Reposted from my older site.
Book Review of Switched On: A Memoir of Brain Change and Emotional Awakening by John Elder Robison
In a quest for emotional intelligence, John Elder Robison agreed to allow neuroscientists to experiment on his brain. In this memoir that reminds one of Flowers for Algernon, Robison tells us about his experience with TMS, transcranial magnetic stimulation, and the resulting effects on his emotions and life.
Imagine your world being turned upside down by a sudden awareness that things are not at all the way you thought they were. Scales drop from your eyes. You connect with people in a way you never have before. Things are different, sharper. But there is a caveat. You see that sometimes ‘friends’ are most definitely not friends at all. Childhood memories are now viewed with disturbing clarity. The gift you so sought after, to become more perceptive, is now yours but the beauty so desired and expected isn’t the only thing this new found ability to see emotion reveals.
I was moved by Switched On in a way no other memoir has touched me. This is truly a unique experience that Robison has shared.
After the reception his book, Look Me In the Eye, John Elder Robison was approached to participate in a research study. Scientists wanted to measure the plasticity of the brain, in other words, how the brain can adapt, change, and ‘rewire’ itself. They also sought results about cognitive therapies and how that might affect the brain. The idea was to see if TMS could be used to effect the difficulties autistic people have reading the emotions and nonverbal communication of others.
People on the autism spectrum are not unemotional or uncaring. They do have difficulty reading people, understanding, and responding in the expected way to situations. This is something that people are expected to come by naturally, but this skill seems particularly elusive to people on the spectrum.
Switched On: A Memoir of Brain Change, chronicles the unexpected and far reaching results of this research study. Robison underwent moments of amazing emotional awakening and others of devastation as a result of the sudden onslaught of awareness.
This memoir leaves us with more questions than answers about the future of TMS for therapeutic uses. Delving into this area of research raises a multitude of ethical questions.
“The thing is, not all differences lead to disability. Some lead to exceptionality. And we don’t necessarily know enough to tell one from the other. Yet we are on the verge of acting on that incomplete knowledge right now in the area of autism.”
Switched On left me feeling conflicted. It offers hope for future understanding and therapies, but is, in part, a cautionary tale. We would do well to take heed. At the same time, there were tremendous gains for Robison. This book has given me a deeper understanding of why someone might be willing to try these kinds of treatments.
I like Robison’s writing style. I find his books to be easy to read and entertaining, while at the same time providing information. In this particular book he does tend to stray into areas that are a bit technical for me, but his down-to-earth style kept me engaged with the story throughout. This book was a fascinating read and I finished it quickly.
I recommend this book for anyone curious about TMS, autism, or for anyone interested in a good memoir.
I also suggest Robison’s first book, Look Me in The Eye, or another of his books, Be Different, both of which I found to be very encouraging and informative. This recent book is a bit different than the two I have previously read since it deals with medical research, but Robison’s engaging story telling style remains. In Switched On Robison has given readers the opportunity to gain further insights into his autistic journey.
Listen as John Elder Robison talks about his experience on NPR “Here and Now.”
Read my review of John Elder Robinson’s memoir Look Me in the Eye here.