'Awake' may be fake, but these delusions are real

NBC

Here's a scene from NBC's new show, "Awake," in which the protagonist, played by Jason Isaacs, experiences two alternate realities.

In the new TV series “Awake,” a detective, his wife, and son, suffer a severe car crash. The detective wakes up. But he seems to live in two realities: In one, his wife is dead and his son lives. In the other, his son is dead and his wife lives. Psychiatrists in each reality tell him the opposite existence is a dream. Yet clues from these parallel lives leak into crime investigations, helping the detective solve them.

Whoa.

But could any such thing happen in real life?

“My first suggestion is that the person who wrote this needs to get some counseling,” offered University of Florida neurologist Dr. Kenneth Heilman. 

That would be a “no.” But similar phenomenon do occur.

Heilman himself has a personal experience with something like it. When his mother was in the hospital after a severe heart attack that had restricted blood flow to her brain, she’d sometimes comment that she couldn’t tell if she was dreaming or was awake.

And he once had a patient with viral encephalitis, an inflammation of the brain, who said the same thing. Dreaming and waking life had become conflated.

Of course, all of us experience this phenomenon when we sleep and dream. In many, maybe most, dreams, we think what we’re experiencing is real because, as Heilman likes to describe it, we’ve engaged the clutch when sleeping and disconnected our reasoning, centered in the frontal cortices.

“That’s why, in the middle of a dream, you don’t think ‘OK, I can’t be hanging on to the top of a double decker bus feeling quite excited but not afraid as the bus charges around Edinburgh,” explained University of Cambridge professor Sue Llewellyn.

We also can have “lucid dreams,” those dreams that occur, often just before we wake, when our reasoning centers in the frontal lobes began to reengage. We’re asleep, and dreaming, but slightly aware. Also, drugs like LSD can induce hallucinations that blur the boundaries between dream and reality.   

Damage to the centers of reasoning and sensory input can create a variety of delusions. Reduplicative paramnesia, for example, was named in 1975 (though it was known as early as 1903) when a doctor realized that a few patients insisted, incorrectly, that the hospital was actually located at another location. Today it’s the insistence by suffers that places, people or events have been duplicated. Parkinson’s disease and strokes can cause the frontal brain lesions that lead to this syndrome, but so can severe trauma.

Like a car accident.  

Related: 

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Discuss this post

I'm going to guess that the show is going to end with the shocking realization that both the wife and son are perfectly fine and he's the one in the coma hovering between life and death.

  • 11 votes
Reply#1 - Thu Mar 8, 2012 11:23 AM EST

At the end of the last episode the Captain had a clandestine meeting on a park bench and said something about destroying "his whole family." I think the wife and son are both dead.

    #1.1 - Sat Mar 10, 2012 12:48 AM EST
    Reply

    Saffron77, wow, you are probably right.

    • 1 vote
    Reply#2 - Thu Mar 8, 2012 11:42 AM EST

    Or he's going to awaken in a sweat tent after 12 hours on a peyote trip...

    • 2 votes
    Reply#3 - Thu Mar 8, 2012 12:00 PM EST

    That or he's dead and living in his own personal hell.

    • 2 votes
    Reply#4 - Thu Mar 8, 2012 12:00 PM EST

    When viewed as a collection of electrical signals, there is no qualitative difference between watching an activity and doing the activity. In other words, when you watch a baseball player swing a bat, your brain patterns are exactly the same as when you actually swing a bat. So to your brain, what you dream is real. I find it interesting that we can only use and understand about 20% of our brains workings just as we can interact with and understand only 20% of our universe. We know the other 80% is there, we just have no idea what it is or how to interact with it.

    • 1 vote
    Reply#5 - Thu Mar 8, 2012 12:24 PM EST

    Watching and doing are not the same thing at all. They are both electrical impulses but that's where the similarities end. Motor neurons and the visual cortex are in different areas of the brain. That's why when you are watching a baseball player take a swing, your arms don't move.

    Also, that "we only you x% of our brain" argument has been proven false about a billion times. We use 100% of our brains.

    • 3 votes
    #5.1 - Thu Mar 8, 2012 12:44 PM EST

    Also, that "we only you x% of our brain" argument has been proven false about a billion times. We use 100% of our brains.

    Indeed. While not all of our brain is used for cognitive thought, it is all used to maintain the functions of the human body.

    We're very complex machines.

      #5.2 - Thu Mar 8, 2012 1:55 PM EST

      anyone know someone with 90% of there brain removed that is just fine? Thought not.

      • 1 vote
      #5.3 - Thu Mar 8, 2012 7:05 PM EST

      Experiencing the action in real life because you're doing it and dreaming the same action might generate the same "electrical signals" so that in a qualitative sense your brain doesn't differentiate between reality and a dream might be true, but I doubt watching someone do something generates the same signal response as doing it yourself.

      Most of us have probably woken up from a dream that seemed so real that we questioned whether or not we actually did what we did in the dream. I think very few people have watched someone else swing a bat and felt that they themselves swung it.

      • 1 vote
      #5.4 - Fri Mar 9, 2012 8:52 AM EST

      PAQ: anyone know someone with 90% of there brain removed that is just fine? Thought not.

      Actually there is a medical procedure where one entire hemisphere of the brain has been removed to control seizures. It's called a hemispherectomy. It must be common because there are a lot of half-brained posts on the Internet.

      • 5 votes
      #5.5 - Fri Mar 9, 2012 9:31 AM EST

      The idea that we only use 10% of our brains was actually misquoted from William James, I believe. Also, I'm not entirely sure what understanding 20% of the universe even means.

        #5.6 - Fri Mar 9, 2012 11:06 PM EST
        Reply

        Wheather this senerio is true or not, I fell asleep during awake!

        • 1 vote
        Reply#6 - Thu Mar 8, 2012 2:38 PM EST

        Says the guy who can barely spell; so that really doesn't shock me at all.

          #6.1 - Mon Mar 12, 2012 2:28 AM EDT

          Well, since the author of this piece can't spell either:

          Today it’s [what does "it" refer to? The last noun was "location"--and that isn't "it"] the insistence by suffers [shouldn't that be "sufferers"?] that places, people or events have been duplicated.

          I'm not sure it's fair to call attention to the poor soul here who has a weak grasp of spelling, grammar, and mechanics. S/he isn't getting paid to write.

            #6.2 - Mon Mar 12, 2012 9:54 AM EDT

            maybe we should have good spelling, grammar and mechanics even though we aren't paid. However, you really don't have to have a grasp on English to say, "would you like fries with that" so whatever...

              #6.3 - Fri Apr 20, 2012 5:26 PM EDT
              Reply

              Hmm this is all based on the question- do we live in true reality or some sort of complex computer simulation? My own theory is that if we live in true reality then absolutely nothing can be set in stone including the laws of physics. If anything is actually set in stone then odds are we are not living in true reality.

                Reply#7 - Thu Mar 8, 2012 9:36 PM EST

                “That’s why, in the middle of a dream, you don’t think ‘OK, I can’t be hanging on to the top of a double decker bus feeling quite excited but not afraid as the bus charges around Edinburgh,” explained University of Cambridge professor Sue Llewellyn.

                That's blatantly not true. It may not occur often, but it does occur that during a dream that makes no "sense" you do realise the discrepancy between the dream and the waking life.

                I wish people would stop being so flippant about the reality of life, when it's abundantly clear to all - but to those obfuscated by their own "science" (= apparent knowledge) - that too many vital pieces of the puzzle escape us.

                  Reply#8 - Fri Mar 9, 2012 6:43 AM EST

                  Awayke!

                    Reply#9 - Fri Mar 9, 2012 6:54 AM EST

                    Typo. Again. Suffers, instead of sufferers.

                    Can't MSNBC afford a proofreader?

                    Or is it that everyone with a keyboard is writer, editor and proofer these days.

                    Distracting.

                      Reply#10 - Fri Mar 9, 2012 11:33 AM EST

                      Don't watch television!

                        Reply#11 - Fri Mar 9, 2012 12:47 PM EST

                        He's actually in a spaceship on his way to Mars.

                        (I wonder who will get that reference)

                          Reply#12 - Sat Mar 10, 2012 3:20 AM EST
                          Reply
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