Beside Oneself with Rage: The Doubled Self as Metaphor in a Narrative of Brain Injury with Emotional Dysregulation
People narrating the experience of dysregulated anger after a brain injury call upon metaphor in patterned ways to help them make sense of their situation. Here, I analyze the use of the metaphor of the doubled self in a personal narrative of brain injury, and I situate this metaphor in its cultural history by analyzing Dr Jekyll and Mr Hyde and The Incredible Hulk as landmark moments in its development. A pattern of thought reflecting Seneca’s philosophy on the incompatibility of anger with rational selfhood emerges. I discuss implications for the way we care for people struggling with post-brain-injury anger.
KeywordsBrain injury Emotion Metaphor Narrative Identity
This material is based upon work supported by the National Science Foundation under Grant Number DGE-0937373. I thank the authors of the memoirs cited here for their openness in publishing their narratives. I have been fortunate to have the guidance of Joanna Kempner, Allan Horwitz, Eviatar Zerubavel, and Judy Gerson on the larger project of which this paper is a part, and valuable feedback on key stages of the larger project from Sara Rubin, Phaedra Daipha, the participants in Dr. Daipha’s spring 2014 methods workshop, and the participants in the 2017-2018 Rutgers Center for Cultural Analysis seminar on the medical humanities, directed by Ann Jurecic and Susan Sidlauskas. I am grateful to the editors and anonymous reviewers of this journal for their close reading and insightful advice. I thank Jan Verstraete for his constant support, perceptive commentary on drafts of this paper, and wise counsel in navigating every stage of the project.
1Future research might inquire into the possibility that certain prototypical metaphors correspond with injury-related variables, and that these correspondences might have diagnostic value. The metaphors most commonly used to describe anger resulting from disinhibition, for instance, might differ from those most commonly used to describe anger resulting from the frustrations of recovery.
- Cromer, Janet M. 2010. Professor Cromer Learns to Read: A Couple’s New Life after Brain Injury. Bloomington, IN: AuthorHouse. Kindle edition.Google Scholar
- David, Peter (w), Dale Keown (p), and Bob McLeod (i). 1991. “Honey, I Shrunk the Hulk.” The New Incredible Hulk Vol. 1, No. 377, January. New York: Marvel Comics. Accessed July 30, 2017. http://readcomiconline.to/Comic/The-Incredible-Hulk-1968/Issue-377.
- Flutur, Randal H. 2013. The Stranger Inside of Me. Bloomington, IN: AuthorHouse. Kindle edition.Google Scholar
- Inside Out. 2015. Produced by Pixar Animation Studios. Released by Walt Disney Pictures.Google Scholar
- Johnson, Terry Ann. 2011. The Unbearable Truth of Reality: Life after Head Injury. Self-Published, CreateSpace Independent Publishing. Kindle edition.Google Scholar
- Kirmayer, Laurence J. 2000. “Broken Narratives: Clinical Encounters and the Poetics of Experience.” In Narrative and the Cultural Construction of Illness and Healing, edited by Cheryl Mattingly and Linda C. Garro, 153-181. Berkeley and Los Angeles: University of California Press.Google Scholar
- Lakoff, George and Mark Johnson. 1980. Metaphors We Live By. Chicago: University of Chicago Press.Google Scholar
- Lee, Stan (w), Jack Kirby (p), and Paul Reinman (i).  2003. “The Incredible Hulk: #1.” In Marvel Encyclopedia Vol. 3: The Incredible Hulk, edited by Kit Kiefer, 49-73. New York: Marvel Comics.Google Scholar
- Mantlo, Bill (w), Mike Mignola (p), and Gerry Talaoc (i). 1985. “Monster.” The Incredible Hulk Volume 1, No. 312, October. New York: Marvel Comics Group. Accessed July 30, 2017. http://readcomiconline.to/Comic/The-Incredible-Hulk-1968/Issue-312?id=18707#1.
- Mattingly, Cheryl. 2000. “Emergent Narratives.” In Narrative and the Cultural Construction of Illness and Healing, edited by Cheryl Mattingly and Linda C. Garro, 181-211. Berkeley and Los Angeles: University of California Press.Google Scholar
- Miller, Laurence. 1990. “Major Syndromes of Aggressive Behavior Following Head Injury: An Introduction to Evaluation and Treatment.” Cognitive Rehabilitation 8 (6): 14-19.Google Scholar
- Nussbaum, Martha C. 1994. The Therapy of Desire: Theory and Practice in Hellenistic Ethics. Princeton, NJ: Princeton University Press.Google Scholar
- Rizzo, John Kennedy. 2016. Rising from Hell: It Is in the Darkest of Nights That We See the Stars. Self-Published, Amazon Digital Services. Kindle edition.Google Scholar
- Seneca, Lucius Annaeus. 1928 (translation). “On Anger.” In Moral Essays, Volume 1, translated by John W. Basore. London: W. Heinemann. Accessed July 30, 2017. http://www.sophia-project.org/uploads/1/3/9/5/13955288/seneca_anger.pdf.
- Skelton, John R., Andy M. Wearn, and F.D. Richard Hobbs. 2002. “A Concordance-Based Study of Metaphoric Expressions Used by General Practitioners and Patients in Consultation.” British Journal of General Practice 52 (475): 114–118.Google Scholar
- Sontag, Susan. 2001. Illness as Metaphor and AIDS and Its Metaphors. New York: Picador USA.Google Scholar
- Stearns, Peter N. 1994. American Cool: Constructing a Twentieth-Century Emotional Style. New York: NYU Press.Google Scholar
- Stevenson, Robert Louis. 1886. Strange Case of Dr Jekyll and Mr Hyde. London: Longmans, Green, and Co. Accessed July 9, 2017. https://babel.hathitrust.org/cgi/pt?id=hvd.hwp4xp;view=1up;seq=5.Google Scholar
- Tilly, Charles. 2002. Stories, Identities, and Political Change. Lanham, MD: Rowman & Littlefield.Google Scholar
- Virgin, J. J. 2017. Miracle Mindset: A Mother, Her Son, and Life’s Hardest Lessons. New York: North Star Way. Kindle edition.Google Scholar