When British lieutenant Charles Acland returns home from Iraq, his serious head injuries are the outward manifestation of a profound inner change: he may be suffering from post-traumatic stress disorder, or it may be, as his psychiatrist suggests, “the prolonged destruction of a personality.”Though previously well adjusted and known as an extrovert, Acland now withdraws into himself. As he begins his recovery in a dismal provincial hospital, crippled by migraines and suspicious of his doctors, he grows uncharacteristically aggressive—particularly against women, and most particularly against his ex-fiancée. Finally, rejecting medical advice to undergo cosmetic surgery—opting, instead, to accept his disfigurement—and cutting all ties to his former life, he moves to London.