"A startling argument . . . provocative . . . absorbing." --The Boston Globe
"Ambitious . . . arresting . . . celebrates the importance of hands to our lives today as well as to the history of our species."
--The New York Times Book Review
The human hand is a miracle of biomechanics, one of the most remarkable adaptations in the history of evolution. The hands of a concert pianist can elicit glorious sound and stir emotion; those of a surgeon can perform the most delicate operations; those of a rock climber allow him to scale a vertical mountain wall. Neurologist Frank R. Wilson makes the striking claim that it is because of the unique structure of the hand and its evolution in cooperation with the brain that Homo sapiens became the most intelligent, preeminent animal on the earth.
In this fascinating book, Wilson moves from a discussion of the hand's evolution--and how its intimate communication with the brain affects such areas as neurology, psychology, and linguistics--to provocative new ideas about human creativity and how best to nurture it. Like Oliver Sacks and Stephen Jay Gould, Wilson handles a daunting range of scientific knowledge with a surprising deftness and a profound curiosity about human possibility. Provocative, illuminating, and delightful to read, The Hand encourages us to think in new ways about one of our most taken-for-granted assets.
"A mark of the book's excellence [is that] it makes the reader aware of the wonder in trivial, everyday acts, and reveals the complexity behind the simplest manipulation." --The Washington Post
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Frank Wilson was an early contributor to the development of performing arts medicine in the United States and Europe in the 1980’s. In 1986 he was a co-founder and neurologist for the Health Program for Performing Artists at the University of California, San Francisco, where his interest focused on impaired hand control in musicians. In 1989 he moved to the University of Düsseldorf in Germany, where he held a one-year fellowship as visiting professor of neurology and was the organizer of a research team studying focal hand dystonia in musicians.
Following his return to California in 1990, Dr. Wilson continued his work with performing artists; he began a trial of music-learning experiences for patients in the neurological rehabilitation program at Mt. Zion Hospital; and for two years he was the neurologist on a multidisciplinary team investigating upper extremity injuries among textile designers at the Levi Strauss Company in San Francisco. He became the medical director of the Health Program for Performing Artists in 1996, and in 2001 accepted an appointment as Clinical Professor of Neurology at Stanford University School of Medicine, joining a clinical research team at Stanford studying deep brain stimulation for patients with complex movement disorders.
Wilson’s career-long interest in the neurology of human hand control is reflected in two books that explore the neurological and anthropological underpinnings of skilled hand use. The first, Tone Deaf and All Thumbs? was published by Viking-Penguin in 1986. The second, The Hand: How Its Use Shapes the Brain, Language, and Human Culture, was published by Pantheon Books in 1998 and was nominated that year for a Pulitzer Prize for non-fiction.
Since the publication of The Hand, he has presented his work and his ideas at national meetings of many professional organizations, and to a wide community of artists and educators who share the opinion that the human hand and brain are an anatomically and behaviorally integrated system – biology’s not-so-secret formula for individual human intelligence, creativity, and autonomy.
"A startling argument . . . provocative . . . absorbing." --"The Boston Globe
"Ambitious . . . arresting . . . celebrates the importance of hands to our lives today as well as to the history of our species."
--"The New York Times Book Review
The human hand is a miracle of biomechanics, one of the most remarkable adaptations in the history of evolution. The hands of a concert pianist can elicit glorious sound and stir emotion; those of a surgeon can perform the most delicate operations; those of a rock climber allow him to scale a vertical mountain wall. Neurologist Frank R. Wilson makes the striking claim that it is because of the unique structure of the hand and its evolution in cooperation with the brain that Homo sapiens became the most intelligent, preeminent animal on the earth.
In this fascinating book, Wilson moves from a discussion of the hand's evolution--and how its intimate communication with the brain affects such areas as neurology, psychology, and linguistics--to provocative new ideas about human creativity and how best to nurture it. Like Oliver Sacks and Stephen Jay Gould, Wilson handles a daunting range of scientific knowledge with a surprising deftness and a profound curiosity about human possibility. Provocative, illuminating, and delightful to read, The Hand encourages us to think in new ways about one of our most taken-for-granted assets.
"A mark of the book's excellence [is that] it makes the reader aware of the wonder in trivial, everyday acts, and reveals the complexity behind the simplest manipulation." --"The Washington Post
tling argument . . . provocative . . . absorbing." --The Boston Globe
"Ambitious . . . arresting . . . celebrates the importance of hands to our lives today as well as to the history of our species."
--The New York Times Book Review
The human hand is a miracle of biomechanics, one of the most remarkable adaptations in the history of evolution. The hands of a concert pianist can elicit glorious sound and stir emotion; those of a surgeon can perform the most delicate operations; those of a rock climber allow him to scale a vertical mountain wall. Neurologist Frank R. Wilson makes the striking claim that it is because of the unique structure of the hand and its evolution in cooperation with the brain that Homo sapiens became the most intelligent, preeminent animal on the earth.
In this fascinating book, Wilson moves from a discussion of the hand's evolution--and how its intimate
Prologue
Early this morning, even before you were out of bed, your hands and arms came to life, goading your weak and helpless body into the new day. Perhaps your day began with a lunge at the snooze bar on the bedside radio, or a roundhouse swing at the alarm clock. As the shock of coming awake subsided, you probably flapped the numb, tingling arm you had been sleeping on, scratched yourself, and maybe even rubbed or hugged someone next to you.
After tugging at the covers and sheets and rolling yourself into a more comfortable position, you realized that you really did have to get out of bed. Next came the whole circus routine of noisy bathroom antics: the twisting of faucet handles, opening and closing of cabinet and shower doors, putting the toilet seat back where it belongs. There were slippery things to play with: soap, brushes, tubes, and little jars with caps and lids to twist or flip open. If you shaved, there was a razor to steer around the nose and over the chin; if you put on makeup, there were pencils, brushes, and tubes to bring color to eyelids, cheeks, and lips.
Each morning begins with a ritual dash through our own private obstacle course--objects to be opened or closed, lifted or pushed, twisted or turned, pulled, twiddled, or tied, and some sort of breakfast to be peeled or unwrapped, toasted, brewed, boiled, or fried. The hands move so ably over this terrain that we think nothing of the accomplishment. Whatever your own particular early-morning routine happens to be, it is nothing short of a virtuoso display of highly choreographed manual skill.
Where would we be without our hands? Our lives are so full of commonplace experience in which the hands are so skillfully and silently involved that we rarely consider how dependent upon them we actually are. We notice our hands when we are washing them, when our fingernails need to be trimmed, or when little brown spots and wrinkles crop up and begin to annoy us. We also pay attention to a hand that hurts or has been injured.
The book you are holding is a meditation on the human hand, born of nearly two decades of personal and professional experiences that caused me to want to know more about the hand. Among these, two had the greatest impact: first, as an adult musical novice, I tried to learn how to play the piano; second, as an experienced neurologist, I began to see patients who were having difficulty using their hands. Each experience afforded its own indelible lessons; each spawned its own progeny of questions.
Like most people, I have spent the better part of my life oblivious to the workings of my own hands. My first extended attempt to master a specific manual skill for its own sake took place at the piano. I was in my early forties at the time and in my dual role as parent and neurologist had become enchanted by the pianistic flights of my twelve-year-old daughter, Suzanna. "How does she make her fingers go so fast?" was the question that occurred to me when I interrupted my listening long enough to watch her play. I read everything I could about the subject and finally realized I would never find the answer until I took myself to the piano to find out.
As a beginning student I imagined that music learning would go just as it is depicted by music teachers: begin with simple pieces, learn the names of the notes, practice scales and exercises, memorize, play in student recitals, then move on (shakily or steadily) to more and more difficult music. But over the course of five years of study my personal experience deviated further and further from this itinerary. It was not that I was fast or slow, musical or unmusical; at various times I was each of those. Despite the guidance of a seasoned teacher armed with the highly polished canons of music pedagogy, the whole enterprise was rife with unexpected turns, detours, and diversions. Inside me, it seems, there was already a plan for being a musician--a modest one, but a plan nonetheless: the protocols of music had simply set the specific cognitive, motor, emotional, and social terms according to which hand and finger movements that were initially unsure and clumsy would gradually become more accurate and fluent. As I hope to demonstrate--even to the satisfaction of music teachers--I might as easily have been in a woodcarving class, or learning how to arrange flowers or build racing-car engines.
After several years of piano study I began to see musicians as patients. Most came expecting that a doctor with musical training would better understand their physical problems than one without such experience. Later, the "hand cases" also came from restaurants, banks, police stations, dental offices, machine shops, beauty parlors, hospitals, ranches. All came for the same simple reason: they could not do their jobs without a working pair of hands.
A major turning point in my thinking about the hand came as the result of a presentation I made to a group of musicians about a particularly difficult and puzzling problem called musician's cramp. I had brought along a video clip to show during the talk. It was a brief clinical-musical medley of hands that had either been injured or had mysteriously lost their former skill; formerly graceful, lithe, dazzlingly fast hands could barely limp through the notes they sought to draw out of pianos, guitars, flutes, and violins. Just a few minutes after the film began, a guitarist in the audience fainted. I was amazed. This was not the sort of grotesque display one sometimes sees in medical movies; these were just musicians unable to play their instruments. When the same thing happened at subsequent presentations--a second and then a third time--I was genuinely puzzled. I decided I must have missed subtleties or hidden meaning in these films apparent only to very few viewers. It was not until much later that I came to understand the real message these fainting musicians were expressing.
I now understand that I had failed to appreciate how the commitment to a career in music differs from even the most serious amateur interest. Although I had worked very hard as a beginning piano student, took the work seriously and spent a great deal of time at it, it was not my life. Consequently I did not anticipate the profound empathy for the injured musicians that would be felt by some viewers of these films. Moreover--and this is a lesson I learned, one person at a time, as I conducted interviews with nonmusicians for this book--when personal desire prompts anyone to learn to do something well with the hands, an extremely complicated process is initiated that endows the work with a powerful emotional charge. People are changed, significantly and irreversibly it seems, when movement, thought, and feeling fuse during the active, long-term pursuit of personal goals.
Serious musicians are emotional about their work not simply because they are committed to it, nor because their work demands the public expression of emotion. The musicians' concern for their hands is a by-product of the intense striving through which they turn them into the essential physical instrument for realization of their own ideas or the communication of closely held feelings. The same is true of sculptors, woodcarvers, jewelers, jugglers, and surgeons when they are fully immersed in their work. It is more than simple satisfaction or contentedness: musicians, for example, love to work and are miserable when they cannot; they rarely welcome an unscheduled vacation unless it is very brief. How peculiar it is that people who normally permit themselves so little rest from an extreme and, by some standards, unrewarding discipline cannot bear to be disengaged from it. The musician in full flight is an ecstatic creature, and the same person with wings clipped is unexploded dynamite with the fuse lit. The word "passion" describes attachments that are...
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