For Many With Brain Injuries, Life Is Forever Changed
Monday, October 14, 1996 - Los Angeles Times
A severe jolt to the brain can radically alter personality or even rob victims of their own feelings.
In A Split-Second
It was her only daughters wedding, and the Irvine woman, who had been so excited, so consumed with every detail, could not have cared less. Shortly before the festivities, a split-second slam into a car making an illegal left turn stole every trace of anticipation and joy. All of a sudden, it seemed like something I had no interest in, she said. All of a sudden, it was I dont care, use paper plates and plastic forks. In fact, she didnt feel like she cared about anything or anyone anymore. Three years later, she is still wondering how a traffic accident causing a brief but violent jerk to her brain, could have taken so much away from her. Once passionate about her work and family, this middle-aged woman was left feeling only frustration and loss.
Brain injuries can be like that. Sometimes they mangle you memory, sometimes your reason, and sometimes, the very feelings that define you. A severe jolt to the brain, especially to the prefrontal lobes of the cortex, can alter the personality patterns of a lifetime. Victims can be pushed to emotional extremes – to states of uncontrolled rage and sadness or to a sense of virtual disconnection from any feeling at all.
Such patients are walking examples of the brains complex-and delicate-role in human emotion. Before the advent of brain scanning, brain injury victims provided researchers with some of the most valuable information about how humans feel. Now, patients like the Irvine woman hope to benefit from what has been learned. But recovery after severe injury is rarely complete. We can help improve some problems a patient may be having, but returning to life as it was is usually very difficult, said Douglas E. Harrington, a neuropsychologist. With significant injuries, he says, it usually doesnt happen."
From what the Irvine woman has been able to piece together, her car was struck nearly head-on. Her buckled-in body was heaved between the two front seats and her brain was smashed against the insides of her skull. If she lost consciousness, it wasnt for long. At first, she was treated only for broken ribs, internal injuries and bruises. The brain injuries, later described as global by her physician, initially went unnoticed at the hospital. They left no outward sign. But inside, she was profoundly transformed. It wasnt just that she couldnt do basic math anymore or neglected to pay her bills. When her elderly mother was hospitalized in intensive care, she had to be repeatedly reminded that the older woman was ill. She could no longer sense what clients at her bustling small business wanted, or why. She forgot the troubles of her longtime friends soon after they confided in her. What she misses most is the feeling of love. She cant bring herself to tell her daughter or her parents about the loss. She has to remember to pretend I know that they love me very much and to not be able to give that back in the same way I know I think about the way it used to be, and to say that I dont remember , She breaks off, and tears fill her eyes. I feel loss for not being able to have that feeling, she said. I know that feeling was very important to me."
Im not the Same Person
Bill Sellers was the smiling parcel delivery man, reliable, not easily ruffled. For 12 years, his bosses gave him the tough jobs, knowing he could handle whatever came up. But he couldnt handle the guy who jumped him one day in an isolated corner of a company lot. His assailant, a disgruntled client, beat the deliveryman nearly senseless, pummeling him about the neck and face. Im not the same person. Sellers said. My emotions are up and down radically Not a day goes by that I dont have tears."
A brain scan two years after the beating detected abnormalities in his prefrontal lobe and temporal regions. Both are involved in the regulation of emotion. But his wife and two adolescent daughters didnt need the scan to know something was seriously amiss. Sellers, 45, gets tired and confused, and hasnt been able to return to work. But perhaps most disturbing to his family, his affable, upbeat personality has vanished. He is introverted and cries often at slight provocations. He sometimes launches unpredictably in rages. He is oddly impulsive. I always say you take your vows for better or worse, Beth Sellers said. This is the worst part. Itll get better. Her husband looks at it another way. Im just struggling to survive everyday, he said.