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kottke.org posts about Rachel Aviv

The Lies and Falsifications of Oliver Sacks

In a recent bombshell piece for the New Yorker (archive), Rachel Aviv explored the personal journals of the celebrated neurologist and writer Oliver Sacks. What she found was shocking: he had fabricated and embellished some of his most well-known work โ€” like Awakenings and The Man Who Mistook His Wife for a Hat. Sacks himself referred to his “lies” and “falsification” in journal entries.

But, in his journal, Sacks wrote that “a sense of hideous criminality remains (psychologically) attached” to his work: he had given his patients “powers (starting with powers of speech) which they do not have.” Some details, he recognized, were “pure fabrications.” He tried to reassure himself that the exaggerations did not come from a shallow place, such as a desire for fame or attention. “The impulse is both ‘purer’ โ€” and deeper,” he wrote. “It is not merely or wholly a projection โ€” nor (as I have sometimes, ingeniously-disingenuously, maintained) a mere ‘sensitization’ of what I know so well in myself. But (if you will) a sort of autobiography.” He called it “symbolic ‘exo-graphy.’”

Sacks had “misstepped in this regard, many many times, in ‘Awakenings,’” he wrote in another journal entry, describing it as a “source of severe, long-lasting, self-recrimination.”

The author Maria Konnikova discovered Sacks’ work in high school โ€” “it blew my mind”, she writes. After the Aviv piece was published, Konnikova wrote a post about Sacks: The man who mistook his imagination for the truth.

When Joseph Mitchell invents a fishmonger, nobody gets hurt. It’s not journalism. It’s not nonfiction. But it’s not life or death. When Jonah Lehrer invents a quote from Bob Dylan, you can call him a narcissistic idiot for thinking he can get away with fabulizing a living legend whose every word has been studied. It’s not journalism. It’s not nonfiction. But, again, it’s not the end of the world. When Oliver Sacks invents an ability that does not exist or crafts a portrait of his own creation, he is hampering medical progress and tampering with the ethics of his profession. Not all journalistic malfeasance is created equal. There are plenty of shades of grey. But making up medical details is not in the gray zone. It’s malpractice.

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