Subjects may start to experience illusions
(distorted perceptions of objects) as well as hallucinations
(perceptions of nonexistent objects). They may also
experience auditory hallucinations, such as hearing
voices in the sound of running water. But it is on
the fourth day that things really start falling apart.
Subjects typically become paranoid, sometimes believing
the experimenters are plotting against them. It is
possible to keep sleep-deprived subjects awake for
longer than 4 days, but clearly prolonged sleep deprivation
is of questionable ethical justification. Surprisingly,
however, there is no documentation of anyone dying
or becoming seriously and chronically ill solely from
lack of sleep.