K-Pax
Gene Brewer
Bloomsbury, 2002, £6.99
ISBN 0 747 52547 1
Rating: ***
Kevin Spacey and Jeff Bridges are gracing cinema screens at the moment in the
Hollywood success K-Pax. But many wont be aware
that the film is actually an adaptation of a novel by Gene
Brewer.
Insanity and aliens, two
staple themes of modern science fiction, form the heart of
Brewers story. The plot of K-Pax centres around
meetings between Protan enigmatic patient undergoing psychiatric
treatment at the Manhattan Institute of Psychiatrywho believes
he is an alien from the planet K-Paxand his psychiatrist,
Dr Brewerno, not the
author.
Initially, Prot appears
deluded and psychotic. But, as the plot develops, the readers
certainty that Prot is not an extraterrestrial is gradually eroded as
it becomes apparent that K-Pax is a real planet and that Prot
has unusual physical attributes, such as being able to see ultraviolet
light. Dr Brewer, never wavers, however, theorising that Prots
dense, complex delusions are the result of a split personality disorder
precipitated by an uncommonly traumatic life
event.
When Prot announces that he
is to return to K-Pax on a beam of light, and
names a date for doing so, Prots psychiatrist fears that he will
lapse into a catatonic state, unless he can bring him back to reality
before this date. A race against time ensues, as Dr Brewer attempts to
uncover Prots true pasthoping that this information will
bring Prot back to the real worldbefore it is time for Prot to
leave.
K-Pax is an entertaining read, but
certain aspects of the novel will doubtless irritate many. For example,
the way Brewer uses the Utopian society of K-Pax to illustrate
the fallacies and brutalities of human nature is obvious and somewhat
clumsy, often descending into clichés.
Brewers treatment of neuropsychiatric illness
is disappointing. K-Pax is clearly influenced by
Sackss classic The Man who Mistook his Wife for a Hat,
but, in comparison, comes across as slow witted.
K-Pax presents serious neurological or
psychiatric illnesses as disorders that are simply a result of abnormal
thought processes, rather than solid, organic disorders.
Despite being written to entertain, K-Pax has the
potential to reinforce the misconceptions and misinformation
surrounding psychiatric
disorders.
Alisdair McNeill, third year medical student, University of Edinburgh
Email: 9809172@sms.ed.ec.uk
studentBMJ 2002;10:171-214 June ISSN 0966-6494