21 Aug 2013

Imagining Itself (Part XIV: Visualisation Disability)




Is it possible to have an imaginative disability; an impairment or deficit in or of the mind’s eye?

Before she died and for somewhere in the region of a quarter of her life my grandmother was blind in one eye (one of the physical one’s that is, not the 'inner' one). She could easily have arranged for a second cataract operation to restore her stereoscopic vision, yet she was too distrustful of the doctors and too unconvinced of the benefits that she chose instead to manage with only monocular vision. I remember once at the family dinner table we all decided to compare our monocular skills by trying to replace the lid of a pen and my grandmother was by far the most skilful at this task. She had evidently developed compensatory skills that allowed her to function very well despite her depthless vision. For many people such a disability would be a great loss - the neurologist Oliver Sacks has commented widely on what he believes is a great impoverishment in his visual perception following a melanoma that deprived him of vision in one eye - but for my grandmother the possibility of renewed depth perception wasn’t even worth a short visit to her local hospital.

Disabilities clearly affect people in different ways and nobody would seriously suggest that all disabilities are equal. Having only one functioning eye is undoubtedly a disability but in comparison with complete blindness it presents a relatively trivial setback. But what about loss or damage to the “third eye”? What might such an impairment or deficit consist of and does it really make sense to call it a disability at all?

In 2010 Discover magazine published an article about an Edinburgh building surveyor MX who found that his inner eye had suddenly become blind following an operation on his coronary artery at the age of 65. Neurologists conducted a variety of experiments and scans to determine what might be causing MX’s visualisation loss and they, and MX himself, were surprised to find that only one of the many experiments they conducted showed any marked difference from standard results obtained from other individuals of the same age, profession etc. The test used is thought to require the ability to mentally rotate diagrams of three-dimensional forms. Ordinarily test subjects take twice as long to mentally rotate the diagrams 180% as they would to mentally rotate them 90%. In MX’s case though it took him no longer to rotate a diagram from 180% than than 90% yet in every other respect there was no appreciable divergence between his visual performance and those of normal individuals.

How might we interpret this account? The scientists involved took the view that some form of blindsight must be involved. Blindsight is a rare condition in which people have no conscious vision yet they are able to perform certain tasks – even quite complex ones like walking through a room full of obstacles – as if they were fully sighted. A common explanation of blindsight  – although further evidence is needed - is that human visual perception involves two visual systems working in tandem: a more recently evolved conscious system and an older more primitive unconscious system that remains unaffected in cases of blindsight.

Just as with the difference between monocular vision and total blindness a straightforward comparison between blindsight and third eye blindness should probably be avoided. Blindsight is recognised as a disability because it has very clear repercussions for visual functioning whereas, if MX’s case is anything to go by, the impact of visualisation loss is comparatively negligible.

Nonetheless, perhaps we shouldn’t be too hasty in dismissing third eye blindness. According to the Discover article, MX felt his inner vision had previously been a source of genuine pleasure that allowed him to run “through recent events as if he were watching a movie. He could picture his family, his friends, and even characters in the books he read.” But this is where the account becomes a little unclear. Had MX become unable to recall the appearance of his friends and family and of things seen in the past? If he was suffering from some form of visual amnesia then surely the researchers would have detected this right from the outset. Other plausible explanations are possible though. Perhaps MX’s capacity to derive pleasure from visual cognition had been affected by the operation. Perhaps his sense of past pleasures had somehow become exaggerated or distorted.

One of the things that makes discussions about mental imagery so fraught is that people have very different emotional attachments to such aspects of their subjectivity. Just as Oliver Sacks deeply regrets the loss of his stereoscopic vision and my grandmother barely bothered about it, so too do opinions differ greatly about what might well be essentially the same underlying phenomenology of visualisation.

Certainly when individuals claim to ‘see’ vivid images in their mind’s eye we should be sceptical of what it is that they actually mean. Time and again when such claims are tested, the images reported turn out to provide much less information than their owners are initially willing to claim. Once again the difficulty would seem to derive from the feeling of vividness rather than the quality or quantity of information available.

Whatever the differences between individuals in terms of the accounts they are prepared to give of their subjectivity it would seem to be vital to distinguish as sharply as possible between the emotional aspects of visualisation and the function: the ability. If visualisation doesn’t provide any kind of functional advantage then it makes no sense to call it an ability, though we might very well call it a pleasure. Likewise, being unable to visualise cannot be said to be a dis-ability.

But if it is true that visualisation consistently fails to provide the abilities that are attributed to it then it must be unique amongst all pleasures. Perhaps this offers us a vital clue. Evolution never bestows pleasures unnecessarily, especially pleasures of the magnitude of imaginative visualisation. MX may have functioned perfectly well on all of the tests of visualisation ability but I wonder how much his motivation to create and consume representations had been affected – I suspect it was greatly reduced. So, perhaps we can put forward a speculative hypothesis: visualisation might not be an easily quantifiable ability in the ordinary sense but perhaps it's utility is of a more pervasive kind; as an inducement - possibly the most powerful one we possess - to make, describe and to consume visual representations.