LOSING TOUCH JONATHAN COLE LOSING TOUCH A Man Without his Body 1 3 Great Clarendon Street, Oxford, OX2 6DP, United Kingdom Oxford University Press is a department of the University of Oxford. It furthers the University’s objective of excellence in research, scholarship, and education by publishing worldwide. Oxford is a registered trade mark of Oxford University Press in the UK and in certain other countries © Oxford University Press 2016 The moral rights of the author have been asserted First Edition published in 2016 Impression: 1 All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted, in any form or by any means, without the prior permission in writing of Oxford University Press, or as expressly permitted by law, by licence or under terms agreed with the appropriate reprographics rights organization. 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The authors and the publishers do not accept responsibility or legal liability for any errors in the text or for the misuse or misapplication of material in this work. Except where otherwise stated, drug dosages and recommendations are for the non- pregnant adult who is not breast- feeding Links to third party websites are provided by Oxford in good faith and for information only. Oxford disclaims any responsibility for the materials contained in any third party website referenced in this work. To colleagues, for their curiosity and friendship ACKNOWLEDGEMENTS This book is about how we can understand living with the loss of cutaneous touch and movement/ position sense or proprioception, which happened to Ian Waterman when he was 19, 45 years ago now. The answers come both from scien- tific experiment and from a more personal, first- person biographical exploration of how Ian has managed. The book covers around 30 years of research with Ian, and throughout that period he has consented to experiments, involving varying degrees of intrusion, boredom, pain, and pleasure, with enthusiasm and curiosity. More than that, he has become an expert in neuroscience himself, often knowing as much or more than the scientists he meets about how to design a good experiment. He has also put up with decades of questions from intrigued scientists about how he does so and so and what he feels about that, with grace and humor. In parallel with our scientific experiments, he has also been prepared to explore and make available his personal experiences and reflections about living for so long without the sensations from his body that almost everyone else takes for granted. Only by his own, first- person, reflections do we gain another level of understanding. And this has come from conversations over many years between us, at our homes and on the road as we ourselves went from being young men, through middle age, to being grandparents. In addition to these we have also sat in more directed ses- sions at Ian’s home going through his life and views on science and scientists over many days and weeks during the last few years. So, my first and most important acknowledgment and thanks go to Ian for en- gaging with science, and for allowing his biographical details to be mingled with his reflections on living without touch and proprioception. Thanks also for his company over many years and for trusting me with both the science and with his biography. I occasionally act as a medical opinion for Ian; he is the subject of experiments I develop or arrange and am involved in, I have become his biographer and am his friend. It is my hope that we have managed to separate these, and that my present role is as an independent observer and chronicler, off- camera, audio- recorder to hand. We are both quite clear that the science has to be done objectively, though vii Acknowledgements that objectivity includes Ian’s observations of his methods and bodily response. When considering his first- person experiences, and how much personal detail he wants to divulge, the line might be difficult to draw since the illness has reached into many parts of his life. But he has controlled the content throughout. Much of the biographical material in this book was discussed at Ian’s house in Dorset, assisted by his wife, Brenda. It is a pleasure to thank her for her support, for acting as Ian’s PA during research trips, and for her constant supply of tea, cakes, lunches, and common sense. Research papers reflect ideas and hunches and reveal results, concepts, and pre- dictions; what is not apparent is that science is a human endeavor, and like all en- deavors there are periods of frustration, of boredom, as well as of elation. People do research because they are intrigued and curious, a wonderful mind set both to be in and to see in others. It has therefore been a privilege, and hugely enjoyable, to have been involved in, and stimulated by, research with Ian in a number of labs over the years. A visit to a lab is not just about science, we have received kindness and con- sideration everywhere we have been and enjoyed times in the bar after experiments and day excursions fitted in round experiments to fascinating places. Thanks are due to a huge number of clinicians and scientists, philosophers and psychologists, as well as those in theater, television, and choreography. Our first research in Southampton was with Haider Katifi, Malcolm Burnett, Mike Sedgwick, and Louis Merton. At Laval in Quebec the team who had done months of planning to make the visits such a success included Chantal Bard, Michelle Fleury, Yves Lamarre, Normand Teasdale, Jean Blouin, Yves Lajoie, and Jacques Paillard, while in Marseille we worked with Gabriel Gauthier, Jean- Louis Vercher, Olivier Guedon, and Magali Billon. More recently we have also collaborated there with Fabrice Sarlegna, Hannah Lefumat, Frank Buloup, Lionel Bringoux, and Christophe Bourdin, and with Gavin Buckingham then in Edinburgh. In Seeweisen, Germany, thanks are due to Horst Mittelstaedt and in Hamburg (then) Rolf- Detlef Treede. From University College London thanks are due to Patrick Haggard, John Rothwell, and Brian Day for several projects over many years and to Flavia Mancini, Gian Domenico Iannetti, Nada Yousif, Joern Diedrichsen, Richard Fitzpatrick, and Billy Luu. Another long- term collaborator has been Chris Miall in Birmingham with mention also to Daniela Balslev. Investigation of affective touch centered on Goteborg thanks to Håkan Olausson and Francis McGlone (from Liverpool John Moores University), together with Åke Vallbo, Catherine Bushnell, Mikael Elam, and Jaquette Liljencrantz. Further work followed in Helsinki with Gina Caetano and Riita Hari. Work on affective proprio- ception was written with Barbara Montero from New York. viii Acknowledgements In the early 1990s I was invited by Tony Marcel to a week- long seminar on neuroscience and philosophy in King’s College, Cambridge, and there I met a phenomenologist, Shaun Gallagher. Through him I have also met others inter- ested in what might be called the first- person approach, including Dan Zahavi in Copenhagen. I thank both for many fruitful discussions over the years. It was through Shaun that our research on gesture with David McNeill was initi- ated, and through David we also worked with Liesbet Quaeghebeur and Susan Duncan. We made several visits to the Max Planck Institute, which was then in Munich. It is a pleasure to thank Simone Bosbach- Schulz, Wolfgang Prinz, Günther Knoblich, Prisca Stenneken, and Gisa Aschersleben. Similarly thanks to Joachim Hermsdörfer, Dennis Nowak, and their team from Munich, Arjan ter Horst, Rob van Lier, and Bert Steenbergen from Nijmegen, the Netherlands, Richard af Klint, Jens Bo Nielsen, Thomas Sinkjær, and Michael Grey in Aalborg, Denmark and, in Lyon, Pierre Fourneret and Marc Jeannerod. The absence of many of these names and the work done with them from Losing Touch does not reflect the quality of their science with Ian. It was simply that these visits did not illuminate Ian’s scientific biographical de- velopment the way other trips did. Inevitably some work has not made it to finished papers, despite its importance. Thanks are due to Jim Lackner and Paul DiZio at Brandeis University in Boston for their work in relation to microgravity, to the late Abe Guz, together with Kevin Murphy, at Imperial College London, for work on the perception of breathing, and to Bal Athwal, Daniel Wolpert, Christopher Frith, and Richard Frakowiak, all then at University College London, for PET studies. The shoots to make the BBC Horizon documentary were made by the team of Chris Rawlence, Emma Crichton- Miller, Sophie Weitzman, Chris Morphet, and Trevor Hotz. At times uncovering Ian’s early period with the illness was diffi- cult, but their good humor and support made it rewarding for Ian as well as— it is hoped— for viewers. Parts of the filming were facilitated by Marsha Ivins, (ex- NASA) and it is a pleasure to thank her for her support and encouragement. Ian’s two portrayals in theater, parts of L’Homme Qui and The Valley of Astonishment were by David Bennent, Bruce Myers, and Marcello Magni. Thanks, above all, though for these to Peter Brook and Marie- Hélène Estienne. I am also grateful to Bloomsbury Methuen Drama for permission to quote from The Man Who. In choreography we have had the pleasure of working with Siobhan Davies and Matthias Sperling. Both these projects overlapped with work with Oliver Sacks. He was a mentor and friend for longer than I have known Ian, since I studied with him as a medical student in the mid-1970s, and his death in August 2015 robbed us of his unique curiosity, eloquence, and humanity. ix
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