I didn't care to tell Nurse Sulu that she was bisected and half of her was missing. And then suddenly with a most enormous and wonderful relief, I realized I was having one of my migraines. I had completely lost my visual field to the left, and with this as would sometimes happen, the sense that there was (or ever had been, or could be) any world on the left.Some neurological patients seem to have exactly the experience Sacks describes, only permanently. Sacks' report, I think, provides some reason to be willing to take the alien reports of neurological patients at face value. Maybe not all of the time, but much of the time.
Thursday, April 03, 2008
Notebook: What is it like to be a neurological patient?
Right now, I'm reading Oliver Sacks' bestselling book The Man Who Mistook His Wife for a Hat, which details various cases Sacks' has dealt with as a neurologist. The titular patient was utterly unable to take in visual images as whole objects, leaving him to guess at the identity of objects based on individual features, and sometimes getting it wrong. In many ways, he's representative of the patients Sacks deals with. However, while that first patient was aware of his troubles, many patients are unable to comprehend what is going on with them. For someone intensely interested in consciousness like me, it would be very interesting to know what kind of conscious experiences those people are having. But it's hard to know what to make of their uncomprehending statements. However, in the process of reading Ned Block et. al.'s anthology on consciousness, I came across this quote from another one of Sacks' books. Sacks here is reporting his own experience:
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5 comments:
At one time, I was able to be not only a competent, but skillful lead engineer, and simultaneously embrace the notion that I was stupid, ugly, and worthless. (It took several years of tweaking psychotropic meds before I became fully functional.) I can't imagine the distress of a neurological patient. Wow.
Sacks has another book about his own neurological experiences, _A Leg To Stand On_.
Also relevant to your subject is a TED talk by a neuroscientist about her own experience of having a stroke.
I've had a couple of migraines where I completely lost my peripheral vision beforehand. The first time it happened, I was watching television, and all of a sudden something was wrong, but I couldn't figure out what it was. I could see the television screen, but it seemed like something was missing--but there was no gap in my visual experience. I had to keep turning my head from side to side just to see what was going on. I then held up a finger in front of my eyes, and moved it to the side, to see it vanish from my field of vision much sooner than expected.
After my peripheral vision suddenly came back, I had a painful migraine headache for the next several hours.
_A Leg to Stand On_ is indeed the book quoted above. And are you sure you lost peripheral vision? Sounds more like you lost oculomotor function. People without knowledge of the relevant psychology/physiology tend to assume that when they shift attention to something not in the center of their visual field, they're using their peripheral vision, but actually peripheral vision is pretty crappy, and they will subconsciously saccade their eyes to get a better look.
http://www.mrc-cbu.cam.ac.uk/people/tristan.bekinschtein/
Read the papers. He does consciousness research.
HI, if you are interested in knowing what it is like to be oone of these patients, instead of reading my papers I suggest you to try to get some magic mushrooms in a country were they are not illegal and hallucinate. According to different patients with brain lesions and bizarre conscious experiences, hallucinations are the closest you can get to a first person account of "what it is like to see the world differently". Good luck.
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