I’ve sometimes wondered if this effect was intentional: a sort of apologia from Turgenev for his own lack of craft. If we are moved, Turgenev has, via this story that claims that emotional power is the highest aim of art and can be obtained even in the face of clumsy craft, demonstrated that very thing.

Which would be, you know—pretty great craft.

Thomas DeBaggio, a writer and horticulturist, was even able to publish two insightful memoirs about his own early-onset Alzheimer’s before the disease killed him at the age of sixty-nine. But most patients are frightened or mortified by the knowledge of what is befalling them. Some continue to be severely terrified as they lose their intellectual competences and bearings and find themselves in a world increasingly fragmented and chaotic. But the majority, I think, become calmer with time as they perhaps start to lose the sense of what they have lost and find themselves shifted into a simpler, unreflective world.

Kurt Goldstein, studying brain-damaged soldiers during World War I, was moved from his original, deficit-based point of view to a more holistic, organismal one. There were never, he believed, just deficits or releases; there were always reorganizations, and these he saw as strategies (albeit unconscious and almost automatic) by which the brain-damaged organism sought to survive, although perhaps in a more rigid and impoverished way.

This secondary sensing phenomenon is actually erosive. Matthew Crawford, in his The World Beyond Your Head (another masterpiece you should read before you do a single other thing), says that one of the ways we lose our ability to think is to surrender it to secondary sensing devices. We stop thinking when we obey the perceiver that is not in the room.

Winnicott, my psychoanalytic hero, had something to say about this kind of situation. He was writing about parents’ concerns about children’s lies, but his insights go well beyond lying.

If development proceeds well the individual becomes able to

deceive, to lie, to compromise, to accept conflict as a fact and to

abandon the extreme ideas of perfection and an opposite to

perfection that make existence intolerable. Capacity for compromise

is not a characteristic of the insane. The mature human being is

neither so nice nor so nasty as the immature. The water in the glass

is muddy, but is not mud.