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Into the Silent Land: Travels in Neuropsychology

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Into the Silent Land is a collection of case studies and short tutorials on neuropsychology, which is the science of analyzing the relationship between personality, performance, and the anatomical and physiological structure of the brain. Broks fuses classic cases of neuropsychology with the his own case studies, philosophical debate, and thought provoking riffs and meditations on the nature of neurological impairments and dysfunctions.

246 pages, Paperback

First published January 1, 2003

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About the author

Paul Broks

6 books52 followers
Paul Broks is an English neuropsychologist and science writer. He is a former Prospect columnist, and his work has been featured in The Times, Sunday Times, Daily Telegraph, and Granta. Trained as a clinical psychologist at Oxford University, Broks is a specialist in clinical neuropsychology and is the author of Into the Silent Land, which was shortlisted for The Guardian's First Book Award.

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5 stars
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Displaying 1 - 30 of 82 reviews
2 reviews
December 28, 2007
its like if william s. burroughs, italo calvino, and oliver sacks got together for a dreamtime conversation in a floating pool of sulphur
Profile Image for Tom Quinn.
582 reviews190 followers
February 10, 2018
Too often the little case studies in psychology books are neutered, faceless statistics and circumstances detached from life. Someone hits their head and wakes up with a different personality. Someone is born with a photographic memory and near-impossible math skills. Their brains are scanned and their behaviors are noted and medical professionals learn something clinical about how the brain works. Into the Silent Land does wonders to remind us that these case studies happened to real people, that there are human beings and families living these realities. Treated with warmth and good humor, Broks's narrative restores the personhood to these otherwise impersonal medical curiosities. He tackles the thorny question of Self: reframing the age-old questions of consciousness, of mind-brain dualism, and ghosts in machines. Sometimes solemn, sometimes whimsical, and interspersed with fanciful, inventive pieces of fiction and poetry to better illustrate the subject at hand, it's a delightful repast of phenomenology, philosophy, and neuropsychology.

5 stars out of 5. I was engrossed from start to finish. All nonfiction should be so readable!
Profile Image for Shani.
173 reviews4 followers
June 2, 2008
I loved the neuropsych stuff but not the author's own quest into himself. I thought some bits were boring. I wish there was more of the patient's view and less of the aging doctor's.
Profile Image for Matthew Green.
Author 1 book13 followers
May 9, 2014
Broks is such a non-linear thinker that it was almost impossible to follow a through-line to this book, assuming there was one. He doesn't develop a particular idea; rather, he just tells a collection of stories. Those stories are so poetic at times that I wasn't sure I understood what he was getting at, and they often felt like ethereally connected images that I couldn't completely track with. I wish I'd spent the time some other way.
Author 3 books10 followers
October 26, 2022

Your head will collapse/
But there's nothing in it/
And you'll ask yourself/
Where is my mind?

This might be a dangerous book for those with a fragile sense of self, but required reading for anyone with a big ego. It is certainly an incredible achievement. Paul Broks manages to elucidate current ideas surrounding the brain/mind dilemma in a provocative style sometimes reminiscent of a novel or innerspace travelogue. If you like to think about the big questions in a rational way, read this book and prepare to lose (or loose) your mind.
Profile Image for Jane .
20 reviews49 followers
March 16, 2016
O, what a world of unseen visions and heard silences, this insubstantial country of the mind! What ineffable essences, these touchless rememberings and unshowable reveries! And the privacy of it all! A secret theater of speechless monologue and prevenient counsel, an invisible mansion of all moods, musings, and mysteries, an infinite resort of disappointments and discoveries. A whole kingdom where each of us reigns reclusively alone, questioning what we will, commanding what we can. A hidden hermitage where we may study out the troubled book of what we have done and yet may do. An introcosm that is more myself than anything I can find in a mirror. This consciousness that is myself of selves, that is everything, and yet is nothing at all - what is it?

~ Julian Jaynes
Profile Image for Socraticgadfly.
1,133 reviews370 followers
November 28, 2012
Other reviewers have noted it's unfair to compare Broks to Sachs, and I agree.

That said, per the "philosophy" angle he brings, I will compare him to somebody else - Dan Dennett.

Some of the essays in this book remind me of some of Dennett's early stuff, like in the book co-written and co-edited with Douglas Hofstadter, "The Mind's I."

Broks' tales in here are less about the patient, in part being a clinical psychologist, and more along the line of philosophical Gedankenexperimenten, or, to use Dennett's phrase, "intuition pumps."

That said, Broks is far more a poet than Dennett, and may just surpass Sacks in that regard too.

I note that this won a Guardian "First Book" award.

Please, Mr. Broks, let's follow up with a second and more.
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Profile Image for Crystal.
4 reviews
February 24, 2013
Broks made an admirable attempt at combining self and others' in this muddled disaster full of his own confusion. He is very clearly unsure of the self, and makes no headway from start to finish in reconciling his own personal struggle with the issues he raises in this book. He seems unable to address any particular topic and this compilation rambles in a manner that leaves no taste for wanting more. As you read you too will be confused. You will ask yourself if this is a fictional novel, a compelling look into case studies, or a memoir. Neither which would stand alone as an individual tale, and does not stand on it's own as it is. If you are interested in neuropsychology, neuroscience, or body/mind processes; move on from this mess of words.
Profile Image for Desi A.
633 reviews6 followers
October 7, 2020
What an interesting book. Not at all dry, like some of the other brain books I've read, nor is it overly facile and commercial like some medical memoirs. Part case studies, part philosophy, part....speculative fiction, Broks tries to answer his own questions about consciousness and the self - to what extent do they exist? But he does this not as a scientist, but as a human.

I won't do it justice to try to summarize, because these are hard ideas to talk around, requiring a mental and verbal gymnastics. Essentially, there is the idea of the "mind-body problem" and the question of the "self" and whether it is a thing that exists separate from the brain and separate from the mind. I *think* that the conclusion he draws -- for himself -- is that the answer is fundamentally unknowable to science primarily because of the individual subjectivity of experience. That no matter how much we can learn about the brain and how the mind words, that we will never "find" the source of the self, but that doesn't mean it doesn't exist. (<-- it's entirely possible I've gotten this wrong; I said it was tricky stuff).

Apart from the philosophical and existential questions explored in the book, I appreciated it for another key reason in that Broks -- as a scientist -- recognizes and validates the subjectivity of individual experience when it comes to the functioning of our brain/mind and the impact that has on our lived experience of the "self." Just over two years ago I discovered that I had a not-small brain tumor in my left frontal lobe and that almost the entire left half of my brain was compressed and filled with fluid being secreted from the tumor. Surgeons successfully removed (most) of the tumor and the swelling went away. They also had to remove some of my brain tissue and other brain tissue that surrounded the tumor died. Although my brain mostly "bounced back," I have an empty hole in my brain about the size of a golf ball filled with cerebrospinal fluid. For the most part, I am "the same" as I was before; I have maintained a continuity of my self across the experience, but I am not unchanged -- and not only because I went through a traumatic experience -- my brain, the source of my mind, and also my self, experienced actual physical changes and I am altered. But I have not always had success in convincing people (certain medical professionals) that these changes have had a real and lasting impact on my subjective and objective lived reality. But Broks gets it - he acknowledges that this matters and that it isn't necessarily restricted to the most severe cases, and for that acknowledgement I am grateful, and for lack of a better expression, I feel "seen."
Profile Image for Colin D.
11 reviews
February 26, 2023
An interesting reflection on the mind-body problem that, thankfully, doesn't have any answers, only questions. For a non-fiction book, there was a good amount of narrative, which kept it human. The chapter "To Be Two or Not to Be" had a great illustrative premise that would make a decent standalone sci-fi short on its own and it also completely fucked me up.
Profile Image for Dennis Littrell.
1,080 reviews49 followers
June 14, 2019
The philosophic and human implications of neuropathology

A blurb on the cover touts neuropsychology Professor Broks, author of this intriguing book, as "The new Oliver Sacks." While any writer on neuropathology would be flattered to be compared to the renowned Dr. Sacks, whose books include the fascinating The Man Who Mistook His Wife for a Hat and other clinical tales (1987), I don't think such a comparison is fair to either man.

While Broks and Sacks write about the sometimes bizarre consequences of neurological disorders, they do so from a different perspective. Sacks is more tightly focused on the patient and the pathology whereas Broks concentrates more on his personal experience as a neuropsychologist and the philosophic and emotional consequences of those experiences. Furthermore, while Sacks writes with an uncommon clarity and eloquence, Broks relies on a more literary style with excursions into memoir, story (sometimes reminding me distantly of Borges), Socratic dialogue, and dream sequence.

Each chapter in the book is a personal experience essay. Some chapters recall patients with disorders, some do not. Some chapters are intensely personal, as is the final chapter on the experience of his wife's breast cancer. Others are almost completely philosophical. What can pathology, especially neuropathology, teach us about what it means to be human and to be self-aware is what Broks is asking in all of the chapters, sometimes directly, sometimes obliquely. His answer is equivocal and meandering; in short he isn't sure. I respect that because I'm not sure either, and I don't know anyone who is.

Broks begins by experiencing the pulsating brain as raw meat. He is mesmerized by the "absolute conviction" that in the flesh "behind the face" being probed by the surgeon, "there's no one there." (p. 17) This leads him to reject the "Mysterian" position on consciousness and Cartesian dualism. He excises the ghost in the machine and comes to realize that the "I" of our experience is nowhere at all, but is an ever-changing, ever constructing presence among the modules of the brain.

"Thoughts, feelings, and intentions produce me, not the other way around," is how he expresses it on page 80. He sees the "I" that experiences and reflects upon experience as "not a single thing, or a thing at all," but as "a principle of biological organization." (p. 100)

This is a profound insight from modern neuroscience and philosophy as presented by people like Francis Crick and Daniel Dennett, whom Broks cites, and others. But Broks is neither completely satisfied with this unsettling point of view, nor is he complacent to leave it at that. In my favorite chapter of the book, "To Be Two or Not to Be," Broks presents a science fiction scenario in which one is teleported to Mars. One's body is exhaustively copied on Mars from information sent from Earth. Every single atom is replicated exactly as it appears in the original and then the original is destroyed, allowing one to travel at the speed of light.

In effect this is a thought experiment asking the question "Who are you?" Are you the original or the copy? The copy assures us that he is the same continuous being that was on Earth and is now on Mars. He is the father of his children, the husband of his wife, and is the man who was once the child. He has all this in his memory. He certainly did not die. And besides he has done this a dozen times and is still alive.

But Broks throws a monkey wrench into this scenario by having the original not destroyed. Now who is who? And if the original is now to be destroyed, how does he feel about that?

What is different from the man on Earth and his identical on Mars? Absolutely nothing (although because of their now different environments they are beginning to change). Yet the original prefers that he continue living, as does the copy.

This story really highlights the Buddhist idea that we do not exist as we think we do. There is no "self," no "ego-I"; we do not die because we were never living in the sense that we think we were. What exists is pure identification, so to speak, that everybody has identically. That does not die. It is always there in a sentient being.

Broks acknowledges this Buddhist perspective, admits that in some sense he is uneasy about it; admits that in some sense, at some times, he is a Mysterian, who does believe in something non-material in ourselves. (See "Right This Way, Smiles a Mermaid" beginning on page 132.)

Another point that Broks makes is that we do not exist in isolation. "The working brain has to be understood not only as part of a larger biological system (the rest of the body), but also as a component of the wider social system." (p. 102) I would add that we are also part of this planet and its systems, and in the most minute, but real sense, part of the cosmos.

Broks believes that the familiar soul-body dualism from Descartes is hard-wired into our brains by the process of evolution. (p. 138) He also believes that "phenomenal consciousness--the raw feel of experience--is invisible to conventional scientific scrutiny and will forever remain so." (p. 140)

I agree that the idea of a soul is adaptive in an evolutionary sense. It allows for us to have hope in many seemingly hopeless situations. It furthers the adaptiveness of the tribe which furthers the adaptiveness of the members of the tribe. I also agree that such phenomena as the taste of ice cream, the experience of the color red, etc., are not subject to scientific evaluation. Science is preeminently a social exercise in that, without peer review and confirming experiments by other scientists, would not exist as such. Consequently it is futile to expect something purely subjective to find scientific proof.

--Dennis Littrell, author of “The World Is Not as We Think It Is”
Profile Image for Holly.
1,055 reviews266 followers
August 13, 2016
Richard Powers, in a recent essay on place and fiction, calls this a "chimerical excursion [...] with its collage of neuroscience, clinical case histories, memoir, philosophical essay, and bare naked short story. Broks’s essays prove that there is no Self, no master narrative holding us together; but his fictive personal memoir can’t escape having one. The brain is condemned to think that it’s a soul, and to describe that impossible hybrid state [...]."

I wish more books ended with an epigraph.

Regarding myth of romantic love: Life and relationships are more random than we think but, in the end, most of us fall into a pattern. With whom, it doesn't much matter. It's the pattern that counts. "If you don't relinquish the myth, you're bound to be disappointed. But if you don't believe it in the first place . . . "
Profile Image for Ruby  Tombstone Lives!.
338 reviews430 followers
Want to read
June 26, 2013
Just heard Jane Curtin reading Voodoo Child (Slight Return) on PRI Selected Shorts, and am very excited. It's not often I get to shelve a book with this particular combination of mind-blowing/biology/literary-fiction/nonfiction/metafiction - and I could probably add a few more: postmodern, neurology, psychology, philosophy....... ahhhhh. Great combination.

Story here: NPR Selected Shorts - Complicated Relationships

I look forward to reading the rest of this..
Profile Image for Kriegslok.
424 reviews2 followers
January 3, 2012
A fascinating glimpse into the world of neuropsychology. The more misanthropic and resigned to the stupidity of humanity I become the more interested I am actually becoming in what makes us tick and why we are the way we are. This is a fascinating and easily readable book that makes you think. From what it is that creates our feeling of self-consciousness to whether we actually exist at all it's all touched on in a work which is as much philosophical as it is scientific. My appetite has been wetted and I will be tracking down some of the books in the recommended further reading list.
Profile Image for Lisa.
334 reviews12 followers
June 26, 2012
some really sad and introspective moments in this book, but overall it wasn't for me.

it was kind of like the author was trying too hard to be poetic and deep, to make the reader feel these poignant situations. but neurological disorders don't really need any literary tricks to get across their poignancy and sadness, so mostly i ended up rolling my eyes or skimming over his poetic musings.

harold klawans and oliver sacks are waaaaaay better at writing this kind of neuro-case study.

that being said, i want to repeat that there are some beautiful parts of "into the silent land."
Profile Image for Pat.
9 reviews12 followers
April 22, 2013
For someone like me, who has no knowledge of neurology, this was a very accessible introduction to some of the issues, especially relating to identity and a person's sense of themselves. I came away largely mystified, but in a good way. Broks writes well, and I'd recommend this short book to anyone who likes to think about some of the fundamentals in life, for a change. It's certainly not heavy or technical.
Profile Image for Jo.
640 reviews15 followers
March 6, 2018
This is a fascinating book. It is written by a neuropsychologist and wends between between a discussion about the difference between the mind and the brain; a philosophical treatise on life and existence; some fascinating patient case studies, and some really off-the-wall dream scenes. It some ways it feels like an experience of mental breakdown! But I did enjoy the challenge! It has left me with a slightly different understanding of myself, my mind and my existence!
Profile Image for Jill.
16 reviews1 follower
February 24, 2013
Written by a neuropsychologist, this is essentially an exploration on the nature of identity - ego - id - who or what is "I".

Using case studies, autobiograhical thoughts/stories and philosphical ideas, this raised for me some interesting questions - no answers but that is the joy of this read - it promotes thinking.

Try it, it's well worth a read.
Profile Image for Sarah Milne.
119 reviews12 followers
September 26, 2010
Wow, I did not like this. I disliked the tone and the writing. And I get the definite impression that if I met the man I would dislike him, too. Much of this was probably better left in his private journal. Hey, I get it, I can be a bit of a cynic myself, but, dude, you may need medication.
Profile Image for Reggie.
5 reviews3 followers
August 4, 2015
Fascinating, beautiful, and surprisingly poignant read. I'm still coming to terms with the conundrums and challenges presented within. I appreciated how, while decided in his beliefs and views, Broks still allowed the book to focus on the questions and explorations.
Profile Image for Damian.
4 reviews1 follower
April 12, 2012
Phenomenal, imaginative science writing at its best -a doctor's reflections on the fascinating nature of human life and experience.
Profile Image for Mike.
427 reviews45 followers
September 6, 2013
Wants to be a book by DennnettHofstadterSacks but is actually a rudimentary, and oddly depressing, look at the problems of consciousness.
Profile Image for George Baca.
5 reviews
February 18, 2021
I read this book, or should I say, I binged this book in less than three days. Over a month later, I still go back to some passages in thought. Paul Broks writes beautifully, and it struck a chord with me. Initially, I thought it will be something that relates, in style, to the books of Oliver Sacks. I was pleasantly surprised that this is not the case. While I love Oliver Sacks, in a world where there is one already why should I yearn for more of the same kind?

The book is a combination of neuropsychological cases intertwined with philosophical pondering over what consciousness, in the light of neurological illnesses and conditions is. In a manner that doesn't impose, Dr Broks challenges the reader to think of consciousness as something that, yes, arises from the brain but that it is also something that cannot be reduced to just the matter itself. The Neuroscientific field is still very young, and philosophers often disagree. The truth is, there is still a lot that we don't know, and we may never know.

Often poignant, always engaging, in places thought-provoking but always written with beautiful prose that reads more like a novel than a non-fiction book.

It may not be everyone's cup of tea, but to those who wish to be taken on a lovely journey that intertwines the neurological cases with the physical facts and metaphysical questioning, this book is certainly worth a read.
23 reviews1 follower
February 28, 2018
A great collection of neuroscience stories / case studies told in a very readable and engaging way. The author wishes to dissuade us on the idea of the existence of soul. For those who conceptualise the soul as our personality and memories, it should be convincing. The machine like nature of thoughts and behaviours are exposed during neurological trauma, and this is inconsistent with them being tied to a soul that would survive outside a brain, e.g. after death. Also, he touches on the interesting idea that an organism acting as if it has a soul, is evolutionary beneficial. Maybe slightly too often he relied on the simplistic argument, when you open up the brain there is just goo and no soul, "there just isn't" - but presumably this isn't meant to be taken literally. He falters (self acknowledging this) when it comes to the idea of consciousness; he describes a dream where he denies being a dualist yet talks about how the scientific method has no direct access to the contents by of consciousness. Dualist in denial! Finishes with a nice sci-fi short story about teleportation, illustrating the weirdness that would occur if this should ever become possible.
Profile Image for Robert Fawcett.
Author 2 books2 followers
April 12, 2021

Into the Silent Land: Travels in Neuropsychology by Paul Broks is above all a thought-provoking book. The author presents a mélange of case studies of brain-injured persons along with short stories of a science fiction genre all of which spark such questions as, “What is consciousness?” and “What is personhood?” The cases go beyond the usual descriptions of impaired cognition and abnormal affect to touch upon the personal meaning of their deficits to the sufferers of brain damage. Through it all we are treated to interesting tidbits of neuroanatomy, such as how the amygdala and hippocampus got their names and items of neurological history, such as what became of Einstein’s brain. The author has a strong background in philosophy as well as neuropsychology and he looks at questions such as whether consciousness can be fully explained in material terms and whether the “self” is an identifiable entity or just a convenient language construct. Both enjoyable and enlightening. Robert Fawcett, M.D.
Profile Image for Niklaus.
420 reviews18 followers
July 16, 2019
Se prima si legge Sacks e Ramachandran le aspettative possono essere troppo alte e condizionare il giudizio di un libro interessante. Per questa ragione ho atteso qualche settimana prima di giudicarlo. Sufficienza ampia ma la trattazione non mi ha soddisfatto. La ragione è che qui i casi clinici non fungono come chiave di entrata per una analisi (o ipotesi) neurologica o almeno solo in parte. Molto più spesso Broks utilizza il caso come spunto per analisi filosofiche. Non ho amato la scelta narrativa di creare situazioni magari sotto forma di sogni per inserire dialoghi tra due personaggi; scelta che nella volontà dell'autore dovevano servire a creare un contesto domanda-risposta ma che ho trovato noioso. Stessa cosa dicasi per la partita nello stadio della propria infanzia con i figli o la scoperta della malattia della moglie.
Il mio taccuino è rimasto vuoto mentre con un libro di Sacks era il libro stesso il taccuino per la quantità di informazioni presenti.
Profile Image for Larisa.
15 reviews
February 23, 2018
I read this book as part of my course, and I was very disappointed. Far from being an interesting neuropsychology case book, and very far from being the "new Oliver Sacks". It's a running train of thoughts from the author, laden with philosophical and literary references, in an attempt to either display cleverness or impress the reader; if so it should at least be retitled into something about consciousness. That's the main topic of the book: the mind-body problem, woven with some odd stories and insights from the author's practice as a clinician. The writing is not bad but it has a very heavy weight of self importance: if anything, it was a diary not meant for others to read.
3 reviews
June 15, 2020
Into the silent land discussion

I like the anecdotal stories and his own blunt personal opinion

Interesting mentioning about HM and familiar case studies but also how they are old now

topics mentioned I have studied
Functional asymmetry/split brain studies (p32)

Stuff I want to look up
- Alexander Luria (p34)

Makes you think about the self, are you your brain or your memory or your mind, where is your personality? Your body is different to your mind and brain?

Words I googled
Phials
Pharmacological (p32)
Gargantuan (46)
Profile Image for Kevin.
116 reviews6 followers
November 16, 2019
One of my books of the year. Stunning blend of neuropsychological case histories, musings on the brain/mind connection, fragments of the author's life and occasionally, brief science-fiction tales encapsulating some of the philosophical conundrums described in the book. Sounds heavy? Not at all. It's enthralling, very funny, poignant and has a pervasive sense of wonder and awe. I absolutely loved this book. It reminded me of why I love reading so much.
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