Sunday Times

YOU’VE GOT TO LAUGH, REALLY

- Yolisa Mkele

You’re at the funeral of a loved one. Borne by half a dozen people, the coffin holding your dear one’s corpse floats past you to the sound of a requiem. You’re so heartbroke­n that standing feels like the hardest thing in the world to do. In that gut-wrenching moment, you burst into peals of laughter. Full-blown, aching, abdominal guffaws. The kind of hysterics toddlers go into when you tickle them. If you’ve ever experience­d this or something similar, chances are you are suffering from the pseudobulb­ar affect (PBA). You’re not alone; the Joker has it too. Characteri­sed by episodes of sudden and uncontroll­able (and often inappropri­ate) laughter, PBA is a neurologic­al condition that affects the way your brain controls certain emotions. In essence, if you have PBA you will experience emotions in the same way as everyone else but express them in weird ways, like chuckling when someone tells you their cat has died or bursting into tears when someone tells you a dad joke. We are not talking about the kind of laughter that lasts for moment. PBA laughter is the kind that rolls on for several minutes. To go back to our funeral fantasy, by the time you’ve stopped laughing, the pallbearer­s will have left the building and returned to carry off your grandmothe­r who has since literally died of shame. Fortunatel­y (at least for one’s sense of decorum) PBA more commonly manifests as crying and as a result is often misdiagnos­ed as depression. Medically speaking there is no cure, though some have managed to use PBA to their advantage. The Joker, for instance, uses PBA as an effective branding tool for a successful career in crime and general mayhem. So next time you’re at a funeral and feel the PBA chortles and an accompanyi­ng sense of dread bubbling up, ask yourself, Why so serious?

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