Unexplainable

Oliver Sacks's not quite nonfiction

22 snips
Mar 23, 2026
Rachel Aviv, New Yorker staff writer known for investigative, literary reporting on psychology and medicine, digs into Oliver Sacks's archives. She recounts finding private journals and letters, the overlaps between his life and patient stories. Conversations cover textual echoes, admitted fabrications in case studies, and the ethical tension between bearing witness and crafting narrative.
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ANECDOTE

Whirlwind Berlin Romance Triggered Five Decades Of Therapy

  • Oliver Sacks described a whirlwind romance in letters with a man in Berlin that transformed his sense of self and sexuality.
  • The man stopped writing, Sacks spiraled into suicidal feelings, cut off the relationship, and began 50 years of therapy.
INSIGHT

Sacks's Private Language Echoed In His Patient Stories

  • Rachel Aviv found repeated phrasings and images from Sacks's personal journals showing up in his patient narratives.
  • Examples include the Rilke panther image and the phrase "blood like champagne" appearing both in Sacks's love letters and in Awakenings patient descriptions.
INSIGHT

Sacks Acknowledged Fabrication In His Own Journals

  • Aviv concluded Sacks knowingly fabricated or embellished details and wrestled with guilt about it in his journals.
  • He even warned his brother the stories might be "confabulations" and later labeled a twin-autism story his "most flagrant fabrication."
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