In space, no one can hear you dream

SECOND OPINION : The latest Alien blockbuster is an existential exploration

SECOND OPINION: The latest Alien blockbuster is an existential exploration

SWITCHING OFF can be hard in medicine. No matter where one turns, the observational reflex kicks in, prompted by an unusual gait, a tinge of jaundice or a tremor in the hand. And we can run but they won’t hide, as I found out at a late night outing to Prometheus, the latest instalment of the Alien movie series.

Surely this was the antidote to a hectic week in the hospital, a blissful 140 minutes of escapism immersed in the first mega-movie of the summer.

Yet within minutes, despite being now many billions of miles from Earth, we were so bombarded by medical and ethical themes that I began to feel like Ripley confronted by yet another alien.

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Infertility, surgical robotics, chimerism (the mixing of species), life extension and existential inquiry followed each other in a dizzying sequence, but with a light touch and a smart script that was entertaining, thought-provoking and suspense-filled by turn.

In an updating of Chariots of the Gods, a dippy but popular book from the 1960s relating cave paintings and phenomena such as the Nazca lines in Peru to a theory that aliens gave us technologies and religion, we are on an expedition to find an alien source of human life. In other references to the 1960s, the eerie android David, tending the crew in deep sleep for the long journey – as in 2001, A Space Odyssey – models himself on Peter O’Toole in Lawrence of Arabia, even dyeing his hair blonde while monitoring their dreams.

Having arrived at the alien planet, David conspires to impregnate the heretofore infertile heroine with an alien, and her horrified recourse to the robotic surgery machine is droll and brilliantly executed. She keys in a request for a Caesarean section: it signals back that it is only programmed for men. In perhaps the most accurate use of the phrase in cinematic history, she quickly keys in “removal of foreign body”. She hops on the table and scanning, incising, removal of the squid-like alien with an ironically obstetrical forceps, and stapling of the incision follow in a brilliantly choreographed and tense sequence. A delightful coda is provided by David who meets her, bloodied and exhausted, and drily observes: “I didn’t know you had it in you.”

The essence of the film is that members of an alien civilisation, known as the Engineers, have indeed created human life in one of their many forays to Earth, but have now been hoist on a petard of their own making. All but one have perished due to a biological warfare agent (a suitably revolting squid/snake) they were due to bring to Earth.

A counter-plot arises when it transpires that the sponsor of the humans’ expedition is an ageing industrialist, hoping to gain longevity from the secrets of the Engineers and manipulating events through David.

Predictable mayhem ensues: the aged industrialist discovers the meaning of hubris in a suitably graphic manner, and the last surviving Engineer and the biological agent fuse to form a novel being – the eponymous alien of the sequels.

But it is in prompting reflections of our origins that the film transcends its thriller genre and, despite the hokum, we leave the cinema reflecting on the existential. Through the leitmotif generated by David in a line from Lawrence of Arabia: “In the desert is nothing, and no man needs nothing,” we find that an unremitting faith in science and the mechanistic fails virtually everyone (and every species) in the film.

Yet David is clearly ill at ease with the heroine’s dreams of childhood with her missionary father as well as her wearing a cross on a chain, which he removes. In the final scene, before heading off as the sole survivor to find the Engineers’ planet, she retrieves her cross, a surprising gesture from the director Ridley Scott, on record as regarding organised religion as a great evil.

But perhaps what he is signalling is the universality of our innate spirituality, regardless of religion, the elements of which have been described as hope, the search for meaning and a relationship with a higher force, whether nature or a God. William Blake may have found Heaven in a flower, but Scott has subtly teased out human spirituality in an unthreatening and thought-provoking way in a summer blockbuster.


A version of this column originally appeared as a BMJ blog


Prof Des O’Neill is a consultant in geriatric and stroke medicine