"You've all
heard of the world's angriest man, no doubt. And we all have met
extremely angry men, usually middle aged with drinking problems. But the
case we're going to study over these next few weeks, is, well, unlike
anything you can imagine." Professor Browning Dealey was the
professor of psychology at Unkile University, and was addressing his third year
psychology students.
"This case is
about an eleven year old girl, we'll call Elaine. Literally from birth,
Elaine was angry. And her anger typically manifested itself in
violence." Her parents brought her
to me after several years of painful, embarrassing and even dangerous
situations. The final straw, for them,
was when Elaine killed their cat, during one of her fits of rage. It is unfortunate that they allowed the
situation to progress to such a place.
The three of them
arrived to my office and our initial dialogue was pleasant enough and she
seemed like a fairly typical child. I
instructed the little girl in how to see anger as a tiger attacking her and she
could run away from it instead of allowing it to control her. I then initiated a test situation to
instigate some anger, but, oddly enough, the anger passed as quickly as it
arose. The transition was patently visible and a great relief to everyone
present. My only words to Elaine were, "That's good Elaine, well
done." The interview finished without further incident and the family
left. I was intrigued and deeply troubled. I did hope that her parents would see that
her anger was a choice and she could overcome it with help and direction.
The next time I
saw Elaine was a week later, immediately following a telephone call from the
police. Elaine had undergone an episode, but this time, she was at the
grocery store with her mother. The checker had failed to offer young
Elaine a sticker upon checkout. Elaine exploded and the police were
called, but not before Elaine attacked the checker, the bag boy and the
manager. The bag boy fared the worst, with a broken nose.
My support in the
situation consisted of a professional diagnosis and a lengthy discussion with
the parents. Questions of demon possession, chemical imbalance and
genetic disposition all came up. Often times, these kinds of
"answers" only result in the patient being seen as a victim and not
responsible for her actions. The only viable option among these three was
that of genetic disposition, which I leaned towards, but only on the grounds of
responsibility. In other words, it very well could be that Elaine is
predisposed towards anger, but this does not excuse her for her actions.
I told the parents that Elaine needed to make a choice each time. Their
responsibility lies in directing her to make that conscious choice each
time. She must not see herself as a victim.
Unfortunately,
they disagreed with me. The last time I heard anything from the family
was last fall. Elaine had been to every "expert" including
priests, witch doctors, Faith healers and hypnotists. Nothing had worked
and Elaine spent six months as a patient at Western State, regularly drifting
from stability to psychosis and back, only to return to the same situation at
home. Her parents refused to see Elaine as having any responsibility for her
actions. In short, they did exactly the opposite of what I recommended.
Sadly enough,
there is no happy end to this story. Elaine would be eighteen this
year. I say would be because at the age of sixteen, Elaine ran away and
disappeared. Her parents received no word from her and exhausted all
possible avenues for finding her. Her body was found in the woods outside
of town, apparently bludgeoned to death. I would guess the assault was a
response to Elaine's explosive anger.
Dr. Dealey paused
and looked out upon the faces of his students. The faces displayed a
combination of horror and disbelief. "I want to open the floor for
discussion. Does anyone have any ideas on how this case could have been
handled differently?"