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Jim was suffering from a rare disorder called abulia, which is Greek for “an absence of will.”31 Patients who suffer from abulia can respond to questions and perform specific tasks if prompted, but they have difficulty spontaneously initiating motivations, emotions, and thoughts. A severely abulic patient seated in a bare room by himself will remain immobile until someone enters the room. If asked what he was thinking or feeling, he’ll reply, “Nothing.” Needless to say, abulic patients have little motivation to eat. Abulia is typically associated with damage to the basal ganglia and related
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