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Diagnostic Criteria, Diagnostic Issues, and Possible Subtypes of Sleep Paralysis 

Diagnostic Criteria, Diagnostic Issues, and Possible Subtypes of Sleep Paralysis
Chapter:
Diagnostic Criteria, Diagnostic Issues, and Possible Subtypes of Sleep Paralysis
Author(s):

Brian A. Sharpless

and Karl Doghramji

DOI:
10.1093/med/9780199313808.003.0011
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date: 23 September 2019

This chapter reviews and evaluates the many diagnostic issues related to sleep paralysis. After briefly reviewing Ernest Jones’ original conception of the Nightmare, diagnostic criteria for the various sleep paralysis episode subtypes (i.e., sleep paralysis, isolated sleep paralysis and fearful isolated sleep paralysis) and sleep paralysis disorder subtypes (i.e., recurrent isolated sleep paralysis, recurrent fearful isolated sleep paralysis) are presented. Next, these various definitions of sleep paralysis are considered within the context of the three dominant classification schemes (i.e., the various editions of the International Classification of Diseases, Diagnostic and Statistical Manual of Mental Disorders, and International Classification of Sleep Disorders). Finally, it is suggested that more work take place to establish empirically based diagnostic and clinical thresholds for these phenomena.

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