similar
damage, he is aware of his problem and can describe it. The most famous patient with hippocampal
and temporal lobe damage, known only as HM, is not so lucky (or perhaps he is luckier). Since he
had an experimental surgery to prevent epileptic seizures, HM lives in a perpetual now, continually
greeting people as if for the first time, even if he has spoken to them countless times before (see
Chapter 23 ).
The 2000 Spanish thriller Sé Quién Eres (I Know Who You Are) presents the case of Mario,
whose memory loss stems from Korsakoff’s syndrome, a disorder associated with advanced
alcoholism. Mario cannot recall anything that happened to him before 1977, has difficulty forming
new memories, and is often confused. Yet his psychiatrist finds herself drawn to him. In Mario’s
case, his memory defects result from damage to his thalamus and mammillary bodies, which is caused
by thiamine (vitamin B1) deficiency resulting from the long-term malnutrition that often accompanies
severe alcoholism.
A final example of memory loss in the movies comes from the animated feature Finding Nemo
(2003). The sufferer in this case is not a human being, but a fish. Dory is friendly but has severe
difficulty forming new memories. Like Leonard, she loses her train of thought when distracted. We
could complain that it is unrealistic to expect much cognitive sophistication from a fish, but
considering the egregiousness of the worst cinematic offenses, we will score this as a minor
infraction. What is realistic in this movie is the feeling of being lost that Dory experiences as she
finds her way through life, and the way that she can be annoying, even (and perhaps especially) to
those close to her.
Did you know? Schizophrenia in the movies— A Beautiful Mind
A Beautiful Mind (2001) dramatizes the life of the mathematician John Nash, presenting
the experience of descending into schizophrenia in great detail. The Nash character (in a
somewhat loose adaptation of the real Nash) experiences hallucinations and starts to
imagine causal links between unrelated events. His growing paranoia about the motives of
those around him and his inability to critically reject these delusions gradually alienate him
from colleagues and loved ones.
These are classic signs of schizophrenia, a disorder that is caused by changes in the
brain induced by disease, injury, or genetic predisposition. Schizophrenia typically strikes
people in their late teens and early twenties and affects more men than women. As many as
one in one hundred people experience symptoms of schizophrenia at some point in their
lives. The hallucinations experienced by the Nash character in the movie are visual; the
real-life Nash has experienced auditory hallucinations of a similar nature.
While much of the movie is scientifically accurate, one significant error is that Nash is
cured by the love of a good woman. Schizophrenia is not a romantic event; it is a physical
disorder of the brain. Some degree of recovery is possible: patients may have periods of
normal function interspersed with symptomatic periods, and symptoms disappear in as
many as one in six schizophrenics. The reasons for remission, however, are currently not
known. The error made in the movie is reminiscent of the old myth that schizophrenia is
caused by a lack of mother love, an idea that has no support, is refuted by evidence, and
makes mothers—and other loved ones—of schizophrenics feel guilty for no good reason.
This brings us to a striking recurring theme in the accurate depiction of memory loss: the
sympathetic portrayal of the sufferer. In inaccurate depictions, the victim is often regarded as a figure
of fun or even ridicule. However, the plight of accurately portrayed sufferers is almost always
rendered poignantly and, in the best cases, captures the feeling of what it is like to have a disorder.
Chapter 3
Thinking Meat: Neurons and Synapses
In his short story
Jessica Conant-Park, Susan Conant