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55 pages 1 hour read

Oliver Sacks

An Anthropologist on Mars: Seven Paradoxical Tales

Nonfiction | Book | Adult | Published in 1995

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Essays 6-7Chapter Summaries & Analyses

Essay 6 Summary: “Prodigies”

Sacks opens with a piece of correspondence from 1862 describing the case of “Blind Tom” and identifying him as what was then termed an “idiot savant”: someone with a mental or learning disability who is extremely gifted in a particular way. Blind Tom could not speak until he was five or six years old, yet he was able to play the piano beautifully by age four. Sacks, upon reading about him, is certain that today he would be considered autistic.

Autism was described nearly simultaneously by two scientists in the 1940s: Leo Kanner and Hans Asperger. The term originates from a word meaning “alone,” describing the desire many people with autism feel to shut out others or isolate themselves. Kanner describes autism as partially “an obsessive insistence on sameness” (181), observing these individuals’ desire for repetition, rituals, routines, and their intense focus on specific interests. Asperger noted that many autistic patients were unable or unwilling to make eye contact and struggled to understand physical gestures as well as facial expressions.

Approximately 10 percent of children with autism demonstrate singular talents, and many show a remarkable memory. In the 1970s, a child with autism named Nadia showed an incredible talent for art. Studies of her and her work helped persuade scientists to study not only the neurological deficits associated with autism, but also possible abilities: “Here idiot savants provided unique opportunities, for they seemed to exhibit a large range of inborn talents—raw, pure expressions of the biological; much less dependent upon, or influenced by, environmental and cultural factors than the talents of ‘normal’ people” (186). Yet Nadia, upon gaining vocal language, eventually lost some of her extreme artistic skill.

In June 1987, Sacks receives a package from an English publisher featuring the drawings of artist Stephen Wiltshire. Sacks enjoys these drawings, which remind him of his childhood in England. He characterizes the work as “very accurate, but not in the least mechanical—on the contrary, […] full of energy, spontaneity, oddity, life” (186). He is shocked to learn that the artist, Stephen, is only 13 years old.

Sacks returns to England not long after receiving this package and mentions Stephen to his brother David, who informs him that this boy is his patient. Stephen was born in 1974 to West Indian immigrants and displayed delayed motor development as a young child. He also refused to make eye contact or listen to others, despite his ability to hear and react to noises. Stephen was devastated when his father died suddenly just before his third birthday. Despite these challenges, Stephen displayed an early talent for drawing and an affinity for shapes, colors, and shadows. By age seven, he became fascinated with drawing buildings. Chris Marris, a young special education teacher, was blown away by Stephen’s drawings; he had seemingly taught himself many drawing techniques and could draw buildings from memory in excruciating detail. Stephen had no interest in his finished work, however, often throwing his drawings away. Marris made a point to encourage Stephen, save his finished art, and give him the support to continue drawing.

At age nine, inspired by the many field trips Marris would take him on, Stephen began to speak more, often calling out the names of buildings as they passed them. Marris tried to find ways to incorporate language into Stephen’s drawings, encouraging him to draw a building for each letter of the alphabet. When autism experts examined Stephen and his work, they noted that he was one of the most talented savants they had ever seen despite his IQ score of 52.

Marris eventually submitted Stephen’s art into an exhibition for children. This earned him a prize and gained the attention of the BBC, which filmed Stephen and his work for a documentary on savants. Stephen’s work also caught the attention of publishers, and his first collection was published when he was 13. Yet despite the fame, Stephen’s life remained limited in many ways: “He could draw, with the greatest of ease, any street he had seen; but he could not, unaided, cross one by himself. He could see all London in his mind’s eye, but its human aspects were unintelligible to him” (193). Nevertheless, Marris’s continued insistence that Stephen is profoundly disabled troubles Sacks, who is not convinced that Stephen could create this artwork without an immense amount of intelligence and internal depth: “Could one be an artist without having a ‘self?’” (194).

In February 1988, Marris and Stephen fly to New York City to take part in another documentary. Sacks, knowing Stephen’s love of buildings and architecture, invites Marris and Stephen to his home on City Island, hoping Stephen will enjoy the different perspective on the city afforded by a helicopter ride. Upon meeting Stephen, Sacks notes Stephen’s physical tics, which are in keeping with those of many other children with autism, and the fact that he rarely speaks. Stephen shows Sacks his drawings of New York City so far with no sense of immodesty or self-consciousness.

Sacks asks Stephen to draw his house, and watches him get to work. Without studying the space, he draws the house from “a brief glance […] extract[ing] its essence, see[ing] every detail, [holding] it all in his memory” (195). He focuses solely on drawing the house and little else around it, though he does take some liberties with the details. Sacks views Stephen’s drawings as a reflection of his neural processes.

Marris had been a vital part of Stephen’s life until 1987, when he received a job at another secondary school, but even then he continued to make time to work with and visit Stephen. By May 1989, however, Stephen struggles to feel motivated to draw, which Sacks attributes to needing others to facilitate his work. Although Stephen does not outwardly express that he misses Marris, Sacks feels this lack of motivation to draw is a sign of Stephen’s loss; nevertheless, it remains a mystery as to whether Stephen represses emotions or if he experiences them at all.

Around this time, Stephen’s literary agent Margaret Hewson receives commissions for Stephen’s work and takes him out on the weekends to encourage his drawing. This reignites Stephen’s love of drawing, and he and Hewson work on his next book, in which he draws “floating cities” on or near bodies of water. Hewson also brings Stephen on family holidays to Amsterdam and Venice, encouraging him to draw new places.

Meanwhile, Sacks gives Stephen a series of tests, asking him to reproduce drawings by Matisse and then to draw them again from memory. While each drawing from memory is indeed different from the original, Stephen always retains the style of the first drawing. Sacks wonders whether Stephen’s talent is inseparable from his autism, but the question also unnerves him: “The tests also gave me the feeling of disquiet, as if I had spent days reducing Stephen to defects and gifts and not seeing him as a human being, as a whole” (203).

Sacks accompanies Stephen and Margaret on a trip to Moscow. Stephen draws the Red Square, and Sacks is surprised to see Stephen add onion domes to the History Museum. While accompanying Stephen, Sacks also notices just how much Stephen’s emotional and physiological state fluctuates, moving from animation and excitement to silence and withdrawal—a hallmark of autism. As he observes Stephen looking out the window on the train to Leningrad, Sacks says he views him as “a sort of train himself, a perceptual missile, traveling through life, noting, recording, but never appropriating, a sort of transmitter of all that rushed past—but himself unchanged, unfed, by the experience” (208). When they visit the Hermitage to view Russian art, Stephen has surprisingly unsophisticated takes on works of art by Picasso and other artists. Later that day, Stephen gives Sacks an “arithmetic lesson” like one Sacks had given him in London (210), perfectly mimicking Sacks’s words and mannerisms. This humbles Sacks, who writes, “It was a lesson to me, to all of us, never to underestimate him” (210).

Sacks had hoped to connect with Stephen on this trip to Russia, yet he still feels as though he does not have access to Stephen’s inner world afterwards. Whenever Sacks visits London, he tries to see Stephen and maintain a relationship with him. They bond over their love of classic car-spotting, yet Sacks still senses distance between him and Stephen. In 1991, Floating Cities is published and quickly becomes a bestseller, yet Stephen seems unfazed by this news, continuing to draw as always.

While getting to know Stephen, Sacks is reminded of an autistic savant he met in the 1980s who not only memorized operas, but fully understood their construction. Where he previously saw creative savant talents as a mere function of memory, he now realizes that these talents are based on implicit understandings of an art form. This allows people like Blind Tom or Stephen to not only replicate artwork but improvise effectively as well. Yet encountering a savant, Sacks notes, often gives the impression of “something deeply other in action” (214). Savant talents, unlike neurotypical talents, are fully formed rather than developed over time, suggesting a different neural mechanism that allows savants to learn and remember a skill faster. This may be due to the activation of a specific neuromodule by visual, musical, creative, or mathematical cues. Savant talents can also disappear when the child grows older, suggesting that this neuromodule, unlike the talents of a neurotypical child, can be “turned off.”

Sacks points out that a non-autistic person has a certain “spaciousness” within their mind that allows them to integrate memory (216), talent, and experience, whereas the autistic brain appears to be more modular and compartmentalized, often leaving out the personal, subjective experience. Sacks wonders whether Stephen can formulate his own identity or sense of self.

Sacks meets up with Stephen in San Francisco in 1991, accompanying him as he draws the many architectural sites around the city. While drawing Broderick Street, which snakes up a steep hill, Stephen can draw the street but not articulate why it might have been constructed the way it was. On this trip, Sacks learns that while Stephen understands that he is different, he does not exactly understand that he is autistic. They travel to the Grand Canyon, which Stephen views as an architectural space. Sacks and Stephen take a helicopter ride above the canyon to take in an aerial view. As they ride, Sacks attempts to remove his own intellectual understanding of the canyon as a scientific or geological place in order to understand how Stephen sees the canyon.

He and Stephen then travel throughout the Southwest, which Stephen recreates on paper in a similar fashion to his city drawings. Margaret is convinced that Stephen understands the “sacred” nature of these special places, but Sacks is not; he posits that perhaps Stephen’s emotions are more localized in a sympathetic response to his surroundings—that is, that Stephen is reacting in relation to a scene, an event, or a building rather than from his own feelings. At a hotel in Phoenix, Sacks observes Stephen “echoing,” or mimicking, the sound of different wind instruments; as a child, Stephen would often echo the people around him rather than vocalize his own ideas or feelings. Sacks and Margaret notice that Stephen, now in the midst of puberty, is far more interested in girls and how he looks than he once was, despite his naïveté and difficulty socializing.

In 1993, Margaret informs Sacks that Stephen has developed an incredible musical talent. On his next trip to London, Sacks arranges to observe Stephen at a music lesson. Stephen is able to sing with apparent feeling and few of his usual tics. This begs the question of whether Stephen actually feels what the song is conveying. Sacks is taken aback by a particularly animated performance and writes in his notebook, “AUTISM DISAPPEARS” (228).

If creativity is based both in observation and one’s sense of self, then perhaps Stephen cannot be “creative” in the way we typically conceive of it. However, Stephen’s art has helped him to achieve successes that the vast majority of those with classical autism never will. At the time of Sacks’s writing, Stephen continued to travel and attend art school. Even if he never creates a great masterpiece, this limitation can also be an advantage; he is able to see the world in concrete, direct ways separate from symbolic or abstract concepts, which allows him to show his viewers the world in a way few others can.

Essay 7 Summary: “An Anthropologist on Mars”

After spending time with Stephen as well as visiting a camp for autistic children, Sacks visits someone he calls “one of the most remarkable autistic people of all” (233): animal behavioral scientist, business owner, and writer Temple Grandin.

Sacks returns to Kanner and Asperger’s findings: Kanner saw autism as a catastrophic diagnosis, whereas Asperger viewed autism as an originality of thought and experience that often led to high achievements. In the 1970s more systematic research on autism determined that the condition hinged upon three specific impairments: social, verbal/nonverbal communication, and imagination. Asperger had an idea of higher-functioning autism wherein patients could detail parts of their interior world in ways that those with “classical autism” could not. However, autistic traits, Asperger’s syndrome, and classical autism can exist on a spectrum—one that may manifest differently as a child grows up. For this reason, Sacks needs to know a patient’s life story in order to truly understand how their autism manifests. His first experience with autistic patients was in a psychiatric hospital in which they were often lumped in with psychotic or physically disabled patients. Even then, Sacks noted the diversity of autistic children and the scope of their abilities, seeing how early childhood education and therapies often kept children from growing increasingly mute or isolated.

Sacks’s exposure to autistic patients made Temple Grandin’s 1986 autobiography, Emergence: Labelled Autistic, all the more extraordinary. Grandin wrote the book with help from a journalist, yet as Sacks read more of her professional work, he found her voice and style consistent throughout.

As an infant, Grandin would grow stiff in her mother’s arms, eventually clawing at her. In her book, she describes her senses as magnified, and the world as overstimulating and chaotic, leading her to anger and even violence in her first few years of life. At age three, she was diagnosed with autism. Her parents were warned she would likely need to be institutionalized and that she would never speak.

Sacks visits Grandin at Colorado State University in Fort Collins, where she serves as assistant professor in the Animal Sciences Department. While giving Sacks directions to her office, she needs to repeat the directions again from the beginning whenever Sacks asks for clarification; she can only deliver the information all at once. When Sacks meets Grandin in person, she strikes him as a no-nonsense, straightforward woman who moves in a slightly awkward or clumsy manner.

Without diving into small talk, Grandin begins telling Sacks all about her interests in psychology, animal science, and engineering; she feels that these all sprouted out of her autism. She has a strong sense of visual design that has aided her in designing cattle slaughterhouses, farms, corrals, and other agricultural buildings. Sacks describes her speaking “well and clearly, but with a certain unstoppable impetus and fixity. A sentence, a paragraph, once started, had to be completed; nothing was left implicit, hanging in the air” (245). Her social skills are clearly ones she has been taught to employ, not ones that come naturally or from lived experience.

On his way to Colorado, Sacks read a story by an autistic child depicting their own sense of mythology, so he asks Grandin what she thinks of Greek myth. She finds the appeal of myths perplexing, and when reading Shakespeare feels lost in the back-and-forth dialogue. While she can see and understand universal emotions, games or manipulation do not make sense to her. She tells Sacks that she “feel[s] like an anthropologist on Mars” studying human behavior and trying to comprehend and mimic it (248). This difficulty reading into human behavior has sometimes led others to take advantage of her.

The next day Grandin brings Sacks along as she drives to several corrals and farms. She tells him about her PhD study of pigs, and how she wept uncontrollably when she had to euthanize them to examine their brains. Grandin then brings him to her house and gives him a tour; he is intrigued by a machine on her bedroom floor. She calls it her “squeeze machine,” which she made out of an industrial compressor and some upholstery. Grandin said she feared physical contact, especially as a child, but that she still craved the pressure that comes with a hug. The machine gives her a feeling of calm and love that she suspects others feel from physical contact. Grandin has studied and published work about the positive effects of deep pressure for autistic people, and her squeeze machine is undergoing clinical trials as a possible therapy for others. Sacks tries out the machine for himself, and the pressure reminds him of his days deep-sea diving.

Grandin next brings Sacks to the university’s experimental farm, where she works with cattle. She explains how cows are, like many humans, calmer when touched firmly, and that they prefer the same kinds of noises as people with autism. Grandin cites her childhood on a farm, her family lineage of farmers, her autism, and her visual sensibility as key to her work. Sacks is fascinated by this, particularly when Grandin tells him she does not think with language: “[O]ne [with autism] would miss the richness and ambiguity, the cultural presumptions, the depth, of language. All autistics, Temple had said earlier, were intensely visual thinkers, like her” (255).

Grandin comments on the bellowing of the cows, telling Sacks that the mothers were likely separated from their calves earlier that day. While many humans don’t ascribe human emotion to animals, Grandin rejects this instinct and feels it is necessary to understand that an animal’s feelings are just as valid as a human’s. When working with slaughterhouses, Grandin insists that the animals die painlessly and without stress—something she feels can even be more humane than an animal’s natural death. Sacks is amazed at Grandin’s easy ability to understand and connect with animals despite her difficulty relating to her fellow human beings.

After her diagnosis, Grandin’s parents enrolled her in a school for children with disabilities, where she slowly learned to speak. While she struggled with pronouns and had some regressions, her oversensitivity and inability to communicate slowly became less overwhelming. She did not have friends growing up, but rather received praise for her intelligence: “[S]he does her best to compensate, bringing immense intellectual effort and computational power to bear on matters that others understand with unthinking ease. This is why she often feels excluded, an alien” (260). As a teen, Grandin realized she would never be seen as “normal,” vowing to remain celibate and devote herself to scientific endeavors; she built her own cattle squeeze shoot at age 15 at the behest of one of her teachers. Nevertheless, she continues to develop her social skills as they relate to her career, particularly for public speaking.

Over lunch, Grandin tells Sacks she relates to the Star Trek character, Data—an alien who does not understand human emotions and speaks in a flat tone. While Grandin can comprehend the negative and positive effects of her autism, she does still wish at times that she could be normal.

They then visit a slaughterhouse that Grandin designed. She gives Sacks a hard hat and tells him to pretend he is a sanitary engineer, which takes him aback since people with autism typically do not deal in metaphor. Sacks sees her curved cattle chutes, which she designed in order to play into cattle’s instinct to walk in circles. He also sees a conveyor belt that restrains the animal before shooting compressed air into its head, killing it instantly. Though Sacks is horrified, Grandin’s goal was to create a system that eliminated the cattle’s fear, stress, and apprehension before death. She sees a distinct connection between the ways in which farm animals and people with autism are treated, and she seeks to find humane ways to reform both. Grandin’s connection with cows runs deep, and for this reason, farmers and agricultural specialists seek her counsel worldwide as they build their own ranch and slaughterhouses.

Grandin knows that there are plenty of non-autistic visual learners, citing her neurotypical friend Tom: “‘Tom and I are little children,’ she said, “Concrete is grown-up mud, steel is grown-up cardboard, building is grown-up play” (272). Moved by this, Sacks inquires about Grandin’s romantic and sexual life. She has never dated and remains celibate, and while the idea of falling in love is appealing, she cannot fathom feeling love and passion for another human being. She refers to “swooning” with emotion, something she cannot do, she says, because “‘[her] emotional circuit’s not hooked up’” (273). She also claims to not have a subconscious. Sacks, however, is not as sure, citing other patients he’s worked with as well as the great many passions, obsessions, and tenderness he has seen Grandin and other people with autism display. Grandin herself continuously seeks new models and systems to better understand her autism. Like psychologist Howard Gardner describes, she feels as though her brain is organized in a modular fashion, with different “intelligences” compartmentalized from one another. Regardless, she tells attendees at a lecture that she would not give up her autism if she were given the choice.

The following day, Grandin takes Sacks to the Rocky Mountain National Park not because she wants to—Sacks notes that she does not have hobbies or take any time off—but because she thinks he might like it. Grandin agrees with Sacks that the mountains are pretty but is unsure that she would categorize them as “sublime” the same way Sacks does. Still, she seems to understand grandeur, even if she cannot connect with it as Sacks or others might.

Sacks wishes to swim in Grand Lake, but they run out of time before he needs to catch his flight home. He asks Grandin to pull over when he sees water on their way to the airport so he can take a quick swim in the apparent lake. What he does not realize is that the flat water is due to a nearby dam, and Grandin quickly alerts him to a wave of water that would have pushed him over its edge.

As they continue on to the airport, Grandin confides in Sacks that she does love a little mischief, but that she fears God’s judgement. She grew up Episcopalian. Sacks had not considered the role of religion and judgement in the life of a person with autism, but Grandin is fiercely moral, and while she does not subscribe to religion, she does believe in a higher power or “ordering force” (272). Though she may not be able to carry on her genes by having children, she wants her thoughts to live on in her books after her death. As she tells this to Sacks, she weeps. When Sacks gets out of the car at the airport, he asks to hug her, and he thinks she might have hugged him back.

Essays 6-7 Analysis

The final section of the book comprises two longer essays primarily following two exceptional autistic people: Stephen Wiltshire, a child and young adult with great artistic ability, as well as Temple Grandin, an adult scientist, writer, and academic. Both arguably fall under the category of “savant” as Sacks defines it at the beginning of the essay “Prodigies,” but Stephen is young and still developing while Grandin is an adult with a firmer awareness of her autism as well as stronger communication skills.

Although Stephen’s essay is entitled “Prodigies,” Sacks rarely uses the word, instead discussing the definitions, history, and cultural associations with the idea of the “idiot savant.” While “prodigy” typically refers to a young person with an exceptional ability or talent, an “idiot savant” is instead a kind of prodigy—one specifically thought of as different due to learning or developmental disabilities. By naming the essay “Prodigies,” Sacks prompts the reader to ask what truly distinguishes a savant from a “normal” prodigy, especially if both savants and prodigies are born with a natural talent that does not need as much time to develop as it would in an average person.

Sacks juxtaposes these two character studies to gain a better understanding of autism, particularly considering the diverse range and experiences of people with autism. Given his limited verbal and nonverbal communication, Stephen’s case is considered classical autism, while Grandin is high-functioning and high-achieving, with a firm sense of awareness. Still, she struggles to connect with others and cannot envision herself in a relationship with another person. Stephen, on the other hand, has taken an interest in girls and desires a potential relationship. By placing Stephen and Grandin’s stories next to one another within the collection, Sacks asks the reader to consider the broad range of experiences that fall under the umbrella of autism; terms like high and low-functioning don’t always capture the range of a particular individual’s experiences, and may instead reflect broader societal priorities.

This section also references the title of the collection when Grandin describes how she feels interacting with other human beings. The phrase “an anthropologist on Mars” echoes Sacks’s own desire to be a “neuroanthropologist.” An anthropologist is, by definition, at a remove from those they are studying. Just as Grandin views herself as separate and vastly different from her fellow human beings, Sacks views himself as quite distant from the patients he is observing, although he too wishes he could view and understand the world from the perspective of those he writes about. Furthermore, just as Grandin studies the behaviors of others to pull from at a later date, Sacks studies the worldviews and perspectives of those with neurological conditions to be able to better treat and empathize with them in his own practice. It’s also worth noting that anthropology—though theoretically objective—in practice often blurs the lines between researcher and subject. Similarly, Sacks’s portrayal of Grandin, along with the book as a whole, implicitly blurs the lines between those with neurological conditions and those without.

Sacks also asks the reader to consider how autism has both positive and negative effects. Autism, while viewed as wholly negative until recently, comes with discernible advantages and disadvantages, as Stephen and Grandin’s stories illustrate. Stephen’s autism allows him to draw incredibly well and retain detailed visual information from just a glimpse, yet he still struggles to communicate verbally. Grandin’s autism gives her an acute tenderness and appreciation for farm animals, yet she is unable to conceive of loving another human being and forging a connection with them. Autism is, by this measure, perhaps the perfect case study for Sacks as he pursues a more nuanced understanding of how a neurological condition can shape one’s reality in myriad ways.

Sacks is also interested in the autistic individual’s self-perception—specifically, what their inner life looks like and how it affects their interactions (or perhaps their non-interactions). Because autism is defined by social, communicative, and imaginative impairment, he is curious as to how people with autism feel or perceive their own emotions, assuming they do at all. Although it is difficult for him to determine completely, Sacks does gather small glimpses of their interior life: for Stephen, how he processes the loss of caring adults, and for Grandin, when she begins to weep while considering a higher power and moral judgement. Although Sacks does not have the complete understanding he might have hoped for with these two patients, he gets glimpses into their reality that allow him to further empathize with each of them, and by extension other patients with autism.

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