Oliver Sacks in Web of Stories

Listeners: Kate Edgar

Tags: Royal Free Hospital

Date story recorded: 19-23 September, 2011

Date story went live: 02 October 2012


187 - Isolation, feeling unique and visual neuroscience

Listeners: Kate Edgar

Tags: Beth Abraham Hospital, Awakenings, Witty Ticcy Ray, Ralph Siegel, Charles Gross

Date story recorded: September 2011

Date story went live: 02 October 2012



I had been pretty isolated until 1986, partly perhaps because I... I wanted to be. I think I partly left England feeling that... that I was perhaps eccentric or would not fit well into the rigid... into the sort of rigid medical hierarchies in England, anymore than I would fit into the military. This was one of my reasons for leaving England. And after my training was complete in neurology in California, I... I wanted to move into a, sort of, hiding place. I... well, that’s not a good way to put it. I hoped there might be interstices in medicine which I could occupy, untroubled by… and also by... by collegial criticism or contact. This was very much my situation at Beth Abraham Hospital. This was a... a poor, unknown chronic disease hospital, beneath the notice of neurologists, but in Beth Abraham I found my Awakenings patients and treasures galore, and I could spend as long as I liked with a patient. But I... I saw a few patients outside, the first one was Witty Ticcy Ray, and there were a few others.


But then after 1986 I had much more contact with... with colleagues, and Ralph introduced me to various visual colleagues of his, and I got a sense of the neuroscientific community. I didn’t even know the word neuroscience in 1986, and obviously there had been a huge transformation since my physiology days at Oxford in the early '50s. At that time one knew almost nothing about the brain. Physiology stopped very much at the level of the spinal cord and the brain stem. People had no idea, for example, how perceptions were constructed, or the very sentence, ‘perceptions are constructs’, would have been meaningless… would not have conveyed anything in the 1950s. So, the whole… Ralph himself embodied a new neuroscientific reality and vision. As Crick did, of course, and he introduced me to many others, perhaps very especially a visual neuroscientist called Charles Gross, Charlie Gross, who was the first man to find cells in a monkey’s brain which could respond specifically to the [sight of a] monkey’s paw.


It had been demonstrated before by Hubel and Wiesel in the early 1960s, that the brain had receptors which might respond to the orientation of lines and to angles and to elementary geometrical things like this. But when Charlie Gross found, in 1969, that there might be cells specific for the recognition of hands, or of faces, well, it’s... it's very interesting. He himself was incredulous of his own findings, and embedded them almost invisibly, almost in parenthesis, in a paper. And people didn’t respond, or they didn’t see this, and more than 10 years went past before there was a huge explosion to do with the recognition of specific parts of the brain, and even specific cells or cell clusters which were crucial in the recognition of face cells and... and all sorts of specific perceptual features. There was another… so visual neuroscience occupied, and still occupies, a considerable part of my life. My last book was called The Mind’s Eye, my current book is about hallucinations, and predominantly visual hallucinations. But there were other interests as well.