Excerpt From Oliver Sacks' "The Man Who Mistook His Wife For a Hat"
A short, interesting excerpt from “The Man Who Mistook His Wife For A Hat” by neurologist Oliver Sacks
Jimmy was a patient whose memories stopped in 1945. Everything after that, including the recent past, was a blank, due to brain damage from alcohol abuse. Oliver Sacks recounts his condition and history, then tells us about their efforts to solve Jimmy’s restlessness and sadness.
Later, having noted his aptitude for, and pleasure in, quick games and puzzles, and their power to 'hold' him, at least while they lasted, and to allow, for a while, a sense of companionship and competition - he had not complained of loneliness, but he looked so alone; he never expressed sadness, but he looked so sad - I suggested he be brought into our recreation programmes at the Home. This worked better better than the diary. He would become keenly and briefly involved in games, but soon they ceased to offer any challenge: he solved all the puzzles, and could solve them easily; and he was far better and sharper than anyone else at games. And as he found this out, he grew fretful and restless again, and wandered the corridors, uneasy and bored and with a sense of indignity games and puzzles were for children, a diversion. Clearly, passionately, he wanted something to do: he wanted to do, to be, to feel - and could not; he wanted sense, he wanted purpose - in Freud's words, 'Work and Love'. Could he do 'ordinary' work? He had 'gone to pieces', his brother said, when he ceased to work in 1965. He had two striking skills - Morse code and touch-typing. We could not use Morse, unless we invented a use; but good typing we could use, if he could recover his old skills - and this be real work, not just a game. Jimmie soon did recover his old skill and came to type very quickly - he could not do it slowly - and found in this some of the challenge and satisfaction of a job.
But still this was superficial tapping and typing; it was trivial, it did not reach to the depths. And what he typed, he typed mechanically -he could not hold the thought - the short sentences following one another in a meaningless order.
One tended to speak of him, instinctively, as a spiritual casualty - a lost soul': was it possible that he had really been 'de-souled' by a disease? 'Do you think he has a soul?' I once asked the Sisters. They were outraged by my question, but could see why I asked it. 'Watch Jimmie in chapel' they said, 'and judge for yourself.'
I did, and I was moved, profoundly moved and impressed, because I saw here an intensity and steadiness of attention and concentration that I had never seen before in him or conceived him capable of. I watched him kneel and take the Sacrament on his tongue, and could not doubt the fullness and totality of Communion, the perfect alignment of his spirit with the spirit of the Mass. Fully, intensely, quietly, in the quietude of absolute concentration and attention, he entered and partook of the Holy Communion. He was wholly held, absorbed, by a feeling. There was no forgetting, no Korsakov's then, nor did it seem possible or imaginable that there should be; for he was no longer at the mercy of a faulty and fallible mechanism - that of meaningless sequences and memory traces - but was absorbed in an act, an act of his whole being, which carried feeling and meaning in an organic continuity and unity, a continuity and unity so seamless it could not permit any break.
Clearly Jimmie found himself, found continuity and reality, in the absoluteness of spiritual attention and act. The sisters were right - he did find his soul here. And so was Luria, whose words now came back to me: 'A man does not consist of memory alone. He has feeling, will, sensibility, moral being ... It is here ... you may touch him, and see a profound change.' Memory, mental activity, mind alone, could not hold him; but moral attention and action could hold him completely.
But perhaps 'moral' was too narrow a word - for the aesthetic and dramatic were equally involved. Seeing Jimmie in the chapel opened my eyes to other realms where the soul is called on, and held, and stilled, in attention and communion.
The same depth of absorption and attention was to be seen in relation to music and art: he had no difficulty, I noticed, 'following' music…