In 1981,Wes Cravenneeded a hit .

He ’d been making movies for about 15 age by then and he ’d already directed two films that are now regarded as repugnance classic : 1972’sThe Last House on the Leftand 1977’sThe Hills Have Eyes . But he wasearning a livingas a director for hire , make TV movies like the 1978 Lois Duncan adaption , Summer of Fear . Hejumped at the chanceto make two characteristic , pestilent Blessing(1981 ) andSwamp Thing(1982 ) , back - to - back . While those moving picture fizzled at the box federal agency , they give him the funds he needed totake a few months offand publish a script he think might call on things around .

constituent of that script — about a slayer who stalk his dupe in their dream — had beenpercolatingin Craven ’s brain for yr , but it assume news reports of a chain of bizarre deaths to finally get him write .

Never underestimate the power of belief.

“The Hundred Years’ Enigma”

Throughout 1981 , theLos Angeles Timesran a series of article about otherwise levelheaded Laotian refugee who had mysteriously died in their sleep , apparently after experiencing violent nightmares . Most of the victim were valet de chambre in their 1930s , and many werefrom the Hmong community , an pagan group that hademigratedfrom its native China to Vietnam , Laos , and Thailand in the nineteenth century . Thousands of its member then relocated to the U.S. after the Vietnam War terminate in 1975 .

AnAssociated Press storyfrom December 1981 reported that “ [ a]n unexplained affliction is killing Laotian refugee at an extremely high rate , striking its dupe chop-chop and without warn while they catch some Z’s … ” There were written report of 38 such case occurring between July 1977 and October 1981 . By the end of December 1981 , the Centers for Disease Control and Prevention’sMortality and Morbidity Weekly Reporthad associate these “ Sudden , unexpected , nocturnal deaths among Southeast Asian refugee ” to a phenomenon more succinctly know as “ SUNDS . ”

“ It is a entirely new syndrome , ” declare Dr. Roy Baron , an epidemiologist with the CDC . “ expiry in immature , healthy mass that occurs at Nox , that occurs in mo , and lacks explanation after autopsy . ”

Hmong Refugees from Laos in Bangkok Airport in 1979.

Baron was wrong about one thing : The affliction that would come to be love as SUNDS was n’t new . As far as we know , it was first draw by a Filipina medico in a 1917 Spanish aesculapian journal ; in 2018 , a paperpublishedin theJournal of the American Heart Associationcalled SUNDS “ the hundred years ’ enigma . ” Similar deaths had beenreportedin China , the Philippines , Thailand , Hawaii , Japan , and England , under a diverseness of names . In the Philippines , the phenomenon is known asbangungut , a word theInternational Journal of Epidemiologytranslatesas “ to rise and moan during sopor . ” In Hawaii , it ’s reportedly known as “ dreaming disease . ”

But the cases that stirred Craven ’s vision and assist inspire 1984’sA Nightmare on Elm Streetwere part of a rash of deaths that were mostly detain to America ’s Hmong community . By the clock time the outbreak evidently end in the tardy ’ 80s , SUNDS had claimed at least 117 life . All but one know dupe was male , and many were Hmong men who had fly Laos after the Vietnam War to get off persecution under the nation ’s communistic governance . In February 1981 , anLA Timesarticlespeculatedthat a “ nightmare syndrome ” was killing the men . In July , the paper ran aheadlinedeclaring “ Men of Hmong Dogged by Death . ” ( If you ’re keeping path of the timeline , this would have been published just after Cravenwrapped productiononSwamp Thingin South Carolina , short before he ’d go on hisElm Streetsabbatical . )

Several potential grounds were suggested , but all were deadened ends , and autopsies did n’t reveal any physiological clues . Some wondered if the answer might lie down in the conditions that had led the human race to the United States in the first place .

North Vietnamese troops during an assault on a South Vietnamese paratroop base at Laos during the Vietnam War.

A ‘Secret War’

While the American armed forces was press communist forces in Vietnam , the CIA was deport what ’s been called a “ hidden warfare ” in neighbour Laos . Hmong masses were integral to that effort : They wererecruited and trained by the CIAto fighting , gather intelligence , protect American asset , and deliver American pilots who ’d been shot down over Laotian jungles .

The issue were annihilating for the Hmong , who suffered tenner of thou of casualty during the combat , as well as during their subsequent exertion to escape brutal persecution after America ’s withdrawal from the conflict in 1975 . Many made their manner to the U.S. after spending meter in refugee camps in Thailand and mould tight - crumple communities in California , Wisconsin , Minnesota , andOregon .

Some attributed the puzzling expiry tochemical weaponsthe human beings would have been exposed to during the prolonged war in Laos and Cambodia , but proponent of that theory could n’t explicate why the chemicals had taken several years to kill them , or why the deaths only occurred at night .

Production still from “A Nightmare on Elm Street 4: The Dream Master,” featuring Robert Englund as Freddy Krueger.

But many Hmong elder had another theory : The deaths , they said , were the work of thedab tsog , a malevolent flavour believed to assault and strangle victims while they slept .

Thedab tsogoperates a lot like the Old Hag of European folklore . It ’s part of a taxonomy of existence sometimes get laid as “ compress spirit ” for their habit of squeeze the breath out of their victims — not precisely melted - face - and - tongue - baseball mitt district , but terrifying enough for anyone who take on one in their sleep . Researchers havelinked these folktales to sleep paralysis , an experience that leave sick person unable to verbalise or move , but often utterly convinced that a ominous front is lurking just out of survey .

The possibility that an malign spirit was killing Hmong men in their sleep patently did n’t make much grip in the medical community , which continued to search for a physiologic explanation . Years afterward , though , a more nuanced apprehension of the power of belief has led at least one investigator to a startling conclusion : In a manner of speaking , the Hmong elders were right .

“A Fatal Power of the Imagination”

In 2011,Dr . Shelley Adler , director of Education Department at the Osher Center for Integrative Medicine at the University of California , San Francisco , published abookcalledSleep palsy : Nightmare , Nocebos , and the Mind - Body Connection . She had spent 15 years conducting flying field research on the Hmong sleep deaths and combing through archival records , and she had become confident that , while an evil spirit had n’t killed the men , their impression in it did .

Adler argue that the SUNDS death were a prime example of thenocebo effect , which is the disconsolate flipside of the well - known placebo effect . Placebotakes its namefrom a Latin phrasal idiom think “ I shall please , ” whilenocebo ’s Latin antecedenttranslates as“I will be harmful . ” When we go through theplacebo effect , a discussion with no real aesculapian economic value improves our condition , often in measurable ways , because we think it will . With nocebo , the opposite is true : Something that ca n’t really hurt us , such as a mythical demon that supposedly haunts our eternal sleep , could become physically harmful or even calamitous if our feeling in it is strong enough .

Adler is n’t the first research worker to learn the phenomenon ; in 1942 , spectacular American physiologistWalter Cannonwrote about what he shout “ voodoo death , ” where masses in Africa , South America , and Australia died after believing they ’d been cursed . Cannon described it as “ a fatal business leader of the imaginativeness working through unmitigated terror . ”

During her inquiry , Adler launch that , while experiences interpreted asdab tsogattacks were unwashed in Laos , they were rarely ( if ever ) disastrous . So why had thedab tsogsupposedly become a killer in America ? Adlerattributes the shiftto the fact that , in Laos , there was a ethnic infrastructure in topographic point to work the experience . Sufferers could babble out about what was happening to them without brand , consult shamans , and help themselves of rituals they believed would dispel the spirit .

Hmong people who had sink in America , on the other hand , had no such support connection . Shamans were not as readily available in American Hmong communities , and even if one could be located , the alterative rituals often involve animal ritual killing or other elements that were forbidden in the U.S. Besides that , some of the most canonic function of traditional Hmong society were upend in America : Hmong men were require to provide for their fellowship and honor their ancestral spirits , but they hadtrouble supporting their familiesin America and had to rely on either social service or other family members , including women , for help . harmonize to Adler , all of these factors made Hmong valet de chambre who had immigrate to America feel especially vulnerable to the predations of a dream slayer .

Craven plausibly was n’t cognisant of much of this , but the stories he translate were enough to help him call down up a different kind of demon — and invent one of the most iconic screen villain in cinema history .

“ I just wrick these occurrences around and call for , ‘ What if the death was a answer of the dreaming ? ’ ” hetoldRolling Stonein 1988 . “ ‘ What if the dream were actually toss off these men ? And what if they were all sharing a rough-cut direful dream ? ’ So I get down make a villain that subsist   only   in dreams . ”