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The Seven-Day Sleep Prescription review: Getting real about sleep

Everyone needs great sleep, but this is tough in a world where other basic needs - like earning a living – jockey for position. Luckily, The Seven-Day Sleep Prescription has new ideas about how to be pragmatic about sleep
Our lives often don’t allow for a full eight hours of sleep
Aleksandar Nakic/Getty Images

Aric Prather

Penguin Life (out now)

Essential, yet for many elusive; simple, but of endless fascination. Another paradox of sleep is that, though we might not be getting enough of it at night, we can’t get enough of reading about it. Books about how to get more and better shuteye – and warnings of the ills we bring upon ourselves if we don’t – are the blockbusters of popular non-fiction, flying off the shelves and sparking discussion everywhere.

Why We Sleep by neuroscientist Matthew Walker was an international bestseller in 2017. While some of his claims are still controversial and may end up facing some adjustment or revision in the future, no one is disputing the importance of the case he made for sleep. Now, Walker is joined by Aric Prather and The Seven-Day Sleep Prescription, a new book of solutions and strategies, praised by Walker as “thoughtful, vastly knowledgeable, and genuinely brilliant”.

If the back cover’s promise of “transformative” results in “just seven days” piques scepticism, Prather writes with authority. As a clinical psychologist treating patients with insomnia and a professor of psychiatry and behavioural sciences at the University of California, San Francisco, he has a wide-ranging view of common struggles with sleep. Prather is a parent of young children, so he can relate. “I couldn’t sleep in if I tried,” he writes.

Prather’s acceptance that our lives often don’t allow for a full eight hours of sleep counters that strand of wellness advice that tends towards monasticism, heavily hinting that any electrical light after 10pm condemns us to compromised sleep. He is refreshingly relaxed about watching TV to wind down before bed, just so long as you don’t do it in bed.

Prather addresses upfront the essential challenge: the modern world isn’t set up for sleep and, for many people, it is just one priority among many. Especially for those who are socioeconomically disadvantaged, it may not even rank that highly, relative to earning money to pay the bills.

As Prather tells a patient, sometimes it is a case of accepting that “you’re going to be short on sleep, and live with it the best you can”. Yet, at the same time, he makes a compelling argument for why sleep is worth prioritising, in whatever way we can.

This might mean ensuring that what little rest we do get is more restorative by actively managing stress and taking regular breaks during the day, or, at the more drastic end of Prather’s case studies, reorganising our daily life to suit our individual sleep patterns.

Like the self-styled “sleep diplomat” Walker, Prather identifies himself not just as a scientist of sleep, but as an “evangelist” for it. Even setting aside the myriad individual health impacts, he suggests that our fractious, in many ways failing, society is a result of widespread chronic sleeplessness.

In a perfect world, says Prather, our economy would be reorganised to ensure that we all get sufficient rest and sleep would be considered a basic human right – not the pursuit and pet interest of the privileged. After all, it is as fundamental to our mental and physical well-being as food and shelter.

For those readers already well-versed in sleep health, The Seven-Day Sleep Prescription might offer few surprises, but it is still a valuable read for its balance between pragmatism and idealism. The structure of the book, with its bitesize steps towards better sleep, is accessible and immediately helpful, amd the steps themselves are  persuasive

“When you sleep better, your whole life improves,” he writes. For those of us perhaps more inclined to fret over our sleep than to actively prioritise it, it is a worthwhile reminder to give this miracle cure a try.

Topics: Book review / Sleep