Sudden Unexpected Nocturnal Death Syndrome, or SUNDS, is a condition in which otherwise healthy individuals, typically men from Hmong populations, experience heart failure while sleeping (Adler). The first reported death from SUNDS occured in 1977, and from there, it has escalated greatly. Since the initial discovery, researchers have drawn links between nightmares and SUNDS attacks, often concluding that nightmares act as a sort of trigger or contributor to the condition (Adler). But the deaths of individuals that have fallen victim to SUNDS have yet to be explained; autopsies have not been able to determine the cause of death in SUNDS fatalities. Despite the escalating nature of the condition, as well as the mystery that surrounds it, the initial outburst of SUNDS has not resulted in high levels of public awareness or research. Although academic papers had been written on the subject, the disorder did not gain name recognition, as other deadly ailments had. One movie significantly changed that.
The 1984 film A Nightmare on Elm Street paints a picture of the disorder similar to the ones described by SUNDS researchers. The film, which has remained a staple in the horror genre since its release, depicts a band of friends attacked in their dreams by a single tormentor, Freddy Krueger. Sporting excessive scars and a glove with knives protruding from the fingertips, Krueger stalks the characters in their sleep, eventually killing several of them (“A Nightmare on Elm Street – Plot”). Through this storyline, director Wes Craven depicts distinctly SUNDS-like experiences. Some disagree with the film’s portrayal of nightmare-related deaths. One such critic expressed his distaste regarding the non-Asian cast, stating that the powerful story of SUNDS ‘was co-opted by someone else” (Philip). However, some believe that the SUNDS cause could benefit from increased public awareness (Kammadanam). The portrayal of nightmare-related deaths in A Nightmare on Elm Street benefits SUNDS cause, because it brings increased awareness by pushing it to the front of public discourse, which can lead to a push to increase research and funding.
Through the course of this paper, I will demonstrate the way in which A Nightmare on Elm Street portrays SUNDS and its symptoms. I will also elaborate on the current state of SUNDS research, and the effects of the film’s portrayal of the condition. Doing so will establish the increased awareness that the film brought to the cause. Furthermore, I will demonstrate how public awareness results in more funding and research for the SUNDS cause, which can, in turn, lead to better results and insights.
Throughout its history, nightmares have been closely related to SUNDS. This role must be examined further in order to fully grasp the topic at hand. For many years, the Hmong people, who are the primary victims of SUNDS, told stories of evil beings visiting them and others in their sleep, while dreaming. Many within the Hmong community believe that such dreams forewarn death (Adler). Commonalities between each story include the presence of an evil being, a feeling of wakefulness, an inability to move, extreme fear, the feeling of pressure being exerted upon their chest by the being, and difficulty breathing (Adler). Researchers, too, have observed these symptoms in SUNDS-related events (Adler). This means that both Hmong folklore and academic research have been able to describe nightmares containing an evil being as a precursor to sudden deaths. While there are still some aspects of SUNDS-related nightmares that remain nebulous, it’s clear that there is a definite connection between the two.
Although it may not accurately display all the details and symptoms of SUNDS, A Nightmare on Elm Street does portray nightmare-related deaths that resemble those of SUNDS cases. In a 2014 interview, Wes Craven reflected on the inspiration for his film, describing a healthy young Cambodian immigrant who “died in the middle of a nightmare” (qtd. In Marks and Tannenbaum). He continued: “That became the central line of Nightmare on Elm Street.” (Craven) Craven’s description of a healthy Asian male who inexplicably died during his sleep is characteristic of SUNDS victims. Although he didn’t expressly disclose SUNDS by name, it is very likely that Craven is, in fact, describing a SUNDS case. The illustration of Craven’s inspiration for the film can be seen in each on-screen death, as each character who perishes does so in the dream world. Tina Gray, for example, who was “slashed … with bladed glove, levitated, thrown, dragged up wall,” experienced the described death during a dream (“List of Deaths in the Nightmare on Elm Street Films”). While stuck in the nightmare, Gray is vividly and distinctly shown as being attacked and killed by Freddy Krueger. During this event, another character bursts into Gray’s room, finding her alone, and dying; Gray’s body was in the process of being spun and dragged against the wall (“Tina Gray”). Though Gray being thrashed about during her nightmare is clearly an example of sensationalized aspects being incorporated into the story in order to add more entertainment value, Gray’s death does share some common attributes with SUNDS deaths. First, Gray experienced an evil being in her nightmare, just as SUNDS-related nightmares often feature evil presences. Furthermore, her death is shown very distinctly so as to portray the idea of wakefulness during the nightmare. SUNDS-related nightmares, too, leave their victims with a feeling of being alert. Finally, both SUNDS nightmares and Gray’s death feature feelings of severe fear. Despite the fictionalized aspect of her death, her experience is distinctly SUNDS-like.
Gray’s death is not a stand alone occurrence. In fact, each of the four characters killed over the course of the film were each killed in a nightmare by Freddy Krueger. Moreover, each experienced similar symptoms to Tina Gray, such as extreme fear and wakefulness. Each of these traits combine to create an amalgamated portrayal that is descriptive of SUNDS cases.
Since its outbreak in the 1980s, SUNDS has been the topic of many scientific studies and reports. These have sought to examine every component in the deaths from nutrition and metabolism to heart disease and genetics, each attempting to find a causing factor behind SUNDS (Adler). Although no cause has been found, research continues to be done into this mysterious condition. As a whole, it is this group of research and inquiries that makes up the SUNDS field, which can be described as the ongoing attempt to discover new findings and insights into the condition.
A Nightmare on Elm Street does something else in relation to SUNDS: it brings it to the forefront of public discourse. Since its release, the film has been considered a staple of the horror genre. Its imagination and never-seen-before storyline captivated viewers, prompting Rolling Stone to call Freddy Krueger, the infamous villain, the “most famous scarred face in horror-movie history.” (Gilmore) The exposure and public attention the film received launched it and its story into popular culture. As a result, millions of people discussed and thoughtfully considered A Nightmare on Elm Street and the story that it portrayed. Naturally, with nightmare-related death at the center of the movie, nightmares were pushed to the core of many discussions on the film. Although not everyone who examines or discusses A Nightmare on Elm Street is aware of SUNDS itself, the film sees to it that they receive an increased awareness of nightmares and nightmare-related death. As a result, symptoms and experiences that are characteristic of SUNDS are placed in the public eye, indirectly placing SUNDS in the public eye as well.
By placing SUNDS at the center of public attention, A Nightmare on Elm Street contributes to increased funding and research of the condition. The result of SUNDS gaining awareness through viewership of the film is that many began to conclude that the condition is significant. Its presence in the public eye assigns it relevance and weight that it did not otherwise have. Conversely, diseases and syndromes that have very low public awareness are often thought of as trivial and somewhat unimportant (Allard). A common sentiment that accompanies this pattern of behavior is: if this condition were really that important, it would be more well known. The result of this dynamic is that those in charge of allocating funding, whether associated with the government or an independent organization, may be biased towards diseases that are more centered in the public eye. A recent study which sought to examine this phenomenon showed similar results. “[The] results are astonishing – funding is exceptionally sensitive to bias,” said Ruth Hufbauer of Colorado State University, the school that conducted the study. By giving SUNDS recognition, A Nightmare on Elm Street essentially assigned the condition a bias that can be expressed via funding allocation. Therefore, SUNDS research is likely to receive increased funding. Moreover, since funding goes directly towards research, any funding allocated to the SUNDS cause will be dedicated entirely towards SUNDS research in some capacity. As a result, more research can be conducted. A 2003 study reflects this, finding that “federal research funding … results in more … research output” (Payne and Siow).
Given the causal relationship between increases in awareness and funding and research of SUNDS, the effects must be examined. Common sense will likely lead one to assume that more research and funding can have a positive impact on the SUNDS cause. After all, elevated funding can result in better research equipment, more compensation for new test subjects, and salaries for new researchers and scientists. Each of those outcomes (and the countless others that are produced by increased funding) can lead to better and more groundbreaking research. One study, conducted by researchers Magnus Gulbrandsen and Nes-Christian Smeby, surveyed university professors regarding the effects of funding. The study’s collected many responses that reflect a positive correlation. The authors described that they found a “significant relationship between industry funding and research performance” (1). They also reported a greater application of research among professors who received industrial funding, as well as a tendency to work with more researchers and publish more scientific results (Gulbrandsen and Smeby). This conclusion indicates that SUNDS (and other conditions as well) can experience research-related benefits beyond what would have been available without such funding.
Admittedly, my conclusion could use additional research. Although I described a study that examined the ways in which biases affect levels of funding, no study has specifically examined the way in which a recognition bias can affect funding. While such a study may produce similar results to the one referenced in this paper, the results are interesting nonetheless, and they may help to clarify the relationship between awareness and funding. Furthermore, some conflicting conclusions exist in regards to the quality of research after having received funding. Some researchers believe that increased funding results in more research, though not necessarily higher quality research, while others believe it results in better performance in research settings. (Payne and Siow; Gulbrandsen and Smeby) Further research into the correlation – or lack of correlation – between funding and higher quality research should be done. Granted, traditional logic and many studies back the idea that funding produces better results, yet more research can help flesh out this concept and determine its true validity.
The course of events in which A Nightmare on Elm Street brought public awareness and, thus, increased funding and research to the SUNDS cause are not isolated incidents. In fact, there are several cases in which popular media greatly affected a disease or condition. Perhaps the most well known example is the ALS Ice Bucket Challenge. Amyotrophic Lateral Sclerosis, or ALS, is a disease wasn’t necessarily a center of attention prior to 2014. However, the emergence of the Ice Bucket Challenge made ALS a household name. The challenge, aptly named, involved people from all walks of life dumping buckets of water and ice on their heads and then nominating several others to participate. Those who didn’t participate in the trend within 24 hours were expected to donate to ALS research. The immense popularity of the challenge led to millions getting involved. In fact, even major celebrities participated, with notable personalities such as Conan O’Brien, LeBron James, and Oprah Winfrey posting ice bucket videos (Stampler). With the challenge as a predominant element of pop culture, $220 million was donated to ALS research. This money has already resulted in what one writer describes as “significant progress toward better understanding of ALS.” (Allard) As a result of the Ice Bucket Challenge, the ALS cause has been positively impacted in much the same way that SUNDS cause was positively impacted by A Nightmare on Elm Street.
Those who disagree with my position argue that A Nightmare on Elm Street has had a negative impact on the SUNDS cause, as it spreads misinformation about the condition. To some extent, they’re correct. The film does include fictionalized aspects that aren’t true to realistic SUNDS experiences. As a result, the film could contribute to obfuscation to some degree. However, those who hold this belief must also consider the benefit of the film’s portrayal, as it perhaps outweigh the disadvantages. Because the film warps certain aspects of reality in order to produce a more appealing film, it’s become widely mainstream. If the film had displayed wholly accurate accounts of SUNDS, it would surely have received less acclaim and been thought of as considerably more dull. One reviewer reflects on thrill that the fictionalized elements bring to the table: “the dream-attack gimmick … makes for lots of … visual surprises” (Cassady Jr). Therefore, the inaccuracies contained within the movie are partly responsible for the fame that it’s claimed, which has in turn led to increased public awareness and research for SUNDS. In spite of the inaccuracies, A Nightmare on Elm Street has provided the SUNDS cause with a very significant benefit, one that tends to overshadow the harm that it causes. While no means of spreading the word may be perfect, the film does the best with what it has.
While SUNDS itself may not be compelling nor significant for many, my conclusion is. The idea that increased public awareness can lead to more funding and research, and eventually progress toward known measures of prevention or even a cure for a disease or condition, is an extremely significant finding. Just like SUNDS prior to the release of A Nightmare on Elm Street, there are countless conditions that have little name recognition and receive little funding. However, following a path that begins with communicating ideas regarding the condition, and ends with increased awareness and funding, can result in important progress for these diseases and conditions. What A Nightmare on Elm Street has done is give the medical field an effective example of such a path. With this information, those working to fight and cure diseases can see to it that research and funding are boosted and that they are one step closer to winning the fight.
The informal formula to increase funding and research, as described above, does not only have an impact on the medical field. Those suffering from conditions with limited research funding, or those close to people who are suffering, can feel the direct impact from increasing public awareness, as it will inevitably lead to more research and progress. Treatments or breakthroughs may appear at faster rates, and they will experience a bigger push to generate progress.
However, these are not the only people who are impacted by the conclusions in my findings. Everyone who has a vested interest in creating a healthier world can benefit, as it enables the medical world to conduct more research into many conditions and diseases. Such an increase in research will surely have a positive effect on disease treatment and perhaps help scientists damper the negative effects caused by such ailments. Consequently, the health status of many can be raised, helping to create a more healthy population.
A Nightmare on Elm Street, although never explicitly stated to be SUNDS, portrays an experience very similar to ones had by SUNDS victims. Particularly, its focus on vivid nightmares featuring an evil presence is reminiscent of folklore prevalent among Hmong culture, a population that has produced the majority of SUNDS casualties. In doing so, the film is able to both draw public awareness to the SUNDS cause, and generate more funding and research. Consequently, the implications of these events are large and have the potential to create significant effects on both the medical community and on worldwide health.
Works Cited
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