56 pages 1-hour read

Brain Damage

Fiction | Novel | Adult | Published in 2016

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Symbols & Motifs

Content Warning: This section of the guide contains discussion of graphic violence, physical abuse, and emotional abuse.

Left-Side Neglect

Charly’s experience of left-side neglect (a form of hemispatial neglect) is a recurring motif that the novel uses as a metaphor for one of its central themes: The Fragility of Perception and Reality. This neurological condition, in which she’s unaware of anything on her left side, transcends a mere physical symptom to represent the incomplete nature of memory, truth, and identity after trauma. Her perception isn’t just impaired; it’s a fundamentally unreliable construct, making her vulnerable to both self-deception and external manipulation. The left side is a literal and figurative blind spot where the truth of her attack is hidden. This is most evident in her recurring dream of the shooting, in which she can see the right side of her apartment clearly but notes, “I can’t see who’s making the footsteps coming from my left side” (33). This void in her perception perfectly mirrors the gap in her memory of the event.


In addition, this motif thematically illuminates The Dangers of Misplaced Trust, as Charly’s fractured reality is the very weakness Clark exploits. Her inability to see the full picture makes her susceptible to his gaslighting. The novel reveals the limitations of her perception in mundane but significant ways, such as her inability to see all the food on her meal tray until someone turns it. When she finally begins to perceive her left side again, first with the help of prism glasses and then through neurological recovery, the breakthrough symbolizes her journey toward a more complete and authentic understanding of her life. Her improving awareness of physical space parallels her growing knowledge of Clark’s deception, suggesting that healing is a process of reclaiming not just physical function but a complete, unadulterated perception of one’s reality.

The Helmet

A physical symbol in the novel is the large, cumbersome helmet that Charly must wear after her injury to protect her brain because part of her skull was removed. Aligning with the themes of Reconstructing Identity After Trauma and The Dangers of Misplaced Trust, the helmet becomes the most visible marker of Charly’s new, fractured identity, replacing her former identity as a competent doctor with that of a dependent patient. Both a necessary shield and a confining prison, the helmet represents the duality of her recovery process. It protects her from physical harm but also isolates her, becoming the defining feature by which others see her. Jamie’s nickname for her, “Helmet Girl,” suggests that her injury is her entire being, illustrating how trauma can erase a person’s past identity in others’ eyes.


The helmet symbolizes Charly’s vulnerability and the loss of her former self. When she tries to scratch an itch on her scalp, she’s reminded, “You don’t have any skull under there!” (44), a stark declaration of her fragility. While the helmet protects this vulnerability, it’s uncomfortable, hot, and an emblem of her dependence. The act of taking it off for Jamie is a pivotal moment of trust and intimacy, a conscious choice to reveal the true depth of her wound to someone she’s beginning to trust. This contrasts sharply with Clark’s insensitive reaction of disgust upon seeing her without it. The eventual surgery to replace her skull and remove the need for the helmet represents a crucial step in reconstructing her identity, moving from a damaged and protected state toward a new, integrated, and resilient one.

The Gun

Initially introduced as an instrument of safety, the gun symbolizes betrayal and the deceptive nature of security, directly illuminating The Dangers of Misplaced Trust as a theme. Clark buys the gun, ostensibly for Charly’s protection, after she receives a threatening letter. He frames the purchase as a gesture of care: “Well, you seemed so worried […] I thought this would reassure you. To have some protection in the house” (240). His mock concern is a masterful piece of manipulation, as he’s conspiring with the man who sent the letter. The gun’s symbolism is therefore deeply ironic; presented as a shield against an external threat, it’s the chosen weapon for an internal one, perfectly representing Clark’s duplicity, in which he projects the appearance of love and protection to mask his predatory intent.


The gun symbolizes the violent truth hidden beneath the surface of Charly’s marriage. While other deceptions exist, such as the fake diamond ring that represents the fraudulent foundation of their union, the gun is the most and consequential symbol of Clark’s treachery. The totality of his exploitation is evident in the facts that it’s Charly’s gun, that Clark purchased it for her with her money, and that he then uses it in an attempt to murder her for the rest of her money. The weapon isn’t a random object but a carefully chosen tool in his plot, making its presence in her home a constant, tangible reminder of her misplaced trust. The greatest danger to Charly wasn’t a random burglar but the intimate partner she allowed into her life, turning the concept of home safety into a tragic paradox.

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