Oliver Sacks put himself into his case studies – what was the cost?
66 comments
·December 18, 2025Akasazh
I think the title doesn't really give a good impression of the contents of the article.
The article spends most time on evolution Sacks' homosexual identity and struggle with sexuality and repression.
His uncertainty and melancholical bouts maar him question his own work and make the author conclude him 'putting himself in his work'.
However very little evidence is presented. Most insinuated about is 'awakenings' yet even in that case it's hard to reach conclusions.
The author plays of his perennial self-doubt as aan admission, but there's very scant evidence about him actually making up stories.
I'm not saying his method is our isn't flawed, it's just that the title belies the story. The struggle with his sexuality is the main subject and only small bits are about his uncertainty of his work.
svat
This was a nice profile of (one side of) Sacks and his life, and as usual some mischievous or click-seeking online editor has given it a headline (and sub-heading) that are almost completely unrelated to what the article is about. In fact, at the bottom it says:
> Published in the print edition of the December 15, 2025, issue, with the headline “Mind Over Matter.”
and a headline like that (saying nothing) would be more appropriate to this.
The very fact that Sacks wrote about his patients has always had its detractors—based on his book The Man Who Mistook His Wife for a Hat, someone called him “the man who mistook his patients for a literary career”—but what was surprising (to me) from this article is that it seems that after that early book, he actually became careful not to exaggerate or make up stories, to the extent that someone closely following him looking for discrepancies was not able to find any. I would have expected the stories to be mostly fictional, but it appears that this is so only of his early books.
svat
I assumed the books were somewhat fictional (i.e. they were Gladwell-style) because if he meant to make a claim seriously he'd have published in a medical journal instead of a popular/literary book. But since writing the comment above, I've learned that over the years many people actually believed that all details in the books were literally true (you can search for e.g. [Sacks prime] to see many people who took the story seriously and analyzed them), which does put things in a different light.
webwielder2
I actually set that book down while reading it and said, “this sounds made up.” Ahh the quiet satisfaction of witnessless vindication.
throwaway81523
Yeah the thing about the twins calling out 20 digit prime numbers did it for me. Even allowing for the twins having some ridiculous magical ability to think up such primes, Sacks iirc claimed to confirm the numbers' primality by looking them up in a table of primes. Nuh uh.
Added: ok, found a more careful description. https://www.pepijnvanerp.nl/articles/oliver-sackss-twins-and...
marstall
yup, me too.
milofentriss
Yes, it's lovely when that happens.
rendx
In case this piqued your interest, I really enjoyed the documentary about his life's journey, https://en.wikipedia.org/wiki/Oliver_Sacks%3A_His_Own_Life - can recommend! (Also, fan of his books and research.)
BeetleB
I second the documentary.
Also a very notable statistic/anecdote at the end. I don't know how wide the scope (only one university?), but about a third of the incoming neurology students chose the field because of Oliver Sacks.
I always found the bulk of the criticism leveled against him to be faulty. However, if he did indeed fabricate a lot of details - it is concerning.
lloydjones
I feel that his pretentious, overwrought and unctuous writing was perhaps all because of an emptiness or inadequacy… His final years as a nice old gay man seem much more _normal_ and real, and he seems less of a fantasist at that stage…
dang
(I wanted to put https://news.ycombinator.com/item?id=46204853 in the second chance pool* but it was too old, so I spawned a new copy of the submission and moved the (relevant) comments hither. I hope that's ok as a technical workaround...
* explained at https://news.ycombinator.com/item?id=26998308)
sshadmand
Loved Oliver Sacks. He was such a kid at heart with a big brain and soft demeanor. His interviews are great. Here is one https://www.youtube.com/watch?v=4AnuxDdg2II It is rare a lisp can improve how one sounds, but I like his.
rendall
> When [Sacks] woke up in the middle of the night with an erection, he would cool his penis by putting it in orange jello.
This is a remarkable sentence, and it appears suddenly in the article without context or explanation.
Naturally, there are questions. Was it necessarily orange jello? Does orange refer to the flavor or the color? What property of this particular jello made it preferable to other flavors and colors of jello? Did he prepare the jello for this particular purpose, or did he have other uses for the orange jello? What were they? Did he reuse jello or discard it after one use? Most important though: why would he do this??
The article does not say.
Angostura
I rather liked Private Eye’s spoof Sacks book title many years ago: “The Man Who Mistook his Patients for a Publishing Opportunity”
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RachelF
Or more recently Dan Kahneman, Dan Arielly or Stephen Jay Gould have also been caught fabricating details or whole results.
unmole
> Dan Kahneman
I know the underpowered studies cited in Thinking Fast and Slow didn't replicate but I don't think there was any fabrication?
eviks
The famously ironic case of honesty in a study about honesty
https://retractionwatch.com/2021/09/14/highly-criticized-pap...
BeetleB
That's Dan Ariely. I don't think there's any known example of Kahnemann fabricating data.
jamiek88
Citation needed.
regularization
I don't know of any thimble recent (or non-recent) where Gould was "caught fabricating details or whole results".
In 1981 Gould accused Morton of fabricating details. Gould died 20 years after that. Nine years after Gould died, some said Morton had not fabricated details.
I should add Morton was a phrenologist who did not believe in common descent.
readthenotes1
Not shocked.
"Science" of the 1900s was heavily influenced by people willing to do whatever it took to achieve fame or fortune.
The replication crisis is the result.
rayiner
I don't think it was just the 1990s. A lot of science really wasn't very rigorous in the 1960s through the 1980s either.
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tjwebbnorfolk
Humans are not magically better now just because the calendar reads 2025 instead of 1900. Much of what academics do today is not science either.
Journals are filled with supposedly scientific publications, but actually producing new scientific knowledge is really difficult and rare.
There's a lot of garbage in there.
shrubble
Sacks wrote from 1970 through to 2015; so more recent than just the fusty old 1900s…
Aurornis
> "Science" of the 1900s was heavily influenced by people willing to do whatever it took to achieve fame or fortune.
Scientific research of the 1900s made incredible improvements in medicine and technology. Most of the researchers and scientists weren't trying to be famous or extraordinarily wealthy.
The people you see pursuing fame and fortune, writing books, doing podcast tours, and all of the other fame and fortune tricks are a very small minority. Yes, people in that minority have often been discovered as writing stories that sound good to readers instead of the much more boring truth. However, most people doing science and research aren't even operating in this world of selling stories, books, and narratives to the general public. Typecasting all of "science" based on the few people you see chasing fame and fortune would be a mistake
B1FF_PSUVM
> "Science" of the 1900s
Science of any kind, looked at dispassionately, is more of a cult than we're prepared to admit. Not a discussion we're going to have any time soon, not until the miracles run out.
rixed
Could you leave us some hints about what you are alluding to ?
Or even better, clearly and honestly spell out what you actually think?
christoph
I can’t speak for the author, but I attended a science conference earlier this year that was almost half science, half healing/meditation workshops. I’m not going to name names, but there were some pretty big academic names there who also have clearly woken up to modern science being more than a bit cult like. Research a couple of areas of science that are currently verboten and see who & what you find there maybe?
It’s just quiet whispers in small conferences at the moment, but this is how the breaking of all spells begins. The momentum is & will continue to build, and probably quicker than many imagine (or will like!).
https://archive.ph/0MFPK