The Minds Eye, What the blind see by Oliver Sacks
In his last letter, Goethe wrote, The Ancients said that the animals are taught through their organs; let me aID to this, so are men, but they have the advantage of teaching their organs in return. He wrote this in 1832, a time when phrenology was at its height, and the brain was seen as a mosaic of little organs subserving everything from language to drawing ability to shyness. Each individual, it was believed, was given a fixed measure of this faculty or that, according to the luck of his birth. Though we no longer pay attention, as the phrenologists did, to the bumps on the head (each of which, supposedly, indicated a brain-mind organ beneath), neurology and neuroscience have stayed close to the idea of brain fixity and localizationthe notion, in particular, that the highest part of the brain, the cerebral cortex, is effectively programmed from birth: this part to vision and visual processing, that part to hearing, that to touch, and so on.
This would seem to allow individuals little power of choice, of self-determination, let alone of adaptation, in the event of a neurological or perceptual mishap.
But to what extent are weour experiences, our reactionsshaped, predetermined, by our brains, and to what extent do we shape our own brains? Does the mind run the brain or the brain the mindor, rather, to what extent does one run the other? To what extent are we the authors, the creators, of our own experiences? The effects of a profound perceptual deprivation such as blindness can cast an unexpected light on this. To become blind, especially later in life, presents one with a huge, potentially overwhelming challenge: to find a new way of living, of ordering ones world, when the old way has been destroyed.
A dozen years ago, I was sent an extraordinary book called Touching the Rock An Experience of Blindness. The author, John Hull, was a professor of religious education who had grown up in Australia and then moved to England. Hull had developed cataracts at the age of thirteen, and became completely blind in his left eye four years later. Vision in his right eye remained reasonable until he was thirty-five or so, and then started to deteriorate. There followed a decade of steadily failing vision, in which Hull needed stronger and stronger magnifying glasses, and had to write with thicker and thicker pens, until, in 1983, at the age of forty-eight, he became completely blind.
Touching the Rock is the journal he dictated in the three years that followed. It is full of piercing insights relating to Hulls life as a blind person, but most striking for me is Hulls description of how, in the years after his loss of sight, he experienced a gradual attenuation of visual imagery and memory, and finally a virtual extinction of them (except in dreams)a state that he calls deep blindness.
By this, Hull meant not only the loss of visual images and memories but a loss of the very idea of seeing, so that concepts like here, there, and facing seemed to lose meaning for him, and even the sense of objects having appearances, visible characteristics, vanished. At this point, for example, he could no longer imagine how the numeral 3 looked, unless he traced it in the air with his hand. He could construct a motor image of a 3, but not a visual one.
Hull, though at first greatly distressed about the fading of visual memories and imagesthe fact that he could no longer conjure up the faces of his wife or children, or of familiar and loved landscapes and placesthen came to accept it with remarkable equanimity; indeed, to regard it as a natural response to a nonvisual world. He seemed to regard this loss of visual imagery as a prerequisite for the full development, the heightening, of his other senses.
Two years after becoming completely blind, Hull had apparently become so nonvisual as to resemble someone who had been blind from birth. Hulls loss of visuality also reminded me of the sort of cortical blindness that can happen if the primary visual cortex is damaged, through a stroke or traumatic brain damagealthough in Hulls case there was no direct damage to the visual cortex but, rather, a cutting off from any visual stimulation or input.
In a profoundly religious way, and in language sometimes reminiscent of that of St. John of the Cross, Hull enters into this state, surrenders himself, with a sort of acquiescence and joy. And such deep blindness he conceives as an authentic and autonomous world, a place of its own. . . . Being a whole-body seer is to be in one of the concentrated human conditions.
Being a whole-body seer, for Hull, means shifting his attention, his center of gravity, to the other senses, and he writes again and again of how these have assumed a new richness and power. Thus he speaks of how the sound of rain, never before accorded much attention, can now delineate a whole landscape for him, for its sound on the garden path is different from its sound as it drums on the lawn, or on the bushes in his garden, or on the fence dividing it from the road. Rain, he writes, has a way of bringing out the contours of everything; it throws a coloured blanket over previously invisible things; instead of an intermittent and thus fragmented world, the steadily falling rain creates continuity of acoustic experience . . . presents the fullness of an entire situation all at once . . . gives a sense of perspective and of the actual relationships of one part of the world to another.
With his new intensity of auditory experience (or attention), along with the sharpening of his other senses, Hull comes to feel a sense of intimacy with nature, an intensity of being-in-the-world, beyond anything he knew when he was sighted. Blindness now becomes for him a dark, paradoxical gift. This is not just compensation, he emphasizes, but a whole new order, a new mode of human being. With this he extricates himself from visual nostalgia, from the strain, or falsity, of trying to pass as normal, and finds a new focus, a new freedom. His teaching at the university expands, becomes more fluent, his writing becomes stronger and deeper; he becomes intellectually and spiritually bolder, more confident. He feels he is on solid ground at last.
What Hull described seemed to mean astounding example of how an individual deprived of one form of perception could totally reshape himself to anew center, a new identity.
It is said that those who see normally as infants but then become blind within the first two years of life retain no memories of seeing, have no visual imagery and no visual elements in their dreams (and, in this way, are comparable to those born blind). It is similar with those who lose hearing before the age of two: they have no sense of having lost the world of sound, nor any sense of silence, as hearing people sometimes imagine. For those who lose sight so early, the very concepts of sight or blindness soon cease to have meaning, and there is no sense of losing the world of vision, only of living fully in a world constructed by the other senses.
But it seemed extraordinary to me that such an annihilation of visual memory as Hull describes could happen equally to an adult, with decades, an entire lifetime, of rich and richly categorized visual experience to call upon. And yet I could not doubt the authenticity of Hulls account, which he relates with the most scrupulous care and lucidity.
Important studies of adaptation in the brain were begun in the nineteen seventies by, among others, Helen Neville, a cognitive neuroscientist now working in Oregon. She showed that in prelingually deaf people (that is, those who had been born deaf or become deaf before the age of two or so) the auditory parts of the brain had not degenerated or atrophied. These had remained active and functional, but with an activity and a function that were new: they had been transformed, reallocated, in Nevilles term, for processing visual language. Comparable studies in those born blind, or early blinded, show that the visual areas of the cortex, similarly, may be reallocated in function, and used to process sound and touch.
With the reallocation of the visual cortex to touch and other senses, these can take on a hyperacuity that perhaps no sighted person can imagine. Bernard Morin, the blind mathematician who in the nineteen-sixties had shown how a sphere could be turned inside out, felt that his achievement required a special sort of spatial perception and imagination. And a similar sort of spatial giftedness has been central to the work of Geerat Vermeij, a blind biologist who has been able to delineate many new species of mollusk, based on tiny variations in the shapes and contours of their shells.
Faced with such findings and reports, neurologists began to concede that there might be a certain flexibility or plasticity in the brain, at least in the early years of life. But when this critical period was over, it was assumed, the brain became inflexible, and no further changes of a radical type could occur. The experiences that Hull so carefully recounts give the lie to this. It is clear that his perceptions, his brain, did finally change, in a fundamental way. Indeed, Alvaro Pascual-Leone and his colleagues in Boston have recently shown that, even in adult sighted volunteers, as little as five days of being blindfolded produces marked shifts to nonvisual forms of behavior and cognition, and they have demonstrated the physiological changes in the brain that go along with this. And only last month, Italian researchers published a study showing that sighted volunteers kept in the dark for as little as ninety minutes may show a striking enhancement of tactile-spatial sensitivity.
The brain, clearly, is capable of changing even in adulthood, and I assumed that Hulls experience was typical of acquired blindnessthe response, sooner or later, of everyone who becomes blind, even in adult life.
So when I came to publish an essay on Hulls book, in 1991, I was taken aback to receive a number of letters from blind people, letters that were often somewhat puzzled, and occasionally indignant, in tone. Many of my correspondents, it seemed, could not identify with Hulls experience, and said that they themselves, even decades after losing their sight, had never lost their visual images or memories. One correspondent, who had lost her sight at fifteen, wrote, Even though I am totally blind . . . I consider myself a very visual person. I still see objects in front of me. As I am typing now I can see my hands on the keyboard. . . . I dont feel comfortable in a new environment until I have a mental picture of its appearance. I need a mental map for my independent moving, too.
Had I been wrong, or at least onesided, in accepting Hulls experience as a typical response to blindness? Had I been guilty of emphasizing one mode of response too strongly, oblivious to the possibilities of radically different responses?
This feeling came to a head in 1996, when I received a letter from an Australian psychologist named Zoltan Torey. Torey wrote to me not about blindness but about a book he had written on the brain-mind problem and the nature of consciousness. (The book was published by Oxford University Press as The Crucible of Consciousness, in 1999.) In his letter Torey also spoke of how he had been blinded in an accident at the age of twenty-one, while working at a chemical factory, and how, although advised to switch from a visual to an auditory mode of adjustment, he had moved in the opposite direction, and resolved to develop instead his inner eye, his powers of visual imagery, to their greatest possible extent.
In this, it seemed, he had been extremely successful, developing a remarkable power of generating, holding, and manipulating images in his mind, so much so that he had been able to construct an imagined visual world that seemed almost as real and intense to him as the perceptual one he had lostand, indeed, sometimes more real, more intense, a sort of controlled dream or hallucination. This imagery, moreover, enabled him to do things that might have seemed scarcely possible for a blind man. I INSERTd the entire roof guttering of my multi-gabled home single-handed, he wrote, and solely on the strength of the accurate and well-focused manipulation of my now totally pliable and responsive mental space. (Torey later expanded on this episode, mentioning the great alarm of his neighbors at seeing a blind man, alone, on the roof of his houseand, even more terrifying to them, at night, in pitch darkness.)
And it enabled him to think in ways that had not been available to him before, to envisage solutions, models, designs, to project himself to the inside of machines and other systems, and, finally, to grasp by visual thought and simulation (complemented by all the data of neuroscience) the complexities of that ultimate system, the human brain-mind.
When I wrote back to Torey, I suggested that he consider writing another book, a more personal one, exploring how his life had been affected by blindness, and how he had responded to this, in the most improbable and seemingly paradoxical of ways. Out of Darkness is the memoir he has now written, and in it Torey describes his early memories with great visual intensity and humor. Scenes are remembered or reconstructed in brief, poetic glimpses of his childhood and youth in Hungary before the Second World War: the sky-blue buses of Budapest, the egg-yellow trams, the lighting of gas lamps, the funicular on the Buda side. He describes a carefree and privileged youth, roaming with his father in the wooded mountains above the Danube, playing games and pranks at school, growing up in a highly intellectual environment of writers, actors, professionals of every sort. Toreys father was the head of a large motion-picture studio and would often give his son scripts to read. This, Torey writes, gave me the opportunity to visualize stories, plots and characters, to work my imaginationa skill that was to become a lifeline and source of strength in the years ahead.
All of this came to a brutal end with the Nazi occupation, the siege of Buda, and then the Soviet occupation. Torey, now an adolescent, found himself passionately drawn to the big questionsthe mystery of the universe, of life, and above all the mystery of consciousness, of the mind. In 1948, nineteen years old, and feeling that he needed to immerse himself in biology, engineering, neuroscience, and psychology, but knowing that there was no chance of study, of an intellectual life, in Soviet Hungary, Torey made his escape and eventually found his way to Australia, where, penniless and without connections, he did various manual jobs. In June of 1951, loosening the plug in a vat of acid at the chemical factory where he worked, he had the accident that bisected his life.
The last thing I saw with complete clarity was a glint of light in the flood of acid that was to engulf my face and change my life. It was a nano-second of sparkle, framed by the black circle of the drumface, less than a foot away. This as the final scene, the slender thread that ties me to my visual past.
When it became clear that his corneas had been hopelessly damaged and that he would have to live his life as a blind man, he was advised to rebuild his representation of the world on the basis of hearing and touch and to forget about sight and visualizing altogether. But this was something that Torey could not or would not do. He had emphasized, in his first letter to me, the importance of a most critical choice at this juncture: I immediately resolved to find out how far a partially sense-deprived brain could go to rebuild a life. Put this way, it sounds abstract, like an experiment. But in his book one senses the tremendous feelings underlying his resolutionthe horror of darkness, the empty darkness, as Torey often calls it, the grey fog that was engulfing me, and the passionate desire to hold on to light and sight, to maintain, if only in memory and imagination, a vivid and living visual world. The very tide of his book says all this, and the note of defiance is sounded from the start. Hull, who did not use his potential for imagery in a deliberate way, lost it in two or three years, and became unable to remember which way round a 3 went; Torey, on the other hand, soon became able to multiply four-figure numbers by each other, as on a blackboard, visualizing the whole operation in his mind, painting the suboperations in different colors.
Well aware that the imagination (or the brain), unrestrained by the usual perceptual input, may run away with itself in a wildly associative or self-serving wayas may happen in deliria, hallucinations, or dreamsTorey maintained a cautious and scientific attitude to his own visual imagery, taking pains to check the accuracy of his images by every means available. I learned, he writes, to hold the image in a tentative way, conferring credibility and status on it only when some information would tip the balance in its favor. Indeed, he soon gained enough confidence in the reliability of his visual imagery to stake his life upon it, as when he undertook roof repairs by himself. And this confidence extended to other, purely mental projects. He became able to imagine, to visualize, for example, the inside of a differential gearbox in action as if from inside its casing. I was able to watch the cogs bite, lock and revolve, distributing the spin as required. I began to play around with this internal view in connection with mechanical and technical problems, visualizing how subcomponents relate in the atom, or in the living cell. This power of imagery was crucial, Torey thought, in enabling him to arrive at a solution of the brain-mind problem by visualizing the brain as a perpetual juggling act of interacting routines.
In a famous study of creativity, the French mathematician Jacques Hadamard asked many scientists and mathematicians, including Einstein, about their thought processes. Einstein replied, The physical entities which seem to serve as elements in thought are . . . more or less clear images which can be voluntarily reproduced and combined. [Some are] of visual and some of muscular type. Conventional words or other signs have to be sought for laboriously only in a secondary stage. Torey cites this, and aIDs, Nor was Einstein unique in this respect. Hadamard found that almost all scientists work this way, and this was also the way my project evolved.
Soon after receiving Toreys manuscript, I received the proofs of yet another memoir by a blind person: Sabriye Tenberkens My Path Leads to Tibet. While Hull and Torey are thinkers, preoccupied in their different ways by inwardness, states of brain and mind, Tenberken is a doer; she has travelled, often alone, all over Tibet, where for centuries blind people have been treated as less than human and denied education, work, respect, or a role in the community. Virtually single-handed, Tenberken has transformed their situation over the past half-dozen years, devising a form of Tibetan Braille, establishing schools for the blind, and integrating the graduates of these schools into their communities.
Tenberken herself had impaired vision almost from birth but was able to make out faces and landscapes until she was twelve. As a child in Germany, she had a particular predilection for colors, and loved painting, and when she was no longer able to decipher shapes and forms she could still use colors to identify objects. Tenberken has, indeed, an intense synesthesia. As far back as I can remember, she writes, numbers and words have instantly triggered colors in me. . . . The number 4, for example, [is] gold. Five is light green. Nine is vermillion. . . . Days of the week as well as months have their colors, too. I have them arranged in geometrical formations, in circular sectors, a little like a pie. When I need to recall on which day a particular event happened, the first thing that pops up on my inner screen is the days color, then its position in the pie. Her synesthesia has persisted and been intensified, it seems, by her blindness.
Though she has been totally blind for twenty years now, Tenberken continues to use all her other senses, along with verbal descriptions, visual memories, and a strong pictorial and synesthetic sensibility, to construct pictures of landscapes and rooms, of environments and scenespictures so lively and detailed as to astonish her listeners. These images may sometimes be wildly or comically different from reality, as she relates in one incident when she and a companion drove to Nam Co, the great salt lake in Tibet. Turning eagerly toward the lake, Tenberken saw, in her minds eye, a beach of crystallized salt shimmering like snow under an evening sun, at the edge of a vast body of turquoise water. . . . And down below, on the deep green mountain flanks, a few nomads were watching their yaks grazing. But it then turns out that she has been facing in the wrong direction, not looking at the lake at all, and that she has been staring at rocks and a gray landscape. These disparities dont faze her in the leastshe is happy to have so vivid a visual imagination. Hers is essentially an artistic imagination, which can be impressionistic, romantic, not veridical at all, where Torey s imagination is that of an engineer, and has to be factual, accurate down to the last detail.
I had now read three memoirs, strikingly different in their depictions of the visual experience of blinded people: Hull with his acquiescent descent into imageless deep blindness, Torey with his compulsive visualization and meticulous construction of an internal visual world, and Tenberken with her impulsive, almost novelistic, visual freedom, along with her remarkable and specific gift of synesthesia. Was there any such thing, I now wondered, as a typical blind experience?
I recently met two other people blinded in adult life who shared their experiences with me.
Dennis Shulman, a clinical psychologist and psychoanalyst who lectures on Biblical topics, is an affable, stocky, bearded man in his fifties who gradually lost his sight in his teens, becoming completely blind by the time he entered college. He immediately confirmed that his experience was unlike Hulls: I still live in a visual world after thirty-five years of blindness. I have very vivid visual memories and images. My wife, whom I have never seenI think of her visually. My kids, too. I see myself visuallybut it is as I last saw myself, when I was thirteen, though I try hard to update the image. I often give public lectures, and my notes are in Braille; but when I go over them in my mind, I see the Braille notes visuallythey are visual images, not tactile.
Arlene Gordon, a charming woman in her seventies, a former social worker, said that things were very similar for her: If I move my arms back and forth in front of my eyes, I see them, even though I have been blind for more than thirty years. It seemed that moving her arms was immediately translated for her into a visual image. Listening to talking books, she aIDed, made her eyes tire if she listened too long; she seemed to herself to be reading at such times, the sound of the spoken words being transformed to lines of print on a vividly visualized book in front of her. This involved a sort of cognitive exertion (similar perhaps to translating one language into another), and sooner or later this would give her an eye ache.
I was reminded of Amy, a colleague who had been deafened by scarlet fever at the age of nine but was so adept a lipreader that I often forgot she was deaf. Once, when I absent-mindedly turned away from her as I was speaking, she said sharply, I can no longer hear you.
You mean you can no longer see me, I said.
You may call it seeing, she answered, but I experience it as hearing.
Amy, though totally deaf, still constructed the sound of speech in her mind. Both Dennis and Arlene, similarly, spoke not only of a heightening of visual imagery and imagination since losing their eyesight but also of what seemed to be a much readier transference of information from verbal descriptionor from their own sense of touch, movement, hearing, or smellinto a visual form. On the whole, their experiences seemed quite similar to Toreys, even though they had not systematically exercised their powers of visual imagery in the way that he had, or consciously tried to make an entire virtual world of sight.
There is increasing evidence from neuroscience for the extraordinarily rich interconnectedness and interactions of the sensory areas of the brain, and the difficulty, therefore, of saying that anything is purely visual or purely auditory, or purely anything. This is evident in the very tides of some recent papersPascual-Leone and his colleagues at Harvard now write of The Metamodal Organization of the Brain, and Shinsuke Shimojo and his group at Caltech, who are also exploring intersensory perceptual phenomena, recently published a paper called What You See Is What You Hear, and stress that sensory modalities can never be considered in isolation. The world of the blind, of the blinded, it seems, can be especially rich in such inbetween statesthe intersensory, the metamodalstates for which we have no common language.
Arlene, like Dennis, still identifies herself in many ways as a visual person. I have a very strong sense of color, she said. I pick out my own clothes. I think, Oh, that will go with this or that, once I have been told the colors. Indeed, she was dressed very smartly, and took obvious pride in her appearance.
I love travelling, she continued. I saw Venice when I was there. She explained how her travelling companions would describe places, and she would then construct a visual image from these details, her reading, and her own visual memories. Sighted people enjoy travelling with me, she said. I ask them questions, then they look, and see things they wouldnt otherwise. Too often people with sight dont see anything! Its a reciprocal processwe enrich each others worlds.
If we are sighted, we build our own images, using our eyes, our visual information, so instantly and seamlessly that it seems to us we are experiencing reality itself. One may need to see people who are color-blind, or motion-blind, who have lost certain visual capacities from cerebral injury, to realize the enormous act of analysis and synthesis, the dozens of subsystems involved in the subjectively simple act of seeing. But can a visual image be built using nonvisual informationinformation conveyed by the other senses, by memory, or by verbal description?
There have, of course, been many blind poets and writers, from Homer on. Most of these were born with normal vision and lost their sight in boyhood or adulthood (like Milton). I loved reading Prescotts Conquest of Mexico and Conquest of Peru as a boy, and feel that I first saw these lands through his intensely visual, almost hallucinogenic descriptions, and I was amazed to discover, years later, that Prescott not only had never visited Mexico or Peru but had been virtually blind since the age of eighteen. Did he, like Torey, compensate for his blindness by developing such powers of visual imagery that he could experience a virtual reality of sight? Or were his brilliant visual descriptions in a sense simulated, made possible by the evocative and pictorial powers of language? To what extent can language, a picturing in words, provide a substitute for actual seeing, and for the visual, pictorial imagination? Blind children, it has often been noted, tend to be precocious verbally, and may develop such fluency in the verbal description of faces and places as to leave others(and perhaps themselves) uncertain as to whether they are actually blind. Helen Kellers writing, to give a famous example, startles one with its brilliantly visual quality.
When I asked Dennis and Arlene whether they had read John Hulls book, Arlene said, I was stunned when I read it. His experiences are so unlike mine. Perhaps, she aIDed, Hull had renounced his inner vision. Dennis agreed, but said, We are only two individuals. You are going to have to talk to dozens of people. . . . But in the meanwhile you should read Jacques Lusseyrans memoir.
Lusseyran was a French Resistance fighter whose memoir, And There Was Light, deals mostly with his experiences fighting the Nazis and later in Buchenwald but includes many beautiful descriptions of his early adaptations to blindness. He was blinded in an accident when he was not quite eight years old, an age that he came to feel was ideal for such an eventuality, for, while he already had a rich visual experience to call on, the habits of a boy of eight are not yet formed, either in body or in mind. His body is infinitely supple. And suppleness, agility, indeed came to characterize his response to blindness.
Many of his initial responses were of loss, both of imagery and of interests:
A very short time after I went blind I forgot the faces of my mother and father and the faces of most of the people I loved. . . . I stopped caring whether people were dark or fair, with blue eyes or green. I felt that sighted people spent too much time observing these empty things. . . . I no longer even thought about them. People no longer seemed to possess them. Sometimes in my mind men and women appeared without heads or fingers.
This is similar to Hull, who writes, Increasingly, I am no longer even trying to imagine what people look like. . . . I am finding it more and more difficult to realize that people look like anything, to put any meaning into the idea that they have an appearance.
But then, while relinquishing the actual visual world and many of its values and categories, Lusseyran starts to construct and to use an imaginary visual world more like Toreys.
This started as a sensation of light, a formless, flooding, streaming radiance. Neurological terms are bound to sound reductive in this almost mystical context. Yet one might venture to interpret this as a release phenomenon, a spontaneous, almost eruptive arousal of the visual cortex, now deprived of its normal visual input. This is a phenomenon analogous, perhaps, to tinnitus or phantom limbs, though endowed here, by a devout and precociously imaginative little boy, with some element of the supernal. But then, it becomes clear, he does find himself in possession of great powers of visual imagery, and not just a formless luminosity.
The visual cortex, the inner eye, having now been activated, Lusseyrans mind constructed a screen upon which whatever he thought or desired was projected and, if need be, manipulated, as on a computer screen. This screen was not like a blackboard, rectangular or square, which so quickly reaches the edge of its frame, he writes. My screen was always as big as I needed it to be. Be cause it was nowhere in space it was everywhere at the same time. . . . Names, figures and objects in general did not appear on my screen without shape, nor just in black and white, but in all the colors of the rainbow. Nothing entered my mind without being bathed in a certain amount of light. . . . In a few months my personal world had turned into a painters studio.
Great powers of visualization were crucial to the young Lusseyran, even in something as nonvisual (one would think) as learning Braille (he visualizes the Braille dots, as Dennis does), and in his brilliant successes at school. They were no less crucial in the real, outside world. He describes walks with his sighted friend Jean, and how, as they were climbing together up the side of a hill above the Seine Valley, he could say:
Just look! This time were on top. . . . Youll see the whole bend of the river, unless the sun gets in your eyes! Jean was startled, opened his eyes wide and cried: Youre right. This little scene was often repeated between us, in a thousand forms.
Every time someone mentioned an event, Lusse








Jermaine Byrant
Nicole Johnson



