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"The Last Hippie": Witzelsucht, Where A Patient May Be Inclined To Tell Jokes or Make Puns in A Way That Was Not
"The Last Hippie": Witzelsucht, Where A Patient May Be Inclined To Tell Jokes or Make Puns in A Way That Was Not
Madison Burton
9 September 2023
English 120
Something that surprised me about this reading is how Greg could remember songs and people
from the 1960s and, as the reading worded it, was “unable to move on.” He was unable to register new
information and was stuck in the present- not concerned with the past or the future with a damaged
identity. Additionally, he was not aware of the fact that he was blind and would refer to “watching the TV”
where he would “invent visual scenes” to accompany situations and thought that it was something that all
of us do.
I learned that there is a condition that accompanies many orbitofrontal syndromes called
witzelsucht, where a patient may be inclined to tell jokes or make puns in a way that was not
characteristic of them prior to their condition. Greg seemed to never be in a bad mood and all the anger
and stress that caused the difficulty that his parents experienced with him in the time pre-Krishna,
seemed to have disappeared. I also learned that he maintained the ability to associate emotions with
places and people because Greg no longer wanted to visit his home and felt that he had lost something
(to the point of wandering around his room for hours looking for an unnamed item) following the news of
his father's passing, despite not being able to recall the news itself.
Greg existed in a half-dreamlike state where the “boundary between waking and sleep seemed to
break down” yet the sound of someone's voice or music would “awaken him” and he would seem to be a
different person entirely. This is something that has been observed in many cases- how music can unlock
memories or awaken someone from various states. Greg’s case reminds me of this film I watched in
senior year of high school where all these individuals with dementia could begin remembering things they
had forgotten while listening to certain songs. Sacks wrote in 1979 that “games, songs, verses, converse,
etc. hold him together completely... because they have an organic rhythm and stream, a flowing of being,
which carries and holds him.” Greg maintained an outstanding memory of the songs he experienced in
the sixties, but, despite his difficulty registering new information, was able to learn new songs easily.
Burton 2
I have grown up being surrounded by music and learning about it as this universal language we
all share- even then, it was astonishing to learn more about how powerful it is and continues to be