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The Mind's Eye Hardcover – October 26, 2010
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There is Lilian, a concert pianist who becomes unable to read music and is eventually unable even to recognize everyday objects, and Sue, a neurobiologist who has never seen in three dimensions, until she suddenly acquires stereoscopic vision in her fifties.
There is Pat, who reinvents herself as a loving grandmother and active member of her community, despite the fact that she has aphasia and cannot utter a sentence, and Howard, a prolific novelist who must find a way to continue his life as a writer even after a stroke destroys his ability to read.
And there is Dr. Sacks himself, who tells the story of his own eye cancer and the bizarre and disconcerting effects of losing vision to one side.
Sacks explores some very strange paradoxes—people who can see perfectly well but cannot recognize their own children, and blind people who become hyper-visual or who navigate by “tongue vision.” He also considers more fundamental questions: How do we see? How do we think? How important is internal imagery—or vision, for that matter? Why is it that, although writing is only five thousand years old, humans have a universal, seemingly innate, potential for reading?
The Mind’s Eye is a testament to the complexity of vision and the brain and to the power of creativity and adaptation. And it provides a whole new perspective on the power of language and communication, as we try to imagine what it is to see with another person’s eyes, or another person’s mind.
- Print length263 pages
- LanguageEnglish
- PublisherAlfred A. Knopf
- Publication dateOctober 26, 2010
- Dimensions5.75 x 1.15 x 8.5 inches
- ISBN-100307272087
- ISBN-13978-0307272089
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Editorial Reviews
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Review
“A master storyteller with a very engaging style…as a professional who is also a patient, [Sacks] has a unique ability to explain to people what the basic problem is and what the physical effects are…he allows all of us to share this and perhaps take some understanding away with us.” –gulfnews.com
“Sacks has a seemingly inexhaustible talent for eloquently and humanely explaining our brains’ most arcane and bizarre neurological dysfunctions.” –Time Magazine
“Riveting.” –Booklist
“Sacks has taken the patient history—the most basic tool of medicine—and turned it into art…Sacks is a literary, medical, narrative showman…It is a neat trick when the point of a book is made not by saying and not by showing, but by being.” –The New York Review of Books
“A new book by Oliver Sacks is always cause for rejoicing.” –Christianity Today
“Sacks knows how to go from ‘aw, what an inspirational story,’ to ‘oooh what an interesting disease,’ from one page to the next, making this a medical page-turner you won’t want to miss.” –Inside Beat
“Engrossing and bizarre.” –Elle
“Richly detailed…creatively balances complex medical discussion with solid, down-to-earth prose, which will attract his legion of fans interested in the human condition.” –Library Journal
“Breathtaking…Sacks will draw you into a fascinating mental landscape that will leave you in awe of its strange, often spiritual and exquisite pathways.” –Bookpage
“Just as [Sacks] is forced to see the world in a new way, readers are invited to do the same.” –Time Out New York
“Sacks’ writing manages to be at once lively and crystalline.” –Time
“Inquisitive and horrified at once, Sacks shows us knowledge, discipline, and imagination confronting the terrors of illness and loss…Readers may never take the view of a sunrise or of their child’s smile the same way again.” –Boston Globe
“Frank and moving…His books resonate because they reveal as much about the force of character as they do about neurology.” –Nature
“Poignant.” –Barnes and Noble review
“Sparkling…brilliant.” –The VisionHelp Blog
“Heartbreaking and hilarious.” –Time
“Elegant…Sacks musters up the same degree of courage and resilience that he admires in his patients.” –San Francisco Chronicle
“Sacks is fascinating, and the breadth of knowledge he brings to his case histories is impressive.” –Richmond Times-Dispatch
“Offers genuine inspiration and hope for the everyday aging brains we all possess…Sacks is a mapmaker guiding us deep into the mysteries of the brain.” –New York Journal of Books
“The Mind’s Eye should become required reading in all medical schools.” –Wicked Local Cambridge
“[Sacks] entertains and diverts with his dramatic tales…deeply empathetic.” –The New York Times Book Review
“What elevates this clinical material into the realm of high literature are the author’s superb observational skills, without equal…Sacks’s amazing powers to describe, to evoke, to call forth, to fascinate, and to associate outdo themselves…the reader comes away with numinous feelings of wonder, mysticism, and gratitude. What more can one want from any book?” –Science Magazine
“Sacks excels at tracking down fascinating case studies…stunning.” –Science News
“Written with his trademark insight, compassion, and humor, these seven new tales once again make the obscure and arcane absolutely absorbing.” –Publishers Weekly
“Sacks is a perfect antidote to the anaesthetic of familiarity…Sacks fans will get what they want: the comfortable prose, the well-crafted storytelling and the generosity of spirit.” –The Guardian
“Stellar…Sacks writes with a dexterous clarity that illuminates the incredibly complex neurological conditions he studies, and lends wit, humor, understanding and compassion…dazzling.” –The Dallas Morning News
”Elaborate and gorgeously detailed case studies.” –Los Angeles Times
“The Mind’s Eye is both intellectually compelling and at times poetic…a profound reflection on the anomalies of human experience.”–New America Foundation
“His book is entertaining and also inspirational…Don’t miss The Mind’s Eye.” –Hudson Valley News
“In Sacks’ world, even with great loss there are fascinating compensations.” –People, four star review
“Implicit in Sacks’s panorama of clinical problems is a deep and surprising view of reading, perceiving, and understanding…extraordinarily poignant.” –Harpers Magazine
“Science geeks will drool over The Mind’s Eye.” –The Village Voice
“Graceful.” –New York Times Book Review 100 Notable Books of 2010
“Compelling.” –Financial Times non-fiction favorites of 2010
“Sacks writes beautifully…his periodic collections of essays are unfailingly wise, human and edifying...The Mind’s Eye is a welcome addition to the rich repository of Sacks’ collected works.” –OregonLive.com
“Fine science reading for those with an interest in the medical realm, and entertaining enough for the rest of us.” –Daily Herald
“Sacks can open windows on subject that, prior to his arrival, left people in the dark…The possibility of yet another Sacks book is reason enough to get out of bed in the morning.” –The Hartford Courant
“We can only be helped by remembering, as books like The Mind’s Eye illuminate for us, that there are few human failings worse than taking for granted life and its manifold hidden miracles.” –PopMatters
“Insightful.” –Impose Magazine
“[Sacks’] personal diary is the most moving account he has ever published.” –Financial Times
“Dr. Sacks is an engaging writer with endlessly interesting stories…The Mind’s Eye turns out to be fabulously useful.” –Hipster Book Club
“Brilliant…The Mind’s Eye is an exhilarating book.” –Cerebrum
“In grappling opening with his postcancer loss of stereoscropy, Sacks slowly comes to terms with his own permanent shift in perspective. Just as he is forced to see the world in a new way, readers are invited to do the same.” –Time Out Amsterdam
“The only thing better than a new book by practicing neurologist Oliver Sacks is a new book of case studies by the good doctor.” –The Free Lance-Star
About the Author
Excerpt. © Reprinted by permission. All rights reserved.
In January of 1999, I received the following letter:
Dear Dr. Sacks,
My (very unusual) problem, in one sentence, and in non-medical terms, is: I can't read. I can't read music, or anything else. In the ophthalmologist's office, I can read the individual letters on the eye chart down to the last line. But I cannot read words, and music gives me the same problem. I have struggled with this for years, have been to the best doctors, and no one has been able to help. I would be ever so happy and grateful if you could find the time to see me.
Sincerely yours,
Lilian Kallir
I phoned Mrs. Kallir-this seemed to be the thing to do, although I normally would have written back-because although she apparently had no difficulty writing a letter, she had said that she could not read at all. I spoke to her and arranged to see her at the neurology clinic where I worked.
Mrs. Kallir came to the clinic soon afterward-a cultivated, vivacious sixty-seven-year-old woman with a strong Prague accent-and related her story to me in much more detail. She was a pianist, she said; indeed, I knew her by name, as a brilliant interpreter of Chopin and Mozart (she had given her first public concert at the age of four, and Gary Graffman, the celebrated pianist, called her "one of the most naturally musical people I've ever known").
The first intimation of anything wrong, she said, had come during a concert in 1991. She was performing Mozart piano concertos, and there was a last-minute change in the program, from the Nineteenth Piano Concerto to the Twenty-first. But when she flipped open the score of the Twenty-first, she found it, to her bewilderment, completely unintelligible. Although she saw the staves, the lines, the individual notes sharp and clear, none of it seemed to hang together, to make sense. She thought the difficulty must have something to do with her eyes. But she went on to perform the concerto flawlessly from memory, and dismissed the strange incident as "one of those things."
Several months later, the problem recurred, and her ability to read musical scores began to fluctuate. If she was tired or ill, she could hardly read them at all, though when she was fresh, her sight-reading was as swift and easy as ever. But in general the problem worsened, and though she continued to teach, to record, and to give concerts around the world, she depended increasingly on her musical memory and her extensive repertoire, since it was now becoming impossible for her to learn new music by sight. "I used to be a fantastic sight reader," she said, "easily able to play a Mozart concerto by sight, and now I can't."
Occasionally at concerts she experienced lapses of memory, though Lilian (as she asked me to call her) was adept at improvising and could usually cover these. When she was at ease, with friends or students, her playing seemed as good as ever. So, through inertia, or fear, or a sort of adjustment, it was possible for her to overlook her peculiar problems in reading music, for she had no other visual problems, and her memory and ingenuity still allowed her a full musical life.
In 1994, three years or so after she had first noticed problems reading music, Lilian started to have problems with reading words. Here again, there were good days and bad, and even times when her ability to read seemed to change from moment to moment: a sentence would look strange, unintelligible at first; then suddenly it would look fine, and she would have no difficulty reading it. Her ability to write, however, was quite unaffected, and she continued to maintain a large correspondence with former students and colleagues scattered throughout the world, though she depended increasingly on her husband to read the letters she received, and even to reread her own.
Pure alexia, unaccompanied by any difficulty in writing ("alexia sine agraphia") is not that uncommon, although it usually comes on suddenly, following a stroke or other brain injury. Less often, alexia develops gradually, as a consequence of a degenerative disease such as Alzheimer's. But Lilian was the first person I had encountered whose alexia manifested first with musical notation, a musical alexia.
By 1995 Lilian was beginning to develop additional visual problems. She noticed that she tended to "miss" objects to the right, and, after some minor mishaps, she decided that she had best give up driving.
She had sometimes wondered whether her strange problem with reading might be neurological rather than ophthalmological in origin. "How can I recognize individual letters, even the tiny ones on the bottom line of the eye doctor's chart, and yet be unable to read?" she wondered. Then, in 1996, she started to make occasional embarrassing mistakes, such as failing to recognize old friends, and she found herself thinking of a case history of mine she had read years before, entitled "The Man Who Mistook His Wife for a Hat," about a man with visual agnosia. She had chuckled when she had first read it, but now she started to wonder whether her own difficulties might be eerily similar in nature.
Finally, five years or more after her original symptoms, she was referred to a university neurology department for a full workup. Given a battery of neuropsychological tests-tests of visual perception, of memory, of verbal fluency, etc.-Lilian did particularly badly in the recognition of drawings: she called a violin a banjo, a glove a statue, a razor a pen, and pliers a banana. (Asked to write a sentence, she wrote, "This is ridiculous.") She had a fluctuating lack of awareness, or "inattention," to the right, and very poor facial recognition (measured by recognition of photographs of famous public figures). She could read, but only slowly, letter by letter. She would read a "C," an "A," a "T," and then, laboriously, "cat," without recognizing the word as a whole. Yet if she was shown words too quickly to decipher in this way, she could sometimes correctly sort them into general categories, such as "living" or "nonliving," even though she had no conscious idea of their meaning.
In contrast to these severe visual problems, her speech comprehension, repetition, and verbal fluency were all normal. An MRI of her brain was also normal, but when a PET scan was performed-this can detect slight changes in the metabolism of different brain areas, even when they appear anatomically normal-Lilian was found to have diminished metabolic activity in the posterior part of the brain, the visual cortex. This was more marked on the left side. Noting the gradual spread of difficulties in visual recognition-first of music, then of words, then of faces and objects-her neurologists felt she must have a degenerative condition, at present confined to the posterior parts of the brain. This would probably continue to worsen, though very slowly.
The underlying disease was not treatable in any radical sense, but her neurologists suggested that she might benefit from certain strategies: "guessing" words, for example, even when she could not read them in the ordinary way (for it was clear that she still possessed some mechanism that allowed unconscious or preconscious recognition of words). And they suggested that she might also use a deliberate, hyperconscious inspection of objects and faces, making particular note of their distinctive features, so that these could be identified in future encounters, even if her normal "automatic" powers of recognition were impaired.
In the three years or so that had elapsed between this neurological exam and her first visit to me, Lilian told me, she had continued to perform, though not as well, and not as frequently. She found her repertoire diminishing, because she could no longer check even familiar scores by vision. "My memory was no longer fed," she remarked. Fed visually, she meant-for she felt that her auditory memory, her auditory orientation, had increased, so that she could now, to a much larger degree than before, learn and reproduce a piece by ear. She could not only play a piece in this way (sometimes after only a single hearing); she could rearrange it in her mind. Nonetheless, there was, on balance, a shrinkage of her repertoire, and she began to avoid giving public concerts. She continued to play in more informal settings and to teach master classes at the music school.
Handing me the neurological report from 1996, she commented, "The doctors all say, 'Posterior cortical atrophy of the left hemisphere, very atypical,' and then they smile apologetically-but there's nothing they can do."
When I examined Lilian, I found that she had no problem matching colors or shapes, or recognizing movement or depth. But she showed gross problems in other areas. She was unable now to recognize individual letters or numerals (even though she still had no difficulty writing complete sentences). She had, too, a more general visual agnosia, and when I presented her with pictures to identify, it was difficult for her even to recognize pictures as pictures-she would sometimes look at a column of print or a white margin, thinking it was the picture I was quizzing her about. Of one such picture, she said, "I see a V, very elegant-two little dots here, then an oval, with little white dots in between. I don't know what it's supposed to be." When I told her it was a helicopter, she laughed, embarrassed. (The V was a sling; the helicopter was unloading food supplies for refugees. The two little dots were wheels, the oval the helicopter's body.) Thus she was now seeing only individual features of an object or picture, failing to synthesize them, to see them as a whole, much less to interpret them correctly. Shown a photograph of a face, she could perceive that the person was wearing glasses, nothing else. When I asked if she could see clearly, she said, "It's not a blur, it's a mush"-a mush consisting of clear, fine, sharp but unintelligible shapes and details.
Looking at the drawings in a standard neurological test booklet, she said of a pencil, "Could be so many things. Could b...
Product details
- Publisher : Alfred A. Knopf; 1st edition (October 26, 2010)
- Language : English
- Hardcover : 263 pages
- ISBN-10 : 0307272087
- ISBN-13 : 978-0307272089
- Item Weight : 15.1 ounces
- Dimensions : 5.75 x 1.15 x 8.5 inches
- Best Sellers Rank: #543,969 in Books (See Top 100 in Books)
- #728 in Popular Neuropsychology
- #1,404 in Cognitive Psychology (Books)
- #2,331 in Medical General Psychology
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About the author

Oliver Sacks was born in 1933 in London and was educated at Queen's College, Oxford. He completed his medical training at San Francisco's Mount Zion Hospital and at UCLA before moving to New York, where he soon encountered the patients whom he would write about in his book Awakenings.
Dr Sacks spent almost fifty years working as a neurologist and wrote many books, including The Man Who Mistook His Wife for a Hat, Musicophilia, and Hallucinations, about the strange neurological predicaments and conditions of his patients. The New York Times referred to him as 'the poet laureate of medicine', and over the years he received many awards, including honours from the Guggenheim Foundation, the National Science Foundation, the American Academy of Arts and Letters, and the Royal College of Physicians. In 2008, he was appointed Commander of the British Empire. His memoir, On the Move, was published shortly before his death in August 2015.
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From the onset of The Minds Eye, Oliver Sacks invites you inside the world of five of his patients, allowing you to experience their daily lives, routines and personalities. In that respect, Oliver Sacks’ eleventh book is very much like a work of fiction, with only one difference; Sacks’ writing is, at its core, a medical and neurological set of case studies. The collection of essays, if it weren’t for Sacks’ unique writing style, would be much like a textbook; describing patients as having a certain type of disease and discussing such a disease’s side effects. However, Sacks does not let the neurological deficits of the various patients take away any of their personality or character. In other words, Oliver Sacks’ five patients are people first and neurology patients second.
For instance, one of the five patients, named Patricia H., is an extremely vibrant and effervescent middle-aged women who suffered a stroke that rendered her unable to speak or understand words – a disease known as aphasia. Before describing or even alluding to any form of illness, Sacks uses the first handful of pages to describe Patricia’s life, character and family history. He writes about how ‘she loves to cook’, ‘ran an art gallery on Long Island’ and was married to ‘a man of many parts- a radio broadcaster and a fine pianist who sometimes played at nightclubs’. Sacks puts an image in the readers head of a perfectly normal woman - a strategy that alludes to Sacks’ overall goal of the text; to show how neurological diseases may take away one’s ability to talk, see or listen; but, for the most part, they do not take away a person’s personality or charm. Only after he chronicles Patricia’s personal history and unique attributes does Sacks describe how she lost her ability to speak after suffering a blood clot that left her in a coma for weeks. Sacks goes on to write about how Patricia, even without an ability to speak, ‘remained active and engaged in the world’. Rather than concentrating only on the disease itself (which he still does, even providing very interesting stories about the etymology and history of aphasia), Sacks focuses on how his patients overcome the disease. He highlights how Patricia, and the other four patients (including Sacks himself), adjusts to the fact that they are disabled, not in body but in mind. Sacks turns everyday patients into modern-day heroes by showing their toughness and courage to stay the course, endure strenuous therapy, and assimilate quite seamlessly back into society. Sacks does this (and more) for four other patients; a woman without stereoscopic vision set on working to be able to see again; another woman suffering from Posterior Cortical Atrophy yet maintaining her love of music and cooking by relying heavily on personal memory; a mystery novel writer who losses the ability to read; and finally himself, an eye-cancer survivor whose life was forever changed because of his near-complete loss of vision.
The Minds Eye is, however, still a work of science, deeply relying on neurological diseases, physiology and anatomy. But, to Sacks’ credit, the book has the paradoxical ability to both be extremely scientific yet not at the same time. For example, one of Sack’s patients (Lillian K.) suffers from Posterior Cortical Atrophy, a progressive, albeit gradual, degradation of the brain’s outer cortex in the posterior (back side) of the brain. In order to provide the reader with needed context, Sacks spends pages describing what exactly a highly complex disease such as Posterior Cortical Atrophy is (you have a sense of how complex the various diseases are from their names alone). However, wanting his essays to have a mainstream audience, Sacks describes such extremely technical medical conditions in layman’s terms; simplifying incredibly complex conditions by using the power of his conversational writing. Rather than being overwhelmed with scientific terms, concepts and labels, the reader is given the proper medical and scientific context in a reasonable and sensible manner.
More than anything, The Mind’s Eye is a bedside book. The collection of essays feels as if it were meant to be read comfortably next to a crackling fire with a hot cup of something delicious in hand. It is much more of a fun read than a set of neurological case studies, and that’s the power that Sacks has; he invites you in the world of the neurologically impaired, not from a medical perspective, but from the perspective of a omnipresent third-eye looking in; quietly overseeing the lives of Lillian, Pat, and others. Being a cancer-patient himself, Oliver Sacks wants you to see what he sees in his patients and also what he hopes to find in himself; a super-human ability to overcome, to endure, and ultimately, to prevail.
However, The Minds Eye, like most anything in life, does have a few shortcomings. Being a collection of essays, the respective chapters of the book seem to lack coherence. Each of the cases is starkly different than the rest, with each chapter dedicated to each patient (including Sacks’ own review of his vision loss). In that sense, each chapter seems like a book unto itself. Also, throughout the various essays, Sacks continually referenced his older literary texts (The Man that Mistook His Wife for a Hat, Awakenings, etc.) without much explanation or context; references that I assume must have been very confusing for readers unfamiliar with Sacks’ quite expansive body of work.
Given the book’s few flaws, Oliver Sacks’ The Mind’s Eye is still a fantastic read for any type of booklover. Science-oriented readers will thoroughly enjoy Sacks’ explorations of various neurological diseases, while the non-science bookworm can find appreciation in Sacks’ beautiful prose and the book’s unique narrative structure. Because of Oliver Sacks’ fantastic ability as a storyteller and writer, I highly recommend The Mind’s Eye to anyone who wants to navigate the world of the mind and find splendor in the human quality of perseverance.
The manner of review of these cases is instructive when we look at where we are in the development of the 'science' of neurology. A science, in its development, goes through several stages...... first, there is description of a phenomenon, then there is some some attempt at explaination of what happens or happened. In more advanced science, there will be prediction. In medicine, it seems that the highest level of understanding is evidenced by treatment or intervention, and resolution of the symptom or defect through intelligently applied action.
Oliver Sacks conveys beautifully crafted 'thick description'. He describes the various conditions, and names them according to the most up to date understanding about the constellation of symptoms afflicting the patient. He is able to convey the categories of importance in classifying one condition vs another. And his personal set of life experiences give him a sort of empathy that is helpful in conveying the affect of the condition on life quality.
There is also a predictive component of sorts, an understanding of the likely future course of the condition and the symptoms that will present in later stages. What is missing in this field is treatment and intervention. He has done some wonderful work, and the L dopa treatments he described in his earlier work were groundbreaking, but treatment seems to be an exception in this field rather than the rule. The patient presents with symptoms, and the professionals are left to predict the course of the disease (like Alzheimer's) but have no intervention or treatment readily available to stop or reverse it. This shows how early we are in the development of this branch of medicine. Lots of improvements have been made, and treatments now exist for all kinds of conditions that (like depression) were in this unknown area years ago, but much is yet to be learned.
So, this book is another tour. And another reminder that we are in the very early days of really understanding the magic that occurs between our ears. It is readable and interesting from cover to cover. But the thing we must wait for is the depiction of the treatment or surgery and the healing and curing of the condition. We can only watch now, and describe, and hope to find our way to the wisdom it will take to find cures.
I watched the two hour special that ran on PBS detailing his life and his pending death due to melanoma that had metastasized. This book touches on this as he is the last patient discussed in his book as he was diagnosed with ocular melanoma.
<i>The Mind's Eye</i> is about the sense of sight, specifically, what happens when their eyesight fails them. Not that they become blind, but they are no longer to use their vision the way they were used to. If the book demonstrates over and over again, it our ability to adapt to the situation and thrive. This isn't to say that this is easy but with perseverance, we can overcome.
My only qualm with the book is knowing that as I was reading Dr Sacks' experience with his ocular melanoma and having one eye not quite in sync with the other, knowing that he would succumb to his cancer. His chapter was a melancholy read.
As with his other books, I cannot recommend this book any higher. For anyone interested in patient experiences and the ability to overcome, this is a book for you. You will not be disappointed.












