Features
Somnambulism / Sleepwalking, Part 1
Sleepwalking, also known as somnambulism, is a parasomnia that tends to occur during arousals from slow-wave sleep. It most often emerges in the first third or first half of the sleep period when slow-wave sleep is more common.
Sleepwalking consists of a series of complex behaviours that culminate in walking around with an altered state of consciousness and impaired judgment.
Before walking the person often sits up in bed and looks about in a confused manner with eyes wide open. Sometimes the person immediately gets up and walks or even bolts from the bed running. The sleepwalker can be hard to awaken. Once he or she is awake, the person is often confused and has little recall of the event. The sleepwalking may end suddenly, sometimes in unusual or inappropriate places. In other cases the person may return to bed and continue sleeping without ever becoming alert.
Sleep talking is a common sleep disorder that is classified as an isolated symptom.
It can arise during any stage of sleep and can occur with varying levels of comprehensibility. The sleep talker tends to be unaware of the problem, but loud and frequent talking can disturb the sleep of the bed partner. At times the content of the talking can be objectionable and offensive to others.
PREVALENCE
Sleepwalking occurs in as many as 17 percent of children and four percent of adults. Sleep talking occurs in half of young children and in about five percent of adults.
RISK GROUPS
Sleepwalking tends to be a fairly normal part of a child’s development, peaking by the age of eight to 12 years. When they were younger most children who sleepwalk had another parasomnia called confusional arousals. Sleepwalking is more common when one parent has a history of the disorder, and it is much more common if both parents were sleepwalkers. Sleepwalking may occur in people who have other parasomnias such as sleep terrors or REM sleep behaviour disorder (RBD). Sleepwalking may occur as a rare side effect of medications such as sleeping pills.
Sleepwalking can involve strange, inappropriate and even violent behaviours. The person may walk out of the house or even climb out of a window. On rare occasions the sleepwalker may get in a car and drive. A sleepwalking child may walk quietly toward a light or to the parents’ bedroom. Sleepwalking can be dangerous if the child walks toward a window or goes outside.
Sleep walkers get out of bed and move around the house during deep sleep.
Sometimes they may leave the house. Sleep walking usually occurs for just a few minutes at a time and may occur up to 3 or 4 nights per week. However, some people sleep walk for longer periods of time and less often. When it is over, most people are able to remember very little of what they did, if anything at all.
Usually, sleepwalking starts in childhood, becomes less common as a teenager and stops as a young adult. However for some people, it may continue for most of their life. The longer a child keeps sleepwalking into their teenage years, the greater the chance that it will go on into early adulthood
By Robert Ekow Grimmond-Thompson
Features
The power of change: Understanding the process and catalysts
CHANGE is an inevitable and essential aspect of life, shaping individuals, organizations, and societies. It can be transformative, leading to growth, innovation, and progress. But how is change created?
This comprehensive article explores the process and catalysts of change.
The Change Process
The change process involves several stages:
1. Awareness: Recognising the need for change.
2. Assessment: Evaluating the current state.
3. Visioning: Envisioning the desired future state.
4. Planning: Developing strategies and action plans.
5. Implementation: Executing the plan.
6. Evaluation: Monitoring progress and making adjustments.
Catalysts of Change
Several factors can catalyse change:
1. Internal Motivation: Personal or organisational desire for improvement.
2. External Pressures: Market trends, technological advancements, or regulatory requirements.
3. Leadership: Visionary leaders driving change.
4. Crisis: Forced change due to unexpected events.
5. Innovation: New ideas and technologies.
Types of Change
Change can be:
1. Incremental: Gradual, small-scale changes.
2. Transformational: Radical, large-scale changes.
3. Strategic: Planned, deliberate changes.
4. Emergent: Spontaneous, unplanned changes.
Change Management
Effective change management involves:
1. Communication: Clear messaging and stakeholder engagement.
2. Training: Developing skills and knowledge.
3. Support: Providing resources and guidance.
4. Monitoring: Tracking progress and addressing challenges.
Resistance to Change
Resistance can arise due to:
1. Fear: Uncertainty and anxiety.
2. Habit: Comfort with the status quo.
3. Lack of Understanding: Insufficient information.
4. Power Dynamics: Threats to authority or control.
Overcoming Resistance
Strategies to overcome resistance include:
1. Education: Providing information and context.
2. Involvement: Engaging stakeholders in the change process.
3. Support: Addressing concerns and fears.
4. Leadership: Demonstrating commitment and vision.
Sustaining Change
To sustain change:
1. Embed Change: Integrate new practices and behaviors.
2. Monitor Progress: Continuously evaluate and adjust.
3. Celebrate Successes: Recognize achievements.
4. Maintain Momentum: Keep the change process moving.
Conclusion
Change is a complex and multifaceted process. Understanding the change process, catalysts, and management strategies can help individuals and organizations navigate and create meaningful change.
Recommendations
1. Develop a Change Mindset: Embrace change as an opportunity.
2. Build Change Capacity: Develop skills and resources.
3. Foster a Culture of Change: Encourage innovation and experimentation.
By Robert Ekow Grimmond-Thompson
Features
This question of love
The question of love is something that will be talked about until kingdom come.
A discussion I observed on the internet about a 19 year old who had accepted the proposal of a 67 year old man reminded me of the preaching of Pastor Mensa Otabil.
He talked about the a scenario where a 60 year old man enters into a relationship with a 22 year old lady and the lady tells him I love you, when he has a protruded belly, with all the accompanying creases and he believes what she says.
He further went on to say that a whole grown up man, allows a young lady to call him “babe” and he does not feel offended.
He further went on to preach that, this young lady, young enough to be his daughter, says “babe, I love you” and this man sheepishly laughs and does not realise, he is being taken advantage of.
What keeps ringing in my ears is his statement that “what is there to love about a protruding sagging belly?”
There is no regulated way for how a person falls in love. It reminds me of a funny statement that Pastors or marriage counsellors often use, that if you fall in love, you may hurt yourself.
Love I believe is a beautiful thing but it is not something that should be toyed with. People getting into relationships should consider the realities that are bound to happen as the years go by.
Jealousy is a very destructive influence. It can influence a person to harm his wife or her husband or to even commit murder. There has been countless reported instances where a man has poured acid on his wife or girlfriend, slashed his wife to death with a cutlass because he suspected, the wife was cheating on him.
It is something that blinds one to right reasoning and once your reasoning stops functioning, then the wrong side of us takes over and the result is nothing to write home about. In most cases, it comes out after the horrible act has been perpetrated, that there was no truth in the issue that caused the jealousy, after all. However, a life would have been maimed, disfigured or destroyed forever.
One of the causes of jealousy in marriage is the age gap difference. Whether we like it or not we shall grow old one day if God by his grace enables us to live long. When we grow old, a lot of changes occur in our bodies and things we used to do with ease, suddenly become a huge challenge and it could be very frustrating.
One of the things that drives a man crazy is when he has grown weaker in bed and sees the wife interacting with younger men in a suspicious manner that seems to suggest that there is more to it than meets the eye.
Jealousy will definitely be kindled in the heart of such a man whose wife is far younger than him like this 67 year old man wanting to marry a 19 year young lady.
In 30 years’ time, this man will be 97 and his muscles would have become weaker affecting his erection. His wife would be 49 and will have to be satisfied in bed in a manner that this man cannot execute. What do you think is going to happen?
Marriage Counsellors advocate that the ideal age gap between marriage partners should not be more than 10 years. This is one way to eliminate suspicions which results in mistrust when the man grows old and gets weaker because it is a known fact that sex is very important to men than women.
A man becomes very worried when his sexual performance level drops. This is what causes some men to act in a manner that is condemnable. My advice, walk into love, don’t fall into it. God bless.
NB: ‘CHANGE KOTOKA INTERNATIONAL AIRPORT TO KOFI BAAKO INTERNATIONAL AIRPORT
By Laud Kissi-Mensah