These characters are deprived of agency. The means through which they perceive the world are compromised by "eyes sometimes closed, sometimes only partially articulated and occasionally simply left as a pair of gouged holes". Their hands can't make a fist, denying them the possibility to grasp anything.
The characters have no autonomy. How they observe the world is impeded by "eyes that are sometimes closed or only partly open, and at times completely absent", while their hands cannot clench into fists, preventing them from holding onto anything.