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the PDF of her book - National Aphasia Association

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xii Ruth Codier Resch Without Utterance:<br />

Preface<br />

These are my stories losing language in a stroke, <strong>the</strong>n brain trauma. I’m<br />

a clinical psychologist, psychoanalyst, baby observer, bird watc<strong>her</strong>. My sense<br />

<strong>of</strong> self survived using <strong>the</strong>se skills to reflect on walking through a wilderness<br />

without road signs. I found languages outside <strong>of</strong> verbal language that took<br />

me to whole new worlds.<br />

Oliver Sachs’ piece in The New Yorker, “Recalled to Life” is <strong>the</strong><br />

pr<strong>of</strong>ound inspiration for this memoir. His piece took my breath away. He’s<br />

a clinical neurologist telling an exquisite story <strong>of</strong> a woman who had totally<br />

lost expressive speech, told <strong>of</strong> <strong>her</strong> capacity to make a life anyway. As aphasic<br />

myself I marveled at his sensitivity to <strong>her</strong> life’s condition. His was a really<br />

good story from <strong>the</strong> outside; I thought what if she could tell <strong>the</strong> story from <strong>the</strong><br />

inside <strong>of</strong> such loss to complement his? A few weeks later I thought, maybe I<br />

can do this. So began <strong>the</strong> genesis <strong>of</strong> a five year journey to find language and<br />

memory to tell such a story <strong>of</strong> <strong>the</strong> inner experience.<br />

To speak at all was to locate <strong>the</strong> fewest words to express anything. I<br />

wanted to keep this spare language to convey <strong>the</strong> unimaginable. Digging<br />

deep, <strong>the</strong>n deeper again, I rooted into memory to illuminate for those who<br />

can’t imagine <strong>the</strong> loss <strong>of</strong> language. And I wanted to speak for those thousands<br />

who have lost language and can’t ever tell you how it is.<br />

Between 2005 and 2008 an estimated 7 million people in <strong>the</strong> US had a<br />

stroke, nearly 800 thousand people -- on average every 40 seconds. 83% <strong>of</strong><br />

those survive—most with some handicapping condition, 664 thousand people.<br />

The statistics for heart attacks are similar. Stroke, heart attack, cancer, and<br />

upper respiratory disease are <strong>the</strong> top four.<br />

These events bring a person to death or within a hair’s-breadth <strong>of</strong><br />

dying, as I was.<br />

To survive <strong>the</strong>se moments <strong>of</strong> physical-spiritual choice between life and<br />

death is pr<strong>of</strong>ound. It is also a choice point to make new life. From choosing<br />

cutting edge surgery to coping with loss <strong>of</strong> language, to making art, <strong>the</strong>re

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