doi:10.1093/brain/awp019 Brain 2009: 132; 1678–1681 | 1678 BRAIN A JOURNAL OF NEUROLOGY BOOK REVIEW The muddle of embodiment For biology, and science generally, this is both ‘the best of times and the worst of times’. The best of times because its prestige has never been greater, the scale of its research institutions never more impressive and its financial support never more lavish. Yet, this is also the worst of times for when it is possible to say ‘this is how it happened’—this is how the universe and our solar system came into being, this is how the landscape of our earth was formed, this is the universal code of life and so on—then ‘the future’, what comes after, is likely to be something of an anticlimax. And there is too the perception that science for all its great intellectual achievements no longer has anything interesting to say about the human experience. Why should it be as the writer Bryan Appleyard observed that ‘in the maps provided by contemporary science, we find everything except ourselves’. This is all the more perplexing because it seems only yesterday that the twin bastions of molecular biology and neuroscience were on the brink of resolving the fundamental questions of ‘being human’. ‘The search for the ‘Holy Grail’ of who we are has now reached its culminating phase,’ observed Harvard University’s Walter Gilbert at the launch of the Human Genome Project in 1991. ‘The ultimate goal is the acquisition of all the details of our genome . . . that will transform our capacity to predict what we will become.’ And, similarly, neuroscience was revolutionized in the 1980s by the ability of PET imaging to observe the brain in action looking out on the world and thinking its deep thoughts. ‘The question is not whether the neural machinery [of the brain] will be understood,’ insisted professor of neurology Antonio Damasio in the journal Scientific American the following year, ‘but when’. Nearly 20 years on both disciplines continue to generate new research findings on a staggering scale, where a year’s volumes of a single journal now fill an entire library shelf. But the relevance of this new knowledge, the promise of that ‘Holy Grail of who we are’ remains as elusive as ever. And it will continue to be so without some glimmer of an insight into how the monotonous genes strung out along the double helix might instruct for the near infinite richness of form and attributes of the living world or how the monotonous neural firing of the brain might translate into the richness of the human mind. Thus, while there is no denying the technical achievement in being able to spell out James Watson’s personal genome in its entirety, yet ransacked The Kingdom of Infinite Space. A Fantastical Journey Around Your Head By Raymond Tallis 2008. London: Atlantic Books Price: £19.99 ISBN: 978 1 84354 669 6 from top to bottom it sheds not a ray of light on the character and brilliance with which he has dominated biology in the post-war years. There is the strong impression that science has been looking in the wrong place for explanations that somehow lie outside its domain, while threatening to crush the true spirit of intellectual inquiry under an avalanche of undigested and indigestible facts. The difficulty, as is well recognized, is that science is in thrall to the sort of radical reductionism epitomized by the genome projects and modern neuroscience and for whom the objective and impersonal facts generated by the scientific method constitute the only form of reliable knowledge. But it cannot be that science has nothing to say about the human condition whose materiality, clothed in flesh, animated by blood is inseparable from our experience. Further, its fundamental premise that the phenomena of life can be accounted for in exclusively materialist terms, without recourse to the metaphysical, remains unchallenged as the dominant intellectual mind-set of the western world. Raymond Tallis, Emeritus Professor of Geriatric Medicine, philosopher, poet and all round polymath in his formidable philosophical trilogy (reviewed by John Cornwell in Brain 2005, 128, 443–46) has sought to resolve that impasse by restoring to the scientific domain the subjective first person perspective and the knowledge that flows from it. The twin pillars of Tallis’s philosophy draw heavily on the continental tradition of phenomenology as elaborated by Edmund Husserl and Martin Heidegger. They are, first, the investigation of the ‘obvious, non-obvious’ where the most seemingly trivial of human achievements mediated through ß The Author (2009). Published by Oxford University Press on behalf of the Guarantors of Brain. All rights reserved. For Permissions, please email: [email protected] Book Review Tallis’s wit, erudition and imagination prove to be (literally) extraordinary. This is seen to best effect in the first volume of his trilogy ‘The Hand: a philosophical enquiry into human being’ that enriches beyond measure the standard scientific account of this most useful of appendages. The human hand, Tallis points out, is not only just a unique organ of manipulation combining the contradictory properties of both great power and remarkable precision, but also an organ of knowledge and of communication. ‘The hand acts, it knows and speaks.’ From this starting point, he takes the reader on a breathtaking tour (de force) of the specific talents of the digits one by one, and then their further attributes combined as two, three, five and ten. And then there is the talking hand, the playful hand, the numerate hand and still its possibilities are not exhausted. The human hand, he suggests, has crossed a rubicon to leave that of our primate cousins far behind on its distant bank—the rubicon of being able to ‘make infinite use of finite resources’. The second pillar of Tallis’s philosophy, intrinsic to the phenomenological perspective, is the assertion of the authentic reality of the human mind in perceiving, thinking and doing—not to be explained away (as the objective materialist’s view would have it) as an illusion or epiphenomenon of the neuronal activity of the brain. We shall not find . . . our everyday lives in the behaviour of excitable [brain] tissue even though the latter is a necessary condition of the former,’’ he comments in a recent review of Professor Chris Frith’s ‘Making up the Mind’ (Brain, 2007, 130, 3050-3054). ‘‘The illusion that we can do so arises from neuroscientists’ anthropomorphising bits of the brain. When they find that those bits don’t deserve the human epithets conferred upon them, they tend to question whether human attributes such as free will, access to reality, self knowledge or progress towards objective truth really exist. If you fail to find something when you look in the wrong place, or in the wrong way, it is tempting to conclude that it doesn’t exist. Now in his most ambitious project so far Prof. Tallis combines these two themes of his philosophical enquiry in ‘A Fantastical Journey Around Your Head’ in pursuit of that most substantial of questions ‘Who am I?’ or rather ‘What is involved in being me?’ The journey around the object that is closest to what we feel ourselves to be, namely the head, is, he suggests, an entré into ‘the muddle of embodiment – the peculiar condition of being a self-conscious, self-judging agent in an organic body’. That muddle is (relatively) easily put: we suppose ourselves to be our physical bodies and particularly our heads, yet the moment we start to reflect on any specific feature, it ceases to be intrinsic to ourselves, but rather some objective property belonging to us. The harder I attend to my mouth, the more firmly it is placed at the end of my attention as its object. There is this gap where every bit of my body I attend to becomes something I attend to, not something that I am. The traditional way round this seeming paradox is to distance oneself from the body altogether, where the ‘true me is a Brain 2009: 132; 1678–1681 | 1679 non-body, something that lodges in my body and does not share its fate’. But this distancing of some non-material self from the body, as he points out, raises all sorts of unanswerable questions—about how it comes to be there and how ‘I’ experience the world through it. Tallis’s ambitious project then is to stick with the physicality of the head and demonstrate how its numerous attributes when reflected on deeply enough from a phenomenological perspective help to resolve the question of ‘what is involved in being me?’ This promises to be a most productive line of inquiry, so it is more than surprising to learn early on that his journey is going to bypass the capital city of the head—the brain. This has the undoubted virtue of simplifying matters but might seem as perverse as Shakespeare writing Hamlet while only giving the Prince of Denmark a walk on part. Tallis justifies this omission, less than convincingly, on the grounds that this master organ is ‘overrated’ and so much has recently been written about it—but at the cost of drastically narrowing the interest and coherence of his thesis. The Kingdom opens with a classic Tallis paradox of the ‘obvious non-obvious’ which typically of his writing induces a state of heightened awareness comparable to that of taking a mind expanding drug. He invites the reader to look into a mirror as happens every morning, but this time to see the multifariousness of the face staring back—‘the site of endless trafficking’, absorbing the inputs of the senses of sight, sound and smell, of air inhaled through the nostrils and food and drink through the mouth, and generating its outputs of tears and saliva, and those ceaseless transmissions, both verbal and non-verbal with which we communicate our signals of intent to others. And yet, as he points out, there is nothing in all this activity that hints at the ‘silent cacophony of thought’ within the head that commands the centre of its conscious attention. The sudden rush of realization of the queerness of this contrast between the voluminous busyness of our dealings with the outer world and the silent busyness of the inner exemplifies the power and richness of the phenomenological perspective, bringing to our attention the almost unfathomable profundity of all those aspects of ourselves we take so readily for granted. Tallis’s journey proper begins with the head’s multi-talented secretions of mucus and sebum, tears and saliva each interpreted and expanded on so as to convey how the sense of self and the human experience are formed out of ‘biological events’. Thus, saliva might seem from a strictly scientific objective perspective as no more than a trivial fact, but he elaborates on its capacity to make ‘infinite use of finite resources’ facilitating those 4-fold diverse functions of lubricating food, assisting speaking, initiating the digestion of starch and protecting against infection. And that is just the beginning for Tallis remorselessly elucidates saliva’s central role in human relationships both of the most intimate kind, as in kissing, but also the most hostile. Spitting on someone is the ultimate insult compared with which name-calling, however inflammatory and degrading, seems merely metaphorical. Spittle originates from the cavity where words are factored, so that spitting partakes of linguistic sign . . . It is, however, without grammar. It has the brutal immediacy of a fist on the face. It is half way between 1680 | Brain 2009: 132; 1678–1681 a curse and a blow. It has a particularly sinister aspect. It is a forced intimacy, a little rape: the spat-upon is directly exposed to materials drawn from the intimate recesses of another’s body. And, scarcely breaking step, Tallis draws attention to the centrality of saliva to the event at the heart of the culture and belief systems of western civilization—Christ’s passion. The image of the Son of God with sputum trickling down his sweat-glistening, bloodstained cheek is a shocking confrontation with the . . . notion of the Author of the Universe taking on the human condition. In this powerful . . . myth of Christ’s passion, the mysterious process whereby human beings transform natural events (in this case the upwelling of saliva in their own mouths) into symbols . . . reaches an extraordinary climax. The next step on the journey is breathing, commonly perceived as the province of the lungs, but shamelessly appropriated by the head and suborned to its many purposes when laughing, coughing, yawning, sneezing—and most importantly of all when speaking. Here, the poet Tallis’s prose is so dense with meaning it must be read closely to catch its many nuances. Speech is fashioned out of exhaled air, exquisitely sculpted by the lips, the tongue, the palate, the throat, working together in marvellous synergy . . . these sounds are linked into utterances of bottomless complexity, in which we at once discern meaning and intent. Their rising and falling tones declare that what is being uttered is an assertion or a question, or a wish or a sigh, or a curse; that it is gentle or aggressive, flattering or mocking, informative, misleading . . . Tallis concludes these reflections on the possibilities (and diversity of forms) of breath-generated speech with the brilliant thought-provoking paradox where ‘the breath that is life articulates the consciousness that life sustains’. That consciousness, or self-awareness, Tallis reminds the reader, is the defining feature of our species where we alone know what we are doing—and why—permitting us not just to live our lives, but to lead them. ‘The propensity to transform expired air into sounds that are used to refer to other things, to possibilities that may or may not be realised, presupposes an explicit sense of ourselves, of the material world and of other humans.’ Still, language for all that it frames and shapes our lives, falls far short of what might be said, in failing to capture those depths of the human experience that lie beyond words. This brings us to the next step in the journey, the extraordinary expressive capacity of the facial muscles to convey our innermost emotions of sadness, anger, surprise, fear and contempt. ‘They tell us about the current account of your soul’, Tallis writes, ‘what is happening between you and me, what kind of person you are, what kind of person I am’. And the grammar of non-verbal communication goes very deep indeed as Tallis, in another brilliant apercu, points out that the amused smile is inextricably linked to the further uniquely human ability to appreciate the significance of time. Book Review We are animals for whom time is not merely lived through the vicissitudes of our bodies, but is experienced through an explicit past and a future . . . we have a feeling, on the basis of a recalled past, of how things are going to be in an anticipated future. And so we are aware of the difference between how things turn out and how they should have turned out. We are consequently susceptible to surprises: by punch lines that confound our expectations; by things that come together when they should be kept apart . . . The most potent of the attributes of the head in defining the sense of self is in its role as a watchtower—looking out on the world ‘out there’. The distinctive feature of vision as opposed to the other senses such as smell and hearing, is that it permits us to see the world around us at a visible distance from where the self is located (or so it appears to be) just above the eyes in the middle of the forehead. ‘The seer’, as Tallis puts it, ‘is not immersed in what he sees. Vision lifts us up above the sea of things . . . I see the world around me as being around me. This makes my visual field into something that has me as the explicit centre.’ This should be the cue for a roll of drums heralding the approach to the capital of the head—those 3 pounds of protoplasmic stuff locked within the skull that contain the unique personality of each one of us: ‘The self’ that forged by experience changes over time but yet remains remorselessly the same. Certainly, neuroscience may have failed to solve the riddle of how the electrochemical activity of the synapse translates into the richness of the human self, but it has generated more than enough fascinating insights into the physical basis of perception, memory and free will to contradict the prevailing materialist view of the self as an illusion generated by the brain to convey the impression of there being ‘someone in charge’. Yet, Prof. Tallis, for all his searching insights in his philosophical trilogy into the inconsistencies and false logic of the ‘identity theory’, does not want to go there. He is, one suspects, over fearful of finding himself compelled by the logic of his own argument and the recent findings of neuroscience to embrace the dualist notion of brain and mind as being two distinct essences—without their being any conception of how the one might influence the other. Thus half way through the journey, his investigation of the interdependence of the head and self fizzles out and the further stages are a grievous disappointment with chapters devoted to hair, vomiting, smoking and the ageing head that have little relevance to his central argument. It is possible to glimpse the scale of this missed opportunity in the final chapter where Tallis returns to form in an extended reflection on thinking. There is perhaps no better instance of the narrow horizons of contemporary science than its failure to have anything of interest to say about this one activity that fills our heads from morning till night—other than the supposition that it must be the consequence of some sophisticated neurochemistry. The phenomenology of thinking in contrast prompts a whole series of novel insights that massively deepen our understanding of this defining feature of our species. Thoughts, by definition, are silent and known only to their possessor, so that we only know what they are by hearing them Book Review within our heads. This raises the uncomfortable question of who is doing the ‘speaking’ and who the ‘listening’. ‘Do I have to tell myself my thoughts in order to think them?’ Tallis asks, ‘in which case how do I know what to tell myself?’ But, on further reflection, it may not be ‘I’ doing the thinking at all; rather ‘our thoughts are often given to us rather than generated by us. We suffer our thoughts as much as we enact them.’ Who then, or what, is giving us our thoughts, or indeed the reverse, what is the status of those thoughts we know are there—but resolutely refuse to come? Then, one might reasonably wonder, what is it that distinguishes banal from profound thoughts— and how to tell the difference between them? There is nothing difficult about these thoughts about thinking. They emerge quite readily in all their deeply enigmatic colours as soon as one starts ‘thinking’ about thoughts, prompting the sort of intrigued Brain 2009: 132; 1678–1681 | 1681 response ‘that’s really interesting’ that is the main impetus of intellectual enquiry. The Kingdom, disappointingly, may be rather less than its parts, but Tallis’s is still an unforgettable journey in drawing to our attention the richness and resonance of the most seemingly trivial facts of biology. ‘The real voyage of discovery lies not in seeking new lands’ observed Marcel Proust ‘but in seeing with new eyes’—and the facts of the head seen through his new eyes prove endlessly fascinating. James le Fanu General Practitioner and columnist for the Telegraph E-mail: [email protected] Advance Access publication March 2, 2009
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