THE SLEEPING BEAUTIES

A neurologist investigates psychogenic disorders, characterized by complex, holistic sets of symptoms that take root in a particular culture and time.

Psychosomatic suffering—“real physical symptoms that are disabling, but which are not due to disease and are understood to have a psychological or behavioural cause”—is no longer considered purely hysterical, framed in Freudian interpretation, or dismissed as simply mysterious. O’Sullivan, a London-based Irish neurologist, marches straight into this deep, strange pocket of experience. A pleasing storyteller, she puts to good use her neurological background while melding it with a closely observed appreciation of environmental, social, and cultural elements in the dissociative process. She introduces a variety of psychosomatic disturbances, beginning with resignation syndrome in Sweden, “a disorder that exclusively affects children of asylum-seeking families,” rendering them in a sleeplike state that is indecipherable with today’s instrumentation. Sadly, explanations “come with the inevitable need to apportion blame, passing judgement on the child and…family.” The author also investigates the aggressive hallucinations experienced by members of the Miskitos peoples of Nicaragua, a foreboding sleeping sickness in Kazakhstan, and many more. All lead the author to the idea of “a cultural concept of distress,” with the body intimately involved in cognition, responding to the environment, the specific circumstances of the moment “and the socially constructed ways of responding to illness.” O’Sullivan keenly explains illness templates that are coded in our brains by our sociocultural environment, so that “when you look for symptoms, you find them.” As the author connects dot after dot, she discusses the role of induced illnesses as a language of distress, in which the members of a specific community understand symptoms as metaphors of personal suffering or a way of exteriorizing a conflict. Doctors, she writes, “still struggle to appreciate the magnitude and reality of the interaction between mind, body, and the environment.”

A fascinating view of mind that mingles culture with biology, creating a richly embroidered, albeit difficult, world.