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At least 253 records · Page 14Linked to original sources
PubMed1999

The self-mutilative nature of severe onychophagia: a comparison with self-cutting.

OBJECTIVE: To investigate the psychophysiological pattern associated with severe and mild onychophagia, and to compare this pattern with that demonstrated by previous research on self-cutting. METHOD: Comparisons between the psychophysiological responses accompanying 3 behaviours were made using a guided imagery methodology. Imagery of nail-related, skin-cutting, and neutral events were presented in 4 stages. RESULTS: Experiment I distinguished participants exhibiting severe and mild onychophagia by the severity and frequency of nail-biting and by the pattern of psychophysiological response across the stages. Experiment II indicated that the change in psychophysiological arousal accompanying severe onychophagia was not as dramatic as that demonstrated for skin-cutting. The behaviour seems to be less effective in reducing tension. CONCLUSION: Severe onychophagia appears to manage the level of tension experienced by an individual, instead of dramatically reducing it in times of crisis. Such a process is consistent with that demonstrated in individuals with obsessive-compulsive disorder.

Adult↗
PubMed1989

[Self-mutilation with a coumarin derivative].

The experiment of a self-injury by permanent intoxication with the coumarin derivative Warfarin is described. Various isolated haemostatic defects as differential-diagnostically demarcated causes for the leading symptom decrease of the value of the thromboplastin time which concern the effect of coumarin are mentioned. It is referred to the coagulation-analytic and chemical-toxic methods of proof of coumarins.

Adult↗
PubMed1977

Updating acute intermittent porphyria: a case of self-mutilation.

Acute intermittent porphyria (AIP) as a precipitant of self-multilation in inmates, has not been documented. This case illustrates how AIP can go undiagnosed unless there is a high index of suspicion of this disease in the psychiatric patient, with persistent abdominal pains. This case illustrates the need to take seriously, the complaints of psychiatric patients, especially toxic-like symptoms, increasing paralysis, and abdominal pains. Perhaps acute intermittent prophyria has not been given the necessary attention in the literature which accounts for our failure to develop specific treatment methods.

Acute Disease↗
PubMed1998

Self-mutilation, substance abuse, and the psychoanalytic approach: four cases.

While self-injury and substance abuse are difficult symptoms for both analyst and patient to cope with, and relapses are frequent, the emphasis does not have to be on managing crisis. The initial ego support and therapeutic boundary setting in these difficult cases must be matched by psychoanalytic exploration. In working with these patients, I find that, through mutual projective identification processes, the analyst and the patient are frequently resurrecting certain aspects of the patient's archaic phantasy life as defined by various self and object representations. Therefore, the continuous analysis of the transference and the countertransference is certainly essential. However, the additional willingness on the part of the analyst and the patient to explore the frequent and mutual interpersonal/intrapsychic acting out is paramount.

Adult↗
PubMed2003

Self-mutilation: a spiritual endeavor.

This article explores the phenomenon of self-mutilatory behaviors among practitioners both today and throughout history with the intent of exposing what the author finds to be a radical correlation between mental illness and spirituality. It is the author's belief that today's strong focus on the biology of mental illness, though essential, will extend us only so far in our comprehension of mental pathology; and that an investigation into the spiritual needs of humankind may serve to round out our understanding.

Christianity↗
PubMed1997

Patient self-mutilation: when nursing becomes a nightmare.

1. Patients who demonstrate self-wounding behaviour require behavioral, pharmacological, and psychotherapeutic interventions to meet their highly complex needs. 2. Nurses caring for patients who wound themselves will experience frustration related to the safety needs of the patients and guilt whenever an injury occurs. 3. Staff members managing the patient who wounds himself or herself need administrative support, education, and counseling to relieve guilt, personal and professional conflict, and stress.

Adaptation, Psychological↗