Moreover, in that the right hemisphere is at a higher level of activation during REM, it also tends to predominate when attempting to analyze internal and external sensory input during this stage of sleep. For example, although sensory perception is restricted, the right cerebrum may respond to a sensation experienced during sleep by creating a dream to explain it. However, when this occurs we sometimes dream backwards.
A case in point, "Trish" dreams she is walking in San Francisco lugging large bags of gifts. Feeling tired she sets them down on the sidewalk. She looks for a bus and see a cable car coming. As it pulls up the conductor begins to ring its bell. The sound of the bell grows louder and then jolts her awake. Fully awake she realizes that someone is ringing her doorbell. In this regard, the hearing of the bell seemed to be a natural part of the dream, and it is. What seems paradoxical, however, is that the dream seemed to lead up to the bell so that its ringing made sense in the context of the dream.
The dream did not lead up to the bell, however, for the bell initiated the dream. The dream was produced, via the unique language of the right hemisphere during sleep (as well as amygdala activation), so as to explain the sound of the bell. The bell was heard and the dream was instantly produced in explanation and association. The bell stimulated the dream (perhaps by startling the amygdala; see chapter 13) which may have only last a second.
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