Man Who Mistook His Wife For Hat

Men ought to know that from nothing else but the brain come
joys, delights, laughter and sports, and sorrows, griefs despondency, and
lamentations. And by this, in an especial manner, we acquire wisdom and
knowledge, and see and hear and know what are foul and what are fair, what are
bad and what are good, what are sweet and what are unsavory……And by the same
organ we become mad and delirious, and fears and terrors assail us… All these
things we endure from the brain when it is not healthy… In these ways I am of
the opinion that the brain exercises the greatest power in the man. –Hippocrates,
On the Sacred Disease (4th century B.C) It is human nature to be
curious about how we see and hear; why some things feel good and others hurt;
how we move; how we reason, learn, remember, and forget; the nature of anger and
madness(Bear, Connors, Paradiso 3). This quote, found in my neuroscience
textbook, basically sums up why we study and write about the brain. The brain
has been a curiosity to man since the beginning of science. The actual term
neuroscience is as recent as the 1970s, but the study of the brain is as
old as science itself. Evolving over time, the discipline of neuroscience has
undergone significant changes to become what it is today. New findings, new
discoveries are always changing what we know, or think we know, about the brain.

It is with this in mind, that I attempt to discuss Oliver Sacks collection of
narratives. Referring to himself as a physician, Oliver Sacks has dedicated his
entire life to studying the person behind neurological deficits. His interest
lies not in the disease itself, but also in the person-the suffering,
afflicted, fighting, human subject- and he presents these people in short
narratives collected in The Man who Mistook His Wife for a Hat. Oliver writes
these stories to teach the reader about the identity of people who fall victim
to neurological diseases. He describes the experience of the victim as he/she
struggles to survive his/her disease. It is this struggle, this description of
persona that leads to the notion of neurology of identity(viii), which
arouses the historic concept of the mind and the brain. In neurosciences
earliest years, a neurologist by the name of Descart spoke of the notion that
there was a governing body that existed outside of the physical brain. This
governor, the mind, was thought to be some sort of spiritual phenomena that
worked with the physical brain to control actions, interactional dualism.

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This concept of the mind led to numerous studies regarding its actual existence.

Reading Oliver Sacks narratives forces me to believe that there just might be an
outside force working together in some sort interactional dualism. The existence
of a mind would support Sacks idea of identity; that is, that a personal
identity is formulated through perceptions, our own perceptions. Oliver presents
numerous stories where neurological disorders have completely impaired a
persons physical ability; the ability to remember, the ability to comprehend,
the ability to speak, hear. These patients, however, never lose their spiritual
ability. Their ability to rejoice, to appear spiritually fulfilled, is never
lost, it is only hidden. An example of this spiritual phenomena is the case of
Jimmie, who had suffered from amnesia, and could not remember anything for more
than two minutes, except that which was thirty years old. Jimmie had no
continuity, no reality. He lived in the eighties, but his mind was in the
thirties. Jimmie would erupt into panic attacks of confusion and disbelief, only
to forget them a few minutes later. After frequent visits with Dr. Sacks,
however, Jimmie began to fine some continuity, some reality, in what Sacks
refers to as the absoluteness of spiritual attention and act(38). Jimmies
spirit, regardless of the brain deficit, was never completely lost. His spirit,
which may very well exist in his mind, or outside of the physical brain, allowed
him to have temporary realities. Sacks writes about neurological deficits and
how people cope with these diseases to allow us, the reader, to adventure into
an unknown world. We, as normal people with no neurological disease, really have
no concept of how devastating these circumstances can be to our life. Sacks,
however, provides us with stories that make us appreciate our working brains.

Thus it is extremely important to continue writing about the brain and its
mysteries to inform the everyday person of the disasters that at some point


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