Awakenings (1990)
- Soames Inscker
- Jul 27
- 4 min read

Awakenings, directed by Penny Marshall and released in 1990, is a deeply moving and quietly powerful film based on the true story of Dr. Oliver Sacks. Adapted from Sacks’ 1973 memoir of the same name, the film explores the fragility and resilience of the human spirit through the lens of medicine, memory, and human connection. It is a story of miraculous awakenings — both literal and metaphorical — and one of the most affecting medical dramas ever brought to the screen.
Plot Overview
Set in a Bronx psychiatric hospital in the late 1960s, Awakenings follows Dr. Malcolm Sayer (Robin Williams), a shy, reclusive neurologist based on Oliver Sacks, who takes a post at the hospital despite having little experience with human patients. There, he encounters a group of catatonic individuals who survived the encephalitis lethargica epidemic of the 1920s. These patients are alive but locked in a state of unresponsiveness — physically frozen, mute, and seemingly unreachable.
Driven by a gentle curiosity and genuine compassion, Sayer begins to search for a way to reach them. His attention becomes focused on Leonard Lowe (Robert De Niro), a patient who was struck by the illness in childhood and has spent decades in a catatonic state. Sayer experiments with the drug L-Dopa, a new treatment for Parkinson’s disease, and the results are astonishing: Leonard "awakens" — not only physically, but intellectually and emotionally.
As Leonard begins to experience life for the first time in decades, Sayer administers the drug to other patients, sparking a short-lived but miraculous renaissance within the ward. However, the triumph is bittersweet, as the effects of the drug begin to fade, and the patients gradually return to their frozen states.
Themes and Emotional Core
At its heart, Awakenings is a film about what it means to be alive. It explores the value of human experience, the fleeting nature of joy, and the courage required to face mortality and loss. The film gently raises existential questions: What makes a life worth living? Is the briefest taste of freedom better than none at all?
Leonard's awakening is not just physical, but emotional — he yearns for independence, connection, and love. His hunger for life is poignant, especially knowing it is short-lived. In contrast, Sayer’s arc is more internal: through his patients, he learns to embrace vulnerability, spontaneity, and emotion. The two men represent different sides of the human condition — one locked away too long, desperate to live; the other living too carefully, afraid to feel.
The film also explores the ethics of medical intervention. The brief success of L-Dopa raises uncomfortable questions: Was it right to awaken the patients only for them to suffer again? But the film never preaches; it simply presents human moments, tender and real, and lets the viewer reflect.
Performances

Robin Williams gives one of the most restrained and deeply felt performances of his career. Eschewing his manic energy for quiet empathy, Williams embodies Dr. Sayer with a gentle awkwardness and emotional depth. His performance is both understated and quietly devastating, especially as he becomes more emotionally entangled with his patients and their brief flowering.
Robert De Niro is extraordinary as Leonard. He captures both the physical challenges of Leonard’s condition and the emotional turbulence of a man waking up to life after 30 years of dormancy. De Niro’s performance is all the more remarkable for its sensitivity — he plays Leonard with dignity, curiosity, frustration, and fleeting joy. His portrayal of Leonard’s regression is particularly heartbreaking, revealing the depths of the character’s interior life even as his body begins to fail him again.
The supporting cast adds further warmth and dimension, particularly Julie Kavner as Eleanor, a nurse who offers quiet support, and Penelope Ann Miller as Paula, a young woman Leonard becomes fascinated with. Their scenes — tender, awkward, filled with longing — add another layer of humanity to Leonard’s journey.
Direction and Style
Penny Marshall directs with remarkable grace and restraint. There’s a quiet dignity to her storytelling that allows the characters to breathe and the emotional beats to land without melodrama. She resists the temptation to sensationalize the medical drama, instead focusing on small, humane moments — a handshake, a smile, a dance.
The film’s muted colour palette and gentle score (by Randy Newman) reinforce the melancholy beauty of the story. The cinematography is subtle, often framing patients in still, painterly compositions that contrast with the bursts of life that emerge as the drug begins to work.
Marshall’s direction is empathetic and wise — she makes the hospital setting feel lived-in and real, never sterile or overly dramatised, and captures the intimate relationships between doctors, patients, and families with warmth and emotional intelligence.
Legacy and Reception
Upon release, Awakenings was a critical success and was nominated for three Academy Awards: Best Picture, Best Actor (Robert De Niro), and Best Adapted Screenplay. While it didn’t win, its impact has endured. The film remains one of the most compassionate and intelligent portrayals of the medical profession in cinema — not just as science, but as a deeply human pursuit.

Its influence is subtle but lasting: it has been used in medical ethics discussions, in psychology and neurology classrooms, and continues to be rediscovered by audiences seeking emotionally authentic storytelling. It also marks one of the high points in the careers of both Williams and De Niro, demonstrating their range and humanity.
Final Thoughts
Awakenings is a profound film — a quiet miracle in itself. It eschews sentimentality in favour of emotional honesty, and in doing so, delivers one of the most touching stories ever adapted to the screen. It's a film about second chances, the pain of impermanence, and the enduring value of connection. There are no easy answers here — just beautiful questions.
Rating:
A quietly luminous and deeply affecting film, Awakenings is a masterclass in compassionate storytelling, anchored by two towering performances and directed with grace and empathy. A must-watch for those who seek meaning in the everyday miracle of life.
