Life lessons learned from Rake

I was a newcomer to the television show Rake, and have only watched it a few times. I was thinking last night during a particularly poignant episode (it's the last one for the series), that there are many life lessons that can be learned from Rake, and shows like it, which I think is a big part of their appeal.

As I am a newcomer, I'm not completely across the full plotline, characters, subtleties etc., so please forgive any errors. It's not really about the show so much anyway, as about what it can teach us. There's also one correction that 'needs' to be made (we are neuropsychologists after all), to the storyline involving the witness who had sustained a brain injury after a fight with Cleaver Greene.

1. The only certainty in life is change

When I started watching the show, Cleaver Greene was recently out of gaol, had no job, no clients, and no relationship; his apartment had been taken over by his secretary, and his ex-wife was about to remarry. By the end of the series, he had rebuilt his career, retained numerous high profile clients, his ex-wife was single again, and was building what appeared to be quite a healthy relationship with a new woman. Rake takes it to extremes of course, few people's life circumstances are that dire, or change that quickly, but no matter how bad things are, take comfort in the fact that they will change.

2. The brain is an amazing organ

The storyline about Rake's ex-wife Wendy being only able to speak Bahasa following a siege where she is held hostage by her fiancé seems a bit far-fetched, but there have been other cases of individuals losing their first language (temporarily) and only being able to speak a second language following trauma. (As far as I'm aware the other known cases have been following brain trauma rather than psychological trauma, so a bit of poetic licence has been taken by the show here. Or maybe she did sustain a brain injury, I'm not sure.). It is thought that this can happen following damage sustained in the area of the brain where language knowledge is stored. The ability to speak a first language tends to be localised to an area in the left hemisphere of the brain, whereas the ability to speak a second language predominantly comes from the right hemisphere. So when trauma results in better recall of the second language, it may be that they had an injury to the left side of the brain and are better able to access the knowledge of the second language localised to the right hemisphere.

The correction...

The other reference to the human brain in this episode warrants further discussion. Cleaver manages to discredit a witness who had recently sustained a mild traumatic brain injury (mTBI) by claiming that since he had developed amnesia, they couldn't rely on his testimony about events that had occurred (as far as I'm aware) some time prior to the injury. The type of amnesia that follows a mTBI tends to be difficulty recalling events that occurred around the time of the incident. People may experience retrograde amnesia (loss of memories formed shortly before the injury, typically minutes before for a mTBI) and/or anterograde amnesia (difficulties creating new memories after the injury, e.g., remembering new appointments, learning new tasks) following a mTBI. So while it is possible that the witness would not recall that it was Cleaver who attacked him, he is however very unlikely to have difficulties recalling details of the fraudulent deal which was the subject of the court case.

3. Being genuine is endearing

Cleaver Greene is a bit of a 'Warnie' (Shane Warne) type character. No matter how badly he behaves, he always has his fair share of loyal friends and lovers, and the appeal of his character is a big part of the show's success. This is because he is genuine. While he may tell the odd lie to get out of trouble, overall with Cleaver Greene what you see is what you get: he doesn't pretend to be anyone other than who he is. Pretending to be somewhat you're not may impress people in the short-term, but real friendships and relationships are built on a foundation of being genuine.

If you'd like to know more about traumatic brain injury, mental health issues, assessment of brain injury or illness or rehabilitation following brain injury, please contact the team at ANTS.

World focuses attention on tragic outcomes of road traffic accidents

The ‘Pinky Ad’ and Road Safety

Who could forget those ads that ran on Australian television a few years ago about young male drivers – the ones with the pinky finger that targeted risky driving in young males by implying that speeding is linked to an inferiority complex to do with, let’s just say, an aspect of the male anatomy.
While the approach was light-hearted (if a bit sexist!), the subject matter is not. Road accidents are the leading killer of people aged between 15 to 29 years. Globally 1.3 million people die each year on the roads and between 20 and 50 million people sustain non-fatal injuries. It is projected that based on current rates, if no action is taken, road accidents will result in 1.9 million deaths by 2020.
Now the world is collectively sitting up and taking notice.

Global Decade of Action for Road Safety

May 11 marked the beginning of the global Decade of Action for Road Safety 2011-2020. The aim of the ‘Decade’ is to prevent death and injury from road traffic events. At least 20 countries, including Australia, are involved in the Decade, their governments having committed to improving safety management and enhancing health and related services.

Road Accidents and Traumatic Brain Injury

One of the most tragic outcomes of road accidents is Traumatic Brain Injury (TBI). TBI is an acquired brain injury caused by physical damage to the brain, either as a result of an external force striking the head or the brain impacting with the skull. The force causes the brain to move within the skull, causing internal damage.
There are different levels of severity raging from mild to extremely severe which are determined by factors including recall of events before and after the incident and level of coma. The more severe the TBI, the poorer the prognosis.
Cognitive and psychological outcomes can include memory difficulties, difficulties with higher level thinking skills (e.g. planning/organisation), slowed speed of information processing, mood and personality change, depression and anxiety.
A 2008 report by the Australian Institute of Health and Welfare and the Research Centre for Injury Studies found that there were more than 22,700 hospitalisations involving TBI in Australia in 2004-05. After falls, transportation use was the second highest external cause of TBI, at 31% of all cases, which represented over 7,000 people.
Nearly 70% of the cases were males, who acquired TBI at more than twice the rate of females.

TBI and Clinical Neuropsychology

While the main aim of the Decade is to prevent TBI, another important aim is to improve management of and services for those who experience a TBI. Clinical neuropsychology is critical in the assessment and rehabilitation of TBI. A neuropsychological assessment can provide detailed information on the impact of the TBI on various aspects of cognition (thinking skills) and expert advice regarding the trajectory of brain recovery and remediation/rehabilitation strategies to allow for the best possible outcome.
If you or someone you know has had a TBI and would like more information on our assessment and rehabilitation services, please contact us.
And please slow down on our roads over this holiday period.