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December 14, 1918


Author Affiliations

Fort Riley, Kan. First Lieutenant, M. C., U. S. Army.

JAMA. 1918;71(24):2015. doi:10.1001/jama.1918.02600500065021

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To the Editor:  —I start with the assumption that every insomnia patient has been carefully examined for any pathologic condition, especially for intestinal disorders, and that all medical and surgical conditions have been met.The suggestions offered herein are for that class of patients that cannot forget their business when they want to sleep and should be asleep, or those who have troubles or worries from which they are unable to travel or take a vacation. My first efforts began about ten years ago, along the popular line of mental gymnastics, in an attempt to control the mental states. Since the dreaming state lies between consciousness and sound sleep, just at the threshold of sleep the idea was to make them dream themselves to sleep. Directions were to avoid reasoning and analysis, to direct any train of thoughts into the absurd and grotesque. Mention is made of this method because

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