The ones we rub under our arms

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If art is a kind of lying, then lying is a form of art, albeit of a lower order—as Oscar Wilde and Mark Twain have observed. Both liars and artists refuse to accept the tyranny of reality. Both carefully craft stories that are worthy of belief—a skill requiring intellectual sophistication, emotional sensitivity and physical self-control (liars are writers and performers of their own work). Such parallels are hardly coincidental, as I discovered while researching my book on lying. Indeed, lying and artistic storytelling spring from a common neurological root—one that is exposed in the cases of psychiatric patients who suffer from a particular kind of impairment.

A case study published in 1985 by Antonio Damasio, a neurologist, tells the story of a middle-aged woman with brain damage caused by a series of strokes. She retained cognitive abilities, including coherent speech, but what she actually said was rather unpredictable. Checking her knowledge of contemporary events, Damasio asked her about the Falklands War. This patient spontaneously described a blissful holiday she had taken in the islands, involving long strolls with her husband and the purchase of local trinkets from a shop. Asked what language was spoken there, she replied, “Falklandese. What else?”

In the language of psychiatry, this woman was ‘confabulating’. Chronic confabulation is a rare type of memory problem that affects a small proportion of brain-damaged people. In the literature it is defined as “the production of fabricated, distorted or misinterpreted memories about oneself or the world, without the conscious intention to deceive”. Whereas amnesiacs make errors of omission—there are gaps in their recollections they find impossible to fill—confabulators make errors of commission: they make things up. Rather than forgetting, they are inventing.

{ The Economist | Continue reading }