Pedro Franco writes:
I just saw that the noted Oliver Sacks has had what seems a very damning article published in the New Yorker (https://www.newyorker.com/magazine/2025/12/15/oliver-sacks-put-himself-into-his-case-studies-what-was-the-cost). Here’s a couple of selected tidbits:
In a letter to one of his three brothers, Marcus, Sacks enclosed a copy of “The Man Who Mistook His Wife for a Hat,” which was published in 1985, calling it a book of “fairy tales.”
The case study is presented as an ode to the power of understanding a patient’s life as a narrative, not as a collection of symptoms. But in the transcripts of their conversations—at least the ones saved from the year that followed, as well as Sacks’s journals from that period—Rebecca never joins a theatre group or emerges from her despair.
Obviously very damning quotes. Another stab at the “scientist as a hero” myth to boot.
What’s been interesting to me are the reactions. Both Tyler Cowen (https://marginalrevolution.com/marginalrevolution/2025/12/which-published-results-can-you-trust.html) and Steven Pinker (https://www.facebook.com/Stevenpinkerpage/posts/a-lesson-from-the-debunking-of-oliver-sacks-and-other-nonreplicable-findings-tru/1431125978383100/) stress the importance of looking at literatures over individual papers/books, obviously sound advice. And yet.
As other comments on the Marginal Revolution post and you’ve stressed so much, that’s not enough. Whole literatures have been decimated in the replication crisis and to emphasise just the literature review process, even when applied on a large scale, seems incorrect to me. Unfortunately, there seems no solution except, you know, doing the hard work of thinking and reading and things.
Anyway. I thought you might want to jump in, as this “consensus” advice, although better than just despairing, doesn’t sit right with me. And, I’m guessing, doesn’t sit right with you either.
Finally, both Pinker and Cowen reference a Bryan Caplan post referencing a Noah Smith post (https://www.econlib.org/no-paper-is-that-good/) which, ironically, does seem to suggest a better advice akin to what I wrote above.
My first reaction is that I’m a huge Oliver Sacks fan. The article, by Rachel Aviv, is fascinating.
Here’s one bit:
Mort Doran, a surgeon with Tourette’s syndrome whom Sacks profiled in “Anthropologist,” told me that he was happy with the way Sacks had rendered his life. He said that only one detail was inaccurate–Sacks had written that the brick wall of Doran’s kitchen was marked from Doran hitting it during Tourette’s episodes. “I thought, Why would he embellish that? And then I thought, Maybe that’s just what writers do.” Doran never mentioned the error to Sacks. He was grateful that Sacks “had the gravitas to put it out there to the rest of the world and say, ‘These people aren’t all nuts or deluded. They’re real people.’”
I’m surprised that Doran is so mellow. If someone interviewed me and reported that a wall in my kitchen was marked from me hitting it, I’d be really annoyed!
Also this:
In his journal, reflecting on his work with Tourette’s patients, Sacks described his desire to help their illness “reach fruition,” so that they would become floridly symptomatic. “With my help and almost my collusion, they can extract the maximum possible from their sickness—maximum of knowledge, insight, courage,” he wrote. “Thus I will FIRST help them to get ill, to experience their illness with maximum intensity; and then, only then, will I help them get well!”
Maybe we don’t want to “get well,” dude!
Overall, though, after reading the Aviv article, I remain very positive about Sacks. OK, not quite so much as before, and I do wish he’d clearly labeled in his books what was real and what was invention, but I’m still a fan.
Yes, it seems that he made stuff up, but he still seemed to be describing real things, unlike people like Wansink and Ariely who made up data (or had the misfortune to keep doing research projects with data-faking colleagues), or people like the beauty-and-sex ratio guy or the ovulation-and-voting researchers who did the equivalent of going through piles of random numbers in order to tell stories with no real evidential basis, or etc etc etc. I still feel like I got a lot out of the Oliver Sacks books that I’ve read.
And, yeah, he was barbaric on Tourette’s syndrome, but those were barbaric attitudes expressed privately, in his journal. Sacks in his public writings on the topic was reasonable and civilized. So I think he deserves credit for channeling some of his worst impulses into his diary and keeping them out of his books.
Overall, I remain a fan of Oliver Sacks.
P.S. As a separate matter, I’m not convinced by the above-linked post by psychologist Steven Pinker, given that Pinker doesn’t seem to distinguish between criticism of unreplicable published research and what he’s elsewhere called “social media hate mobs” (see part 3 of this post). Also, elsewhere he expressed a naive (in my opinion) take on pure crap social psychology research (in this case, the ridiculously bad ovulation-and-voting study).
It’s easy to make fun of Pinker cos he puts himself out there (see here) but overall I appreciate his willingness to engage with the world. So I’m not saying he’s a bad guy or that nothing he says should be trusted, just that it’s hard to know what to think when he starts writing about scientific skepticism.
