Oliver Sacks was a neurologist who wrote several different best-sellers that delved into further understanding the capacity of the human brain. He wrote his best-sellers using his collection of cases of patients who suffered from different neurological conditions. Among one of his best sellers is the book The Man Who Mistook His Wife for a Hat and Other Clinical Tales where he compiled several of his most interesting clinical tales using his former patients that suffered from a variety of different neurological disorders. In his book, he divided the cases into four different categories; loses, excesses, transports, and simple. This review will further analyze the title of the book, the different neurological disorders that are divided into the four different categories which will then be reviewed categorially by analyzing the ways in which neuroscience is present in the book.
For starters, the book title The Man Who Mistook His Wife for a Hat and Other Clinical Tales is extremely fitting because it conveys the essence of the book. The title allows for some curiosity on the reader’s behalf which entices them to read the book because they want to know what kind of neurological disorder prevents the patient from recognizing faces and mistaking their wife for a hat. Dr. Sacks quickly introduces us to the patient responsible of the title of the book during the first chapter. I think it’s fitting that Dr. Sacks chose Dr. P as his first patient as his book title because it sets the precedent to the rest patients in his collection of clinical tails. By introducing the person responsible for the title of the book in the first chapter, it doesn’t leave the reader wondering which patient mistook their wife for a hat. On the contrary, it helps set the tone for the rest of the clinical tales which shows stories about neurological disorders just as wild as Dr. P’s case.
For the most part, the book was very well written and easy to understand. Since the book was divided into four different categories, it allowed for the book to be extremely organized because the cases either fell into a losses, excesses, transports and simple categories. The first part of the book is losses, where Dr. Sacks describes neurological disorders that have a certain kind of loss in their neurological functions. An example of a loss would be visual agnosia which in the case of Dr. P, it took away his ability to distinguish faces. Although Dr. P was unable to distinguish faces, he still found a way to continue his everyday life with minimal interruption by using the help of music to guide him in his life.
Neuroscience is presented in Dr. P’s case excessively. Because Dr. P’s has the inability to recognize faces, it means that his thinking is more abstract and mechanical. Dr. P’s thinking is more computer like because his brain is classifying and categorizing the faces he sees. Dr. P’s case is a prime example of why it’s important for not only the brain to classify and categorize things, but also having continual judging and feeling. If any of these elements are missing in the human brain, people become computer like, just as Dr. P. When people suffer from visual agnosia, just as Dr. P, their life becomes entirely abstract and computational. Dr. Sacks claim regarding that such disorder makes patients computer-like is accurate and valid because after making that claim, he follows up with the reader by showing another brief case of visual agnosia which allows the readers to compare the two patients and understand how complex visual agnosia is.
The second part of the book is excesses, where Dr. Sacks describes neurological disorders that have a superabundance’s of functions. An example of an excess would be Tourette’s syndrome which is when a person has an excess amount of nervous system energy which transpires into production of strange motions and notions such as tics, compulsions, and etc. In the case of Witty Ticcy Ray his Tourette’s was extremely debilitating because his tics were uncontrollable and unorthodox. It wasn’t until Witty Ticcy Ray got started on a new medication called Haldol which allowed him to live his life with minimal interruption with his illness by finding the proper dosage that worked for him.
Neuroscience is presented in the case of Witty Ticcy Ray in several different ways. For starters, Dr. Sacks starts out by explaining that Tourette’s patients have disturbances in the instinctual bases of behavior in the brain. Such areas affected are the thalamus, hypothalamus, limbic system and amygdala which is where all the determinants for personality are located at. The presentation of neuroscience in the case of Witty Ticcy Ray makes sense with my understanding of neuroscience because it helped me understand how Tourette’s Syndrome works due to the fact that the areas affected are the areas that control personality which in turn with Tourette’s is expressed through different kind of ticks.
Additionally, the treatment for Witty Ticcy Ray’s Tourette’s was a medication called Haldol. Haldol helped control his ticks and helped him assimilate into everyday life. Haldol works by helping to restore the balance of certain natural substances in the brain such as neurotransmitters. Dr. Sacks claims of Haldol working on Witty Ticcy Ray’s Tourette’s demonstrates a further understanding of neuroscience. The only thing I would have liked to see from Dr. Sacks argument about Haldol, would have been to have been provided with an elaborate explanation in the ways in which Haldol helps the neurotransmitters restore chemical balances in the brain.
The third part of the book is transports, where Dr. Sacks describes neurological disorders of patients that suffer from altered perceptions which allows them to transport back to a moment in their past by reminiscing without notice. An example of transports which in the case of Mrs. O’C was caused by temporal lobe seizures due to a stroke the right temporal lobe. In the case of Mrs. O’C she was hearing Irish music in her head which filled her with personal feelings of her past which allowed her in a way to transport back to her childhood. Mrs. O’C Irish music in her head was resolved on its own with time but it shows how some neurological conditions are able to transport patients back to forgotten memories.
Neuroscience is presented in the case of Mrs. O’C in various ways. For starters, it shows the impact of a stroke in the brain and because of the location of the stroke occurred in the right temporal lobe, it allowed for temporal lobe seizures to occur which was the reasoning behind hearing music and transporting to earlier memories. The presentation makes sense with my current understanding of neuroscience because from what I’ve learned in class it was that the temporal lobe is involved in primary auditory perception, such as hearing, and holds the primary auditory cortex. When Mrs. O’C had right temporal lobe seizures, it makes sense that she would hear music in her head. Dr. Sacks also followed up his claim by providing evidence of a test he ran on Mrs. O’C where he electrically stimulated the right temporal lobe and caused her to hear music. Which further proved his claim regarding the temporal lobe seizures and their impact on the human brain.
The fourth part of the book is simple, where Dr. Sacks introduces several different patients who are considered “simple” because they suffer from different forms of mental retardation. Although Dr. Sacks labels these patients as “simple” they completely outgrow that label because Dr. Sacks brings out their personal strengths in each of their case and shows how these patients are able to thrive despite their neurological limitations.
Neuroscience is presented in this final section by Dr. Sacks providing different case studies of patients who all live a simple and innocent lives due to their mental retardation. Although, their world might be simple; that doesn’t mean that their brain doesn’t work. Dr. Sacks did well presenting different patients which helped me understand the different ways that neuroscience works in the world of simple. The last case study of the section of simple shows the story of an Autistic boy named Jose who is referred to as “The Autistic Artist.” Although he was mentally retarded and unable to speak, that did not make him an imbecile because when asked to draw pictures, he drew those same pictures differently and amazingly. The argument that Dr. Sacks makes regarding the different skills of many different individuals with mental retardation and what they can achieve despite their limitations is backed up correctly and well explained by providing different examples of all the different patients.
Altogether, Dr. Sacks collection of various different clinical tales makes for an interesting yet informative neuroscience read. Dr. Sacks effectively examines the personal side of neurosis by making his book an easy read by incorporating empathy with clinical jargon. Dividing the book into four separate parts allows for the reader to get an understanding of how different neurological diseases come in all shapes and sizes. Dr. Sacks effectively explains the concepts of losses in neuroscience, the concept of excesses, the concept of transports and the world of simple. All the different patients that were included in the different sections made it easier to understand the different neurological diseases being explained because it allowed the reader to see different examples of how neuroscience plays a giant role in our everyday lives.
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Popular Highlights in this book
To restore the human subject at the center—the suffering, afflicted, fighting human subject—we must deepen a case history to a narrative or tale; only then do we have a “who” as well as a “what,” a real person, a patient, in relation to disease—in relation to the physical.Highlighted by 155 Kindle readers- Dr. P. may therefore serve as a warning and parable—of what happens to a science which eschews the judgmental, the particular, the personal, and becomes entirely abstract and computational.Highlighted by 131 Kindle readers
- Of course, the brain is a machine and a computer—everything in classical neurology is correct. But our mental processes, which constitute our being and life, are not just abstract and mechanical but personal as well—and, as such, involve not just classifying and categorizing but continual judging and feeling also.Highlighted by 129 Kindle readers
- For not only did Dr. P. increasingly fail to see faces, but he saw faces when there were no faces to see:Highlighted by 92 Kindle readers
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The author is a brilliant man who fills the book with many wonderful stories of people with either degenerative or excessive brain functions. Glad I got it!
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El indiscutido legado de Oliver Sacks
Reviewed in Mexico on January 21, 2016
