Tag Archives: nonfiction

BOOK REVIEW: Characters, Emotion & Viewpoint by Nancy Kress

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Characters, Emotion & Viewpoint: Techniques and Exercises for Crafting Dynamic Characters and Effective Viewpoints (Write Great Fiction)Characters, Emotion & Viewpoint: Techniques and Exercises for Crafting Dynamic Characters and Effective Viewpoints by Nancy Kress
My rating: 4 of 5 stars

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This book is about how to write characters with sufficient depth that readers will follow them through to the end of a story. As the title suggests, there are three major components to the book: character building, emotional considerations, and point of view. A story requires a character who needs or wants something and faces barriers to that goal. The character has to be someone who the reader is interested in seeing through a process that involves inching toward a goal while being repeatedly beaten back. This doesn’t mean the character has to be likable, but if the character is unrealistic and uninteresting readers won’t get far. (In other words, they don’t have to like the character, but they do have to feel some sort of way about them.) Facing barriers to one’s goals creates emotional states that must feel authentic. If a character doesn’t respond emotionally to events, then the story is likely to feel flat (unless one has built a hilarious Sheldon Cooper-like character on purpose.) The perspective from which the reader learns of events is critical because it determines what information the reader is privy to, and—in particular—information about thoughts and emotions that are sometimes falsely portrayed.

Of the sixteen chapters that comprise the book, the first seven explore character development. Chapter 1 describes character in terms of general types. The book goes on to discuss the importance of how one introduces key characters. The next three chapters drill down into the challenge of building an authentic character: 1.) What is the character like deep down? 2.) Are the motives of the character clear-cut or complex? 3.) How can one show that the character has changed over the course of the story, and, if they don’t change, will the reader be satisfied? Chapters 6 and 7 investigate specialized types of characters (i.e. genre characters such as in romance, mystery, thriller, or sci-fi [Ch. 6] and in humor [Ch.7.])

Chapters 8 through 11 examine emotion and how it’s conveyed to the reader. The means by which writers communicate emotion include: dialogue (Ch. 8), metaphor, symbolism, and sensory experience (Ch.9.) Chapter 10 delves into special cases that are common in fiction but which require unique consideration (love, fighting, and dying.) Frustration has its own chapter (Ch.11,) and that may seem odd, but one must remember that a story is one barrier after another being erected in the way of the character’s pursuit of his or her objective.

The next four chapters present information to help the writer evaluate different approaches to viewpoint. Not only are there various pros, cons, and considerations one must take into account when deciding upon viewpoint, each approach has a several variations. The first of these chapters (Ch. 12) outlines the broad-based considerations. The next three chapters deal with first person (Ch. 13), third person (Ch. 14), and omniscient points of view (Ch. 15,) respectively. (The rarely used 2nd person point of view is also discussed briefly, but largely as a warning.) The last chapter explores how to make it all work by way of what Kress calls the “fourth persona.” Early in the book, one is told that the writer must simultaneously embody three personas (i.e. the writer, the character, and the reader.) Kress’s “fourth persona” is that of the critic, and it becomes necessary once one has drafted a story and character.

The book has a few extras. At the end of each chapters there are several (usually 4 to 6) exercises to help writers understand the concepts through practice. The chapters each have summaries, and at the end of the book there’s a summary in the form of a checklist. That is about it for ancillary features. There are a couple of graphics in the form of pictures of a “mini-bio” and an “emotional mini-bio.” These are single page fill-in-the blank summaries that help one build a character that has depth and an authentic feel.

I found this book to be interesting and educational. The writer uses examples from a number of popular commercial and literary fiction authors. There’s no real need to be familiar with any particular author, but being familiar with them might present one with additional insights. The book is readable.

I would recommend this book for writers of fiction.

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BOOK REVIEW: Low Back Pain ed. by Jeffrey N. Katz, M.D. [A Harvard Med School Guide]

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Low-Back Pain: Healing Your Aching BackLow-Back Pain: Healing Your Aching Back by Harvard Health Publications
My rating: 5 of 5 stars

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This guide is one in a series put out by Harvard Medical School. It’s the second one that I’ve read, and I found them both to be beneficial reads. The first was on the health benefits of tai chi chuan (a Chinese martial art / system of health exercise [qi gong.])

Harvard Medical School’s willingness to report findings about unconventional approaches and self-care was part of the appeal of this book. When I first developed lower back problems, I went to the doctor, was diagnosed with arthritis via x-ray, and all I got was an offer for pain killers. To me this was much like going to the mechanic because the check engine light came on, only to be told that all they could do for me is unplug the pesky indicator light. At any rate, that’s why this kind of book can be useful, because one can’t always expect a given doctor within the modern medical establishment to be on top of treatments not involving drugs or surgery. This isn’t to denigrate those options, often times they are the best or only option, and they are covered in this guide as well. However, back pain is one of those rare areas in which sometimes the best option is outside medical norms. Much as many doctors hate having information thrust in front of them by patients, at least Harvard Medical School may garner more respect than a WikiMD post. There’s even a box talking about the mind-body connection, and options in that domain.

Low back pain is both extremely common and often still poorly understood. That’s because there are so many problems that can cause similar symptoms. [I guess this shouldn’t be a surprise because our pelvis had to rotate through evolutionary changes to take us from quadrupedal to bipedal. It makes sense that our nerves and blood vessels might be routed in such a manner as to cause troubles.]

While this guide is short, it does take on a range of issues, including: who’s most at risk, how the spine works [and doesn’t], what the basic categories of back injury are, how one’s specific ailment may be diagnosed, how to evaluate treatment options, what one can do on one’s own to help heal a problem back while preventing future injury, what medicines may be prescribed, what surgical options may be offered, and advice on facilitating a recovery.

As far as ancillary features are concerned, there are a number of line drawings. This artwork is generally either anatomical drawings used to show how the spine works or is injured, or show exercises that one can use to strengthen the back. There are a few pages each of resources and glossary. The resources are not so much printed resources (there’s only one of book, and that one is authored by the editor of this guide,) but rather organizations and even websites.

I found this guide to be informative and helpful. I would recommend it for anyone who has low back problems, or who might benefit from learning more about them (e.g. yoga teachers.)

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BOOK REVIEW: Piriformis Syndrome by Loren Fishman, M.D.

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Piriformis Syndrome: Diagnosis, Treatment, and Yoga: Pain in the ButtPiriformis Syndrome: Diagnosis, Treatment, and Yoga: Pain in the Butt by Loren Fishman
My rating: 4 of 5 stars

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This short book (<50pp.) describes piriformis syndrome, what causes it and how it’s diagnosed and treated. Piriformis Syndrome is a malady in which a nerve is pinched by the piriformis muscle. Because of the way pain (and other sensations) radiate, it’s not necessarily easy to differentiate this syndrome from a low back injury. However, the descriptions of the specifics of this condition, and the test used to diagnose, it may give one insight as to whether one is looking in the right direction for the cause of one’s butt and leg pain.

One nice feature of this book is that it explains how yoga can be used both as part of the treatment regimen and as a preventive measure. The yogic treatment consists of just four classical postures of Hatha Yoga: Janu Shirshasana (head to knee pose), Parivrtta Trikonasana (twisted triangle pose), Matsyendrasana (a simple twisting pose named for a sage), and Parivrtta Parsvakonasana (twisted side angle pose.) However, yoga teachers who have students who’ve been diagnosed with this condition will find it nice that the book gives modifications and clarifications pertaining to use of the postures to help such people.

There are seven chapters in the book. The first describes the condition and its cause. The second chapter explains the connection between the condition of piriformis syndrome and the symptom of sciatica. Chapter three clarifies the ways in which this condition may be misdiagnosed, and this is followed up by the chapter that shows how it is diagnosed by both physical examination and by imaging technology. Chapter five gives a basic overview of the available treatment options including injections, drugs, physical therapy, surgery, and yoga. The next chapter talks about the state of research. The last chapter explores the yoga asana that can be used to help treat or prevent piriformis syndrome. There are a few graphics. These include line drawings such as of the diagnostic physical exam, and photos of modified versions of the yoga postures.

I’d recommend this book for those who’ve been diagnosed with this ailment, who believe they might have it, but also for yoga teachers who are interested in expanding their understanding of the afflictions of which their students may suffer—so as to be prepared to help them or, at least, not hurt them.

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BOOK REVIEW: Subliminal by Leonard Mlodinow

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Subliminal: How Your Unconscious Mind Rules Your BehaviorSubliminal: How Your Unconscious Mind Rules Your Behavior by Leonard Mlodinow
My rating: 4 of 5 stars

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If one tries to detect lies using conscious analysis, one stinks—wrong as often as right. However, if one distracts the conscious mind so as to produce what is often called a hunch, one performs much better. This is because not only is there is another mind below one’s conscious mind, but it’s better at many tasks than is our conscious mind. This will be hard news for many readers to take because they are reading and comprehending it with their conscious minds—a conscious mind that thinks it’s better than sliced bread when it comes to things that are awesome. Mlodinow’s book is about the many aspects of this mind that we generally don’t have access to (unless one is skilled in lucid dreaming or is conscientious in the hypnagogic state [on the edge of falling into sleep]—topics the author doesn’t get into.) It’s about why humans evolved to have subliminal mental operations, how they benefit us, and how they sometimes fail us.

Ideas about what the unconscious mind is have varied over the ages, though its existence has long been recognized. Ancient traditions often attributed the unconscious to the supernatural causes like a collective consciousness. Mlodinow begins his book with a chapter entitled “The New Unconscious,” presumably to distinguish it from Freud’s conception and to emphasize the wellspring of results that have come about during the last couple decades of brain research.

The second chapter deals with our sensory experience and the role that unconscious elements play in shaping it. People tend to overestimate the extent to which they experience a high-fidelity and high-resolution display of the world, and underestimate the degree to which the brain fudges to make it seem so. Facial recognition, which is one of the most fundamental of human skills, is a centerpiece of the discussion.

The third chapter discusses memory. Again, the underlying theme is how the brain can make mistakes as it tries to cobble together a story with a combination of information we have, blank spots, and guesses. One may be surprised to discover how poorly one is able to describe the details of things that one sees—if not every day—at least thousands of times in a lifetime.

The next chapter examines how our unconscious plays into our social life. The concept of a “theory of the mind” is at the center of this discussion—and it may not be what you think. Theory of the mind is the ability to figuratively see the world through the eyes of others, to understand justifications for what others have done, and to anticipate what they will do in the future. We also learn about oxytocin and vasopressin, the so-called “love hormones,” whose presence corresponds to our fond feelings for others.

Chapter five continues the discussion of the previous chapter along a specific line of discussion—that of reading people. We are wired to make sense of the facial expressions and non-verbal behavior of other people and this chapter explores that ability as well as its limits. Chapter six describes how we draw quick and unconscious conclusions about people on the basis of how they look, feel, and smell. By way of example, I’ll offer a case from another book I read recently (I don’t believe Mlodinow refers to this particular study, but I may be mistaken) in which a mock interview was set up. Right before their interview meetings, some of the individuals were asked to hold either a hot or cold coffee (or nothing.) It turned out that whether a subject had held a beverage (and what kind) had a profound influence on the interviewers’ feelings about that subject (i.e. the degree to which an interview subject was seen as a cold or warm person had as much to do with an unconscious evaluation of a handshake as it did the conscious interpretation of the individual’s personality.)

The next couple chapters (7 and 8) explain the crucial role of the unconscious mind in categorizing things and people, how that skill has been essential to our survival, and how this sometimes gets us in trouble (e.g. racism.) Chapter 9 delves into the role of emotions, and what the author calls “emotional illusions.” Sometimes we make a decision because we have an emotional experience associated with the decision scenario, but being in an emotional state that is unrelated to the decision still affects the decision.

The last chapter is about how our attachment to self can influence decisions. You’ve probably read about studies showing 90+ percent of the population think they are better than average at something. Also, you may remember from Psychology class a discussion of the self-serving bias (attributing positive outcomes to one’s awesomeness, while blaming external forces for negative outcomes.) This chapter deals in these types of phenomena.

The book has a few relevant black-and-white graphics as well as annotations / citations.

I found this book to be interesting, but not unlike many books that are presently available. I thought it could have ventured into more novel and interesting territory. There are actually a number of books that focus on how we are wired, and the glitches that result. Sometimes our evolutionary programming served us well under hunter-gatherer conditions, and sometimes it still serves us most of the time–but fails us on occasion. There are a number of books that discuss this–often using the same or similar examples as Mlodinow (e.g. consider Eagleman’s “Incognito.”) However, the ways in which the unconscious mind can be interacted with, such as lucid dreaming, are now being scientifically studied, and so there exists a capacity to move beyond the blooper reels of the mind—though that topic is certainly a popular subject, both of scholarly study and pop science books such as this one.

If you are looking for a book on how the unconscious mind both benefits and deceives us, this is a good choice. Mlodinow has a sense of humor and writes complex subjects in an easy to comprehend fashion. However, if you’ve read up on the subject, you might not find much new here.

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BOOK REVIEW: Inside Jokes by Matthew M. Hurley, et. al.

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Inside Jokes: Using Humor to Reverse-Engineer the MindInside Jokes: Using Humor to Reverse-Engineer the Mind by Matthew M. Hurley
My rating: 4 of 5 stars

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This book examines the science of why we find funny what we find funny. Most people probably feel about this as did E.B. White who said, “Analyzing humor is like dissecting a frog. Few people are interested and the frog dies of it.” Still, while analyzing humor may not be as fun as reveling in it, it’s fascinating to scientifically inquiring minds.

Humor is universal (not the humor of a specific joke, but the experience of somethings being humorous.) A skilled science fiction writer might conjure up an alien race that is credibly humorless. But it defies credulity that even the remotest of aboriginal Earthling wouldn’t giggle or guffaw at the sight of an off-course ball careening into an unsuspecting man’s crotch. Humor’s universality begs certain questions. First and foremost, one expects there to be some evolutionary advantage to a sense of humor. That evolutionary mechanism is precisely what Hurley, Dennett, and Adams attempt to demonstrate in this book. The authors suggest that the pleasure associated with humor is a reward for recognizing an incongruity, and they go into great deal to fill in the details needed to explain the panoply of things people find funny, while suggesting why alternate explanations are inferior.

While there’s a lot of frog-killing academic analytics and needlessly messy scholarly language, this book does offer a vast collection of examples of humor to support and clarify the authors’ points. So, unlike many books on evolutionary and cognitive science, this book does have a built-in light side. WARNING: there’s also a discussion of why some attempts at humor fail. This means one is also subjected to a number of puns, elementary school jokes, and comedic misfires that show the reader why sometimes humor implodes.

The book starts by building a common understanding of what humor is. It turns out that this isn’t simple because people find many different kinds of things funny–from caricatures to wordplay. (And, whatever the initial evolutionary purpose of humor, our species has run with that reward system to places that couldn’t have been readily anticipated.) Next, the authors discuss the many varieties of theories of humor that have been raised. This subject has been studied for some time, and thinkers have suggested that humor’s pleasure derives from a number of different causes from feeling superior to recognizing surprise–just to name a couple. After considering the competition, Hurley et. al. start laying out the basis of a cognitive / evolutionary explanation. In chapter five they describe 20 questions they think must be dealt with, and–in the last chapter (13)–they give their responses as a summation of the book’s main points. Along the way, the authors take on important related questions such as why humor sometimes fails, what others will see as the weakness of their argument, whether a robot could be humorous, and why we laugh. The last point opens another can of worms. Even if one concludes–as the authors have–that humor is a reward system for recognizing incongruities, the question of why there is an advantage to spontaneously announcing that recognition still arises.

There’re are a few graphics in the book, mostly these are cartoons and humorous photos that serve as examples. The book is published by MIT Press, so all the usual scholarly features of notes and citations apply.

I found this book to be thought-provoking, and the plentiful examples of jokes made it enjoyable to read as well. I’d recommend it for those interested in the science of the mind. It’s a bit dry in places for readers looking for light reading about humor.

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BOOK REVIEW: The World’s Best Street Food by Lonely Planet

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The World's Best Street Food: Where to find it and how to make it (General Pictorial)The World’s Best Street Food: Where to find it and how to make it by Lonely Planet
My rating: 4 of 5 stars

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This is a combination guide to street food and cookbook. Each of the 100 entries consists of two pages. The first describes the food, how it’s eaten [that’s not always as self-evident to outsiders as one might think], its origins, where one can find a quintessential or famous example of the food, and whether there are any variants on the recipe. The second page is the cookbook entry, which lists the ingredients and describes the process by which they are combined to create the dish in question.

The foods are divided into broad categories of savory and sweet. The savory category is the larger by far, comprising 80 of the dishes—leaving 20 sweets. The dishes represent about 50 different countries of origin. A lot of these countries are well-known street food cultures such as Thailand, Vietnam, India, Mexico, and the US, but there are also a number of locales with which readers may be less familiar– such as Ghana, Malta, and French Polynesia. The dishes include a number of my favorites, such as Vietnamese Banh Mi, US Breakfast Burrito, Indian Masala Dosa, Thai Pad Thai, Hungarian Langos, and Singaporean Hainanese Chicken Rice. However, I also learned of new dishes that I’m eager to try, such as Croatian Cevapcici, Burmese Mohinga, and Chilean Sopaipilla.

WARNING: While I didn’t deduct stars for it, I will warn readers that this isn’t a good book to get as an e-book—at least unless you have a high-end tablet. It was a bit of a pain to read on my Kindle Touch, and the graphics (which I assume are beautiful in the print edition) were largely useless on my device. One could blow up the text easily enough (within limits, at least,) but the pages got grainy if one blew them up too much—and some of the text remained small when expanded.

There are photos. As I mentioned, on my device they were largely useless (grainy black-and-white) but your results may vary.

I found this book to be interesting and informative. While I wish the e-book had been easier to read, it was well-organized and offered a broad selection of dishes from a large number of countries.

I’d recommend this book for street food lovers and foodies.

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BOOK REVIEW: 100 Movies to See Before You Die by Anupama Chopra

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100 Films to See before You Die100 Films to See before You Die by Anupama Chopra
My rating: 4 of 5 stars

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Full Disclosure: I’m not much of a movie-goer, and have seen a mere 16 of the titles on Chopra’s list—if memory serves, but it often doesn’t. My point being that I may not be the best judge of what films should be included in such a list.

Be that as it may, I liked this book and its list. First, I found it to be a richly diverse set of films. Given that Chopra works for Indian media, one might expect that the book would be completely dominated by Indian films (fyi–I don’t know much, but I have learned not to lump all of Indian cinema under the term “Bollywood.”) Alternatively, one might expect the list to be ruled by Hollywood because the US has been the 800-pound gorilla of moviemaking since the early days of the industry. It’s true that the US and India are well represented on the list (the US with 34 movies and India with 26,) but Hong Kong, Italy, Japan, France, Mexico, and others are suitably represented (not to mention films produced by / in multiple countries.) (Nigerians and other Africans from countries with filmmaking industries may not agree because Africa isn’t represented, but the fact that the most recent film is 2007 makes me assume the book may not be up to the latest breakthroughs. [My edition is listed as 2013, but I think that’s just the e-publishing date. I’d guess the book came out around the time of the last film on the list, but could be wrong.])

Another aspect of the book’s diversity is the age range; the films are from 1922 to 2007. They don’t seem to be heavily weighted toward the modern day—as is a common defect of such lists. Yet another dimension is diversity of the class and genre of film. By that I mean that the list includes unambiguous classics of cinema like “Citizen Kane,” but it also includes what might be considered less cerebral movies such as “Enter the Dragon” and “Kungfu Hustle.” It also includes comedies and sci-fi movies, which are often under-appreciated by critics. Still, Chopra doesn’t resort to using to box office earnings as a criterion either. Many huge money makers aren’t on the list (e.g. “Titanic.”)

The entries for each film are just a couple of pages, but, in addition to a summary, they include the awards won by the film and a piece of intriguing trivia for each entry. There are some graphics in the form of movie posters and set photos. There isn’t a photo for every entry, but they aren’t that important and, in the case of my little Kindle, the pictures couldn’t be seen well anyway.

I’d recommend this book for anyone who wants a tight list of films to be seen that prominently features international cinema.

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BOOK REVIEW: Sleeping, Dreaming, and Dying ed. by Francisco J. Varela

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Sleeping, Dreaming, and Dying: An Exploration of ConsciousnessSleeping, Dreaming, and Dying: An Exploration of Consciousness by Dalai Lama XIV
My rating: 4 of 5 stars

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This book is a product of the 4th Mind & Life Institute Conference that took place over five days in October of 1992 in Dharamsala, India. It reads as a narrated description / transcription of the event. The Mind & Life Institute was established as a dialogue between science and Tibetan Buddhism, and is actively supported by His Holiness the Dalai Lama—who is an important figure in the book, both asking questions of the presenters and offering clarification on Tibetan Buddhist thinking on various points. The exact subject of each conference is different, but the mind is a recurring theme. Which makes sense as Tibetan Buddhist practices of the mind are as advanced as any, and it would be of great benefit to understand them better from a scientific perspective.

As the title suggests, this conference (and the book) deal with three topics: sleeping, dreaming, and dying. This may seem like a case of “one of these things doesn’t belong,” but from the Buddhist perspective on consciousness it’s a sensible enough grouping. One can think of it this way, sleeping and dying are points at which consciousness goes bye-bye. [Although, lucid dreamers retain consciousness in REM sleep, and there are unsubstantiated claims of the ability to maintain consciousness in sleep by extremely advanced practitioners.]

There is some front matter (a forward by the Dalai Lama and an editor’s Introduction) and then eight chapters. The first chapter discusses both the Western and Tibetan perspectives on “the self,” what it is, and whether it is [real or illusory.] This topic seems unrelated to the book’s theme, but it’s a way to develop a common understanding for the rest of the discussion. If participants have different views on what a person is, mentally speaking, and what consciousness is, then it’s easy to talk past each other without even realizing it. The second chapter is an overview of what was known about sleep, principally from the perspective of neuroscience (it should be noted that neuroscience was a fairly fledgling term at that time.) The next three chapters (ch. 3, 4, and 5) are about dreaming. The third chapter is a bit unique. The general approach throughout the book is to give the understanding of science and then to compare and contrast that with Buddhist thinking. However, chapter three’s discussion is led by a proponent of psychoanalysis (i.e. the Freudian approach,) which isn’t so scientific, but is a Western philosophical approach. [Chapter one is also heavily philosophical.]

Chapters four and five delve into the subject of lucid dreaming, which is referred to as dream yoga in the Tibetan Buddhist tradition. For me this was the meat of the subject, and it was the reason that I bought the book. Tibetan practices on lucid dreaming are incomparable, and at this point science’s understanding was beginning to blossoming as well.

The last three chapters are on death, and each offers a different character. The first two emphasize Western views, but in different ways. Chapter six outlines the Christian position on death—a theological rather than scientific understanding. Chapter seven explains the medical community’s view of death. This sounds straight forward, but it’s a much more technical subject than one might imagine. What organ has to stop functioning and for how long before one is actually dead. Besides all the coma patient stories, one may be aware of cases historically in which people were discovered to have been buried alive accidentally due to bad calls by doctors. The last chapter is about near-death experiences. This is an area in which there is a great potential for differing views. While science doesn’t deny that people have all sorts of fascinating experiences such as seeing bright lights at the end of “tunnels” and out-of-body experiences, scientists tend to attribute such events to material causes. [Neuroscientists can now induce out-of-body experiences by zapping a specific part of the brain.]

There are graphics in the form of diagrams and tables in the chapters that are most technical (e.g. chapter two and chapter seven,) but they are used sparingly. There’s an appendix that describes the Mind & Life Institute, as well as a glossary that explains both Tibetan and scientific terms. There are also a few pages of end notes that will help one find related material.

The weakness of this book is clearly its age. The Buddhism probably hasn’t changed much, but the science has changed a lot. Since 1992 there has been a revolution in understanding of the brain due to advances in functional Magnetic Resonance Imaging (fMRI) and other technologies.

However, despite the book’s age, there’s a lot of thought-provoking discussion, which offers plenty of room for both scientists and Buddhists to gain a better understanding of the mind and consciousness. I’d recommend this book for anyone interested in dream yoga / lucid dreaming, or—for that matter—death.

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BOOK REVIEW: Hallucinations by Oliver Sacks

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HallucinationsHallucinations by Oliver Sacks
My rating: 5 of 5 stars

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Hallucinations are among the most captivating, yet misunderstood, phenomena of the mind. In the popular imagination, they are synonymous with losing one’s grip on reality and are considered evidence of a full-blown psychosis. However, there are a great variety of causes and forms of hallucination, many of which occur among the sane. What Sacks provides in this book is a survey of the forms of hallucination through exploration of cases and anecdotes. To emphasize the point that hallucinations aren’t just for the insane, Sacks doesn’t arrange the book around the idea sanity and insanity. Cases of mental illness are peppered throughout, but there are even more cases of people who fully realize that their hallucinated sensory experiences aren’t real. In fact, he starts with Charles Bonnet Syndrome, hallucinations among blind individuals who are often scared to discuss the phenomena for fear they will be labeled insane even though they know they aren’t really seeing anything. (The brain’s abhorrence of under-stimulation is a recurring theme in the book.)

As mentioned, the approach of the book is to discuss cases of hallucination, and not so much to delve into the research on causes and treatments. This anecdotal approach makes the book readable and offers a unique and intimate insight into hallucination, but it doesn’t drill down into the brain science as much as some might like. This will no doubt be a positive for many, and a negative for others. The author describes several of his own hallucinatory experiences related to drug use, drug withdrawal, and migraine headaches. As I understand it, that level of candor was par for the course for Sacks (though this is the first of his books that I’ve read.) At any rate, his personal experience offers a particularly vivid portrait, and moves the book beyond the sterile feel often found in scientific works.

The book consists of 15 chapters, organized by types / causes of hallucination. After an introduction and the aforementioned chapter on Charles Bonnet Syndrome, there’s a chapter on sensory deprivation hallucinations that’s aptly entitled “the prisoner’s cinema.” Chapters three and four are on olfactory and auditory hallucinations, respectively. The fifth chapter focuses on cases of hallucination experienced by those with Parkinson’s Disease. Chapter six is entitled “Altered States,” but it deals largely with drug-induced hallucinations (it should be pointed out other “altered states” of consciousness, notably sleep, are dealt with in other places), and it’s where Sacks’ personal story begins to be detailed. The next chapter deals with migraine headache related phenomena, and—as the author suffered from such headaches—his story is also imprinted on this chapter.

Chapter eight deals with epilepsy, and, like the Sam Kean book that I reviewed yesterday, is entitled “The Sacred Disease.” That name derives from the fact that those who develop temporal lobe epilepsy are sometimes known to become spontaneously hyper-spiritual in the process. In fact, many scientists now believe that Joan of Arc, Saint Paul (the Apostle), and [for my Indian readers] Ramakrishna were afflicted by this ailment. (Not based on their high degree of spirituality, but rather on accounts of sensory phenomena they were said to have experienced.)

Chapter nine examines cases related to hemianopia—a situation in which one occipital lobe is damaged resulting in a kind of “blindness” in half one’s visual field. While people think of blindness as being a problem with the eyes, it’s possible to have perfectly good eyes and optic nerves and be blind (on a conscious level) due to brain’s incapacity to process the input it is receiving. (Incidentally, in his book “Subliminal” Leonard Mlodinow describes engrossing cases of people who were blind due to brain damage, but–owing to a redundant subconscious systems–they could walk around without running into obstacles.)

Chapter ten describes cases associated with delirium, a common cause of hallucinations that can be the side-effect of any number of physical problems including fever, blood sugar imbalance, and liver failure.

The next two chapters are about sleep-related sensory imaginings. Chapter eleven details cases of hypnagogic and hypnopompic imagery, which are what we see as we are on the edge of falling asleep or awaking, respectively. Hypnagogic hallucinations may be as simple as shifting shapes, or more elaborate. If you’ve gotten this far in the book without any experience that corresponds to what Sack’s is describing, you’ll almost certainly have some experience with hypnagogic images. If not, you should stop consciously counting sheep (or whatever other daydreaming you do as you fall asleep) and just watch what your mind projects. You’ll know it when you see it because you won’t be able to control the imagery (though you can distract over it with conscious thought) and—as in dreams—it probably won’t make a lick of sense. Hypnopompic images are quite different, less widely experienced, and often more disconcerting. Chapter twelve presents cases dealing with narcolepsy (random spontaneous falling asleep) and sleep paralysis, a common experience on the trailing edge of sleep in which one can’t move and which often comes with imagined sensations of a more nefarious variety—hence the widespread lore of night hags and the like.

Chapter thirteen scrutinizes cases that are associated with traumatic events from one’s past. These can involve sightings of ghosts of departed loved ones or replays (flashbacks) of the traumatizing event. This chapter, in a discussion of dissociation, also foreshadows the phenomena of out-of-body (OOB) experience that’s dealt with in more detail in chapter 14. The theme of that penultimate chapter is seeing oneself. Beyond OOB, it deals with a variety of hallucinations of oneself, including those in which one’s body appears distorted (i.e. so-called “Alice in Wonderland” Syndrome.)

The last chapter discusses hallucinations in the tactile domain, and, specifically, the most widely investigated form of these phenomena—the phantom limb. Phantom limb syndrome is experienced by amputees, many of whom can still feel the lost limb. This has resulted in nightmarish scenarios in which an awaking patient complains of an itch on the sole of his or her foot only to be shown that they have no legs from the knee down.

There are no graphics in the book, but, because it’s based around cases, it doesn’t need them for clarification of complex ideas. There are footnotes, as well as a bibliography.

I found this book to be absorbing, and I learned a great deal from it. I’d recommend it for anyone who seeks greater insight into hallucinations or unusual mental phenomena more generally.

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BOOK REVIEW: The Tale of the Dueling Neurosurgeons by Sam Kean

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The Tale of the Dueling Neurosurgeons: The History of the Human Brain as Revealed by True Stories of Trauma, Madness, and RecoveryThe Tale of the Dueling Neurosurgeons: The History of the Human Brain as Revealed by True Stories of Trauma, Madness, and Recovery by Sam Kean
My rating: 5 of 5 stars

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Once upon a time, our knowledge of what the brain did, how it worked, and the degree to which its parts were specialized came from observing people who had brain injuries or a disease of the brain. Kean’s book examines the evolution of our understanding of the brain by way of investigations of historic cases. Looking at damaged brains is obvious not the ideal way to study the most complex system in the known universe—accidents and brain-eating diseases aren’t discriminating. Still, over time, a few conscientious [and sometimes warped] doctors and scientists pieced together important clues. From the rudimentary observation that people conked on the head often pass out temporarily, doctors began to learn about the degree to which brain parts were specialized and how changes in the brain effected beliefs, memories, and behavior.

Kean’s book is in part a history and in part a work of popular science, and the cases selected are often of interest both as history and as science. We learn about the damaged brains of kings, assassins, soldiers, adventurers, and those with more mundane jobs but no less fascinating brain trauma (e.g. Phineas Gage, one of the most well-known cases in the book, a construction foreman who had a steel tamping rod rocketed through his skull.)

It’s this historical approach that builds a niche for Kean. There have been a massive number of popular science books on the brain in recent years. (You’ll note that I’ve reviewed many of them.) While other books discuss many of the same intriguing neuroscientific phenomena (e.g. synesthesia [mixing of sense and / or mental data, e.g. people who see colors with musical notes or even with numbers], phantom limbs, epilepsy’s effect on beliefs, and the brain’s role in aberrant behavior) most of them are rooted in the mother-lode of discoveries that have come out of functional Magnetic Resonance Imaging (fMRI) and other modern technologies. Even the works of V.S. Ramachandran, which largely deal in discoveries rooted in low-tech but exceedingly clever science, are placed in the context of present-day science. (You should read Ramachandran’s book “The Tell Tale Brain” also.)

Kean’s book is complementary to the body of works on popular neuroscience. While some of those books mention the same (or similar) cases as Kean, they do so to illustrate the Dark Age origins of many of these questions. Kean delves into the intriguing details of such cases. On the other hand, while Kean is dealing in the historic, he brings in modern science on occasion to give the reader insight into what ideas have been confirmed and which overturned. That’s important as Kean is often telling the reader about the opposing theories of the day—as the title suggests.

The book contains an Introduction and twelve chapters that are arranged into five parts. The book’s organization is by brain structure and key (interesting) functions tied to those various parts. It’s logically arranged, starting with a question as crude as the skull’s role in brain injury and ending on a topic so challenging that there remains a great deal of mystery (and controversy among scientists) about it, i.e. consciousness. In between, we learn about neurotransmitters, neuroplasticity, and the brains role in sensory processing / presentation, bodily awareness / movement, emotion, belief, delusion, and memory—as well as the degree to which the two halves of our brain are independent and what severing the connection does.

The book is end-noted and has a works cited section, but it has a couple other noteworthy features. A fun feature of note is that each chapter begins with a rebus, a kind of word puzzle that relates to an anatomical part relevant to that chapter. There are also graphics in the form of both diagrams and black-and-white photos, and they are interspersed throughout the book with the relevant text (as opposed to in special sections.)

I’d recommend this book for individuals not only interested in neuroscience, but in the history of science generally. Even history buffs who don’t think much about science will likely learn a thing or two from Kean’s presentation of the cases—e.g. there is much discussion of Civil War wounds.

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