Volume 34, Number 1 · January 29, 1987

Tics

By Oliver Sacks

WORKS DISCUSSED IN THIS ESSAY

"Etude sur une affection nerveuse caracterisée par de l'incoordination motrice accompagnée d'echolalie et de copralalie"
by Georges Gilles de la Tourette

Arch. Neurol. Vol. 9, (Paris, 1885)

"Gilles de la Tourette on Tourette Syndrome"
by C.G. Goetz, by H.L. Klawans. in Arnold J. Friedhoff and Thomas N. Chase, eds., Advances in Neurology, Vol. 35 (1982): Gilles de la Tourette Syndrome

Raven Press, 454 pp., $63.00

Postencephalitic Respiratory Disorders
by Smith Ely Jelliffe

Nervous and Mental Disease Publishing Company (Washington, DC, 1927, out of print)

Psychopathology of Forced Movements and the Oculogyric Crises of Lethargic Encephalitis
by Smith Ely Jelliffe

Nervous and Mental Disease Publishing Company (Washington, DC, 1932, out of print)

Tics and Related Disorders
by A.J Lees

Churchill Livingstone (New York, 1985), 276 pp., $45.00

The Mind of a Mnemonist
by A.R. Luria

Basic Books (1968), to be reprinted by Harvard University Press in 1987

"Psychoanalytic Evaluation of Tic in Psychopathology of Children"
by Margaret S. Mahler. in Psychoanalytic Study of the Child

International University Press (New York, 1949, out of print)

Tics and Their Treatment
by H. Meige, by E. Feindel. translated and edited by S.A.K. Wilson from 1902 original

William Wood and Co. (1907, out of print)

"Limbic Innervation of the Striatum"
by Walle J.H. Nauta. in Arnold J. Freidhoff and Thomas N. Chase, eds. Advances in Neurology, Vol. 35: Gilles de la Tourette Syndrome
Awakenings
by Oliver Sacks

Dutton (1983), 338 pp., $8.95 (paper)

"Acquired Tourettism in Adult Life"
by Oliver Sacks. in Arnold J. Friedhoff and Thomas N. Chase, eds., Advances in Neurology, Vol. 35: Gilles de la Tourette Syndrome
"The Possessed"
in The Man Who Mistook His Wife for a Hat and Other Clinical Tales

Harper & Row, 243 pp., $7.95 (paper)

"Witty Ticcy Ray"
in The Man Who Mistook His Wife for a Hat and Other Clinical Tales
"A Case of Gilles de la Tourette's Disease After 10 Years' Treatment with Haloperidol (R.1625)"
by Jean-N. Seignot. in F.S. Abuzzahab and F.O. Anderson, eds., Gilles de la Tourette's Syndrome: Vol. 1, International Registry

Mason Publishing Co. (St. Paul, 1976)

I want to edge into my subject indirectly and personally, by recalling my own education as a neurologist, and how this served—or failed to serve—me in later years, when I encountered the realities of various syndromes and afflictions, in particular encephalitis lethargica and Tourette's syndrome,[1] a syndrome of multiple convulsive tics. As a resident in neurology, I 'rotated' through psychiatry, just as psychiatric residents 'rotated' through neurology. These short rotations did nothing for us in terms of bringing about any unity of the two. One gained a little extraneous psychiatric knowledge, or a little extraneous neurological knowledge, but no real sense that the two were, or could be, related. I even think it encouraged, rather than prevented, some dissociation between neurological and psychiatric orientations, between body and mind, a dissociation which common experience, life itself, contradicts at every point.



Review, 5578 words

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