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Self-mutilation, obsessionality and narcissism.
A controlled study of the clinical and biographical features of 22 female repeated self-cutters is described. The results of the assessment of these patients, using the Middlesex Hospital Questionnaire and the Obsessive-Compulsive section of the Tavistock Inventory, is presented. The marked obsessionality of these patients is emphasized and the possible implications of these findings for treatment is discussed.
Suicide gestures and self-mutilation.
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Self-mutilation in Soviet prisons.
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Self-mutilation.
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Dysorexia and self-mutilation.
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[Behavioral analysis and methods of intervention in self mutilation behavior].
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[Internal disease symptoms through self mutilation].
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[A case of encephalopathy with Tourette's ticks, anancastic syndrome and impulsive tendencies of self-mutilation].
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The art of self-mutilation. II. Delusions of parasitosis.
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[Does self mutilation make any sense?].
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More on self-mutilative behavior in horses.
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More on self-mutilative behavior in horses.
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Problem behavior in dogs. Self-mutilation.
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Self-mutilation behaviour in Lesch-Nyhan syndrome.
Lesch-Nyhan syndrome (LNS), first described in 1964 by Lesch and Nyhan, is a rare X-linked genetic disorder involving (near) absence of the enzyme hypoxanthine-guanine phosphoribosyl transferase (HPRT). It occurs in 1:100,000 to 380,000 live births (1, 2). The deficiency of HPRT activity leads to an excessive uric acid production resulting in neurological, renal and musculoskeletal manifestations. Death usually occurs in the second or third decade from infection or renal failure. Clinical presentation is characterized by mental retardation, choreoathetosis, spasticity, hyperuricemia and cerebral palsy. A characteristic feature of LNS is the appearance of intractable self-injurious behaviour (SIB), usually in the form of severe lip and finger biting, gouging of eyes, face scratching and head banging requiring extreme management techniques such as the application of restraints and or extraction of teeth at an early age. In this case report a unique approach of SIB in LNS is presented.
Oedipism reviewed: a case of bilateral ocular self-mutilation.
A 26-year-old Negro male schizophrenic is described with severe bilateral orbital injuries following attempted self-enucleation. Owing to his psychosis there was difficulty in obtaining a visual acuity and in establishing the cause of his fixed, dilated pupils. ACT scan showed bilateral orbital oedema, with surgical emphysema and haemorrhage. The visual evoked potential (VEP) was present in the right eye but absent in the left. High doses of systemic steroids effected rapid resolution of the orbital swelling and recovery of the vision in the right eye. The effects of self-inflicted injury to the orbital content and the value of sophisticated investigation in this unusual case are discussed.