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Being attacked wakes you up. Being the subject of a PK attempt causes you to yell for help (unless you disabled it in your auto options). Neither of these are bugs. Seeing 'X clambers to his feet' just as you backstab them is a bit strange, but not all that important.
Of course, I do not know if it is solely cosmetic, but it -seems- that the standing resolves before the damage of the backstab, thus effectively halfing it.
And I'm also fairly certain that this wasn't like this before sleep was nerfed (waking at maledictations and other spells).