faculty, Seattle Psychoanalytic Society and Institute, USA) "The processes by which dreaming aids in the ongoing integration of affects into the mind are approached here from complementary psychoanalytic and nonpsychoanalytic perspectives. One relevant notion is that the dream provides a psychological space wherein overwhelming, contradictory, or highly complex affects that under waking conditions are subject to dissociation, splitting, or disavowal may be brought together for observation by the dreaming ego." [1] https://www.psychologytoday.com/us/blog/sleep-newzzz/201502/why-do-we-dream https://www.psychologytoday.com/us/blog/sleep-newzzz/201502/...
    - threatofrain 4y ago
      Does it matter? The question is looking for empiricism on dreams and whether mediating nightmares causes more harm down the line.
    - nonrandomstring 4y ago
    - MikeTheGreat 4y ago
      Hi Eliza!
      - nonrandomstring 4y ago
        Tell me more about Eliza.
jorgesborges 4y ago
I think the deeper point being made here is that while stopping nightmares does effectively stop nightmares, it might not address the trauma producing them — and by suppressing the nightmare you suppress a potential avenue of healing. I understand these treatments are necessary and let people live when life might otherwise be intolerable. But there’s definitely a wider discussion to be had addressing the extent to which our mental health apparatus is designed to suppress symptoms rather than to become healthier.
- nonrandomstring 4y ago
  Exactly. Though it's sad, to my mind, that this is dubbed "the deeper point". Is it not extraordinarily obvious that treating the symptoms instead of the cause is bad medicine. If there is a "deeper" point it is to question why shallow, expedient, temporary symptomatic treatment is valued above long-term root-cause change. I guess that's a question of our age.
  - lotsofpulp 4y ago
    > Is it not extraordinarily obvious that treating the symptoms instead of the cause is bad medicine. What if there is no known way to treat the cause?
    - FollowingTheDao 4y ago
      There is a treatment, but they don't want to use it yet. It is all about Neuronal Nitric Oxide Synthase and Glutamate. https://link.springer.com/article/10.1007/s00213-022-06212-7 https://link.springer.com/article/10.1007/s00213-022-06212-7 In fact, this may treat most neurological disorders. Increasing nNOS as a treatment has been overlooked for the last two decades. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2413191/ https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2413191/ https://www.sciencedirect.com/science/article/abs/pii/S0166432822003965 https://www.sciencedirect.com/science/article/abs/pii/S01664... This is how I cured my Schizoaffective Bipolar Disorder: https://onlinelibrary.wiley.com/doi/full/10.1111/gbb.12193 https://onlinelibrary.wiley.com/doi/full/10.1111/gbb.12193
akira2501 4y ago
In particular I find things based on "self-reported" results to be highly suspect, particularly when the comparison is between a relatively expensive technological therapy and simply doing nothing. There's no blinding and no placebo control and no comparison of measurable results over a long period of study.

nonrandomstring 4y ago

Proof of what?

smallnix 4y ago
That "nightmares are part of a (slow and painful) processing of PTSD events".
endisneigh 4y ago
> The nightmares are part of a (slow and painful) processing of PTSD events. Suppressing them may not be helpful and actually just kick the can down the road.
- nonrandomstring 4y ago
  Why do you think people have nightmares?
  - more_corn 4y ago
    It sounds like you have decided why people have nightmares. I’m curious if you have any evidence to support your conclusion or if you just made it up.
  - endisneigh 4y ago
    I’m not a psychologist. I’m sure it differs per person depending on many variables.
    - nonrandomstring 4y ago
      Yes it's very much an individual experience with many functions and variables. Here's some (see summary [1]); Functional threat modelling for templating past events onto avoiding future harms, Valli,Revonsuo et al (Centre for Cognitive Neuroscience, University of Turku) "The threat simulation theory of dreaming (TST) () states that dream consciousness is essentially an ancient biological defence mechanism, evolutionarily selected for its capacity to repeatedly simulate threatening events." Integration and consolidation of past events. Physiology and psychology of dreams, Alan S Eiser (Department of Neurology, University of Michigan Sleep Disorders Center Ann Arbor) "... direct and systematic investigation could be made of such topics as the occurrence, qualities, recollection, and childhood development of dreaming...neurobiological research, including lesion and brain imaging studies, have established a clearer view of the functional neuroanatomy of REM sleep and dreaming." Processing difficult, complicated, unsettling thoughts. Affect integration in dreams and dreaming, Gary Grenell (Faculty, Seattle Psychoanalytic Society and Institute, USA) "The processes by which dreaming aids in the ongoing integration of affects into the mind are approached here from complementary psychoanalytic and nonpsychoanalytic perspectives. One relevant notion is that the dream provides a psychological space wherein overwhelming, contradictory, or highly complex affects that under waking conditions are subject to dissociation, splitting, or disavowal may be brought together for observation by the dreaming ego." [1] https://www.psychologytoday.com/us/blog/sleep-newzzz/201502/why-do-we-dream https://www.psychologytoday.com/us/blog/sleep-newzzz/201502/...
  - threatofrain 4y ago
    Does it matter? The question is looking for empiricism on dreams and whether mediating nightmares causes more harm down the line.
  - nonrandomstring 4y ago
  - MikeTheGreat 4y ago
    Hi Eliza!
    - nonrandomstring 4y ago
      Tell me more about Eliza.

jorgesborges 4y ago

I think the deeper point being made here is that while stopping nightmares does effectively stop nightmares, it might not address the trauma producing them — and by suppressing the nightmare you suppress a potential avenue of healing. I understand these treatments are necessary and let people live when life might otherwise be intolerable. But there’s definitely a wider discussion to be had addressing the extent to which our mental health apparatus is designed to suppress symptoms rather than to become healthier.

nonrandomstring 4y ago
Exactly. Though it's sad, to my mind, that this is dubbed "the deeper point". Is it not extraordinarily obvious that treating the symptoms instead of the cause is bad medicine. If there is a "deeper" point it is to question why shallow, expedient, temporary symptomatic treatment is valued above long-term root-cause change. I guess that's a question of our age.
- lotsofpulp 4y ago
  > Is it not extraordinarily obvious that treating the symptoms instead of the cause is bad medicine. What if there is no known way to treat the cause?
  - FollowingTheDao 4y ago
    There is a treatment, but they don't want to use it yet. It is all about Neuronal Nitric Oxide Synthase and Glutamate. https://link.springer.com/article/10.1007/s00213-022-06212-7 https://link.springer.com/article/10.1007/s00213-022-06212-7 In fact, this may treat most neurological disorders. Increasing nNOS as a treatment has been overlooked for the last two decades. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2413191/ https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2413191/ https://www.sciencedirect.com/science/article/abs/pii/S0166432822003965 https://www.sciencedirect.com/science/article/abs/pii/S01664... This is how I cured my Schizoaffective Bipolar Disorder: https://onlinelibrary.wiley.com/doi/full/10.1111/gbb.12193 https://onlinelibrary.wiley.com/doi/full/10.1111/gbb.12193

akira2501 4y ago

In particular I find things based on "self-reported" results to be highly suspect, particularly when the comparison is between a relatively expensive technological therapy and simply doing nothing. There's no blinding and no placebo control and no comparison of measurable results over a long period of study.