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At least 1,261 records · Page 70Linked to original sources
PubMed1992

Personality disorder and self-wounding.

At least 1 in 600 adults wound themselves sufficiently to need hospital treatment. More men than women do it, although more women receive psychological treatment. Many have a history of sexual or physical abuse. Self-wounding differs from other self-harm in being aimed neither at mutilation nor at death. Self-wounding coerces others and relieves personal distress. Repeated self-wounding is one criterion of borderline personality disorder but we prefer to consider it an 'addictive' behaviour rather than an expression of a wider disorder. Psychological management may need to be augmented by drug or social treatment. Carers, including professional carers, usually need help to contain the turbulence that self-wounding produces.

Combined Modality Therapy↗
PubMed1986

[Loss of digital tissues and carpal canal syndrome. Apropos of 3 cases].

We have observed three cases of carpal tunnel syndrome (CTS) complicated by cutaneous ulcerations and acroosteolysis. Although our first patient had a mild case of CTS, he had a concomitant amphetamine addition. This led to a mania for gnawing away at the digits in the territory of the median nerve. Our other two patients had severe cases of CTS. One suffered from diabetes and the other from primary amyloidosis. Surgical decompression of the median nerve was carried out in these two cases and led to rapid healing of the cutaneous lesions. The latter patients suffered from the entity known in the french literature as carpal tunnel "ulcero-mutilating" (ulcero-osteolytic CTS). This paper discusses possible mechanisms for its pathogenesis. In one of our cases, for example, we were struck by the role played by the patient's behavioral habits whether it be conscious or subconscious in the self-perpetration of the cutaneous and osseous lesions.

Amyloidosis↗
PubMed1993

A tooth ablation custom occurring in the Maldives.

Not many people would willingly have their teeth drastically filed, ground, chipped away, or even extracted without the use of an anaesthetic. Even fewer would consent to the treatment if the teeth to be involved were the upper incisors and were entirely healthy. The practice of tooth mutilation or ablation has, however, been carried out worldwide since prehistoric times.

Areca↗
PubMed1983

RituaL mutilation. Subincision of the penis among Australian Aborigines.

Subincision of the penis is a traditional ritual mutilation unique to the Aborigines, the indigenous people of Australia. The mutilation is a urethrotomy in which the undersurface of the penis is incised and the urethra slit open lengthwise. Subincision is one element in the initiation of Aboriginal youths. In later ceremonies, repeated throughout adult life, the subincised penis is used as a site for ritual bloodletting. There also exists a ritual of penis holding which occurs when a subincised man enters a strange camp. The origin of subincision and the reason for its localization to the Australian continent has not been satisfactorily explained. The mutilation is still performed among tribal Aborigines, and identifies a man as holding a position of status within the tribe.

Australia↗
PubMed1992

Tooth mutilation in Angola.

In common with many countries throughout sub-Saharan Africa, some of the many tribes which comprise the indigenous population of Angola practise various forms of tooth mutilation. Three examples associated with distinctive tribes are described and compared with similar practices in neighbouring countries and their references from the literature.

Angola↗
PubMed1996

[Streptococci or slurry pit ventilation?].

This article describes a case of disturbed behaviour in weaners resulting in mutilation. The mutilations mainly consisted of ear biting and ear necrosis. During some periods all weaners were affected. Deaths occurred as a result of sepsis and meningitis, caused by Streptococcus suis type 1. There were many runts. The stable was as follows: the sections contained 160 weaners; the floor consisted of plastic slats with a 1-metre-deep slurry pit. The weaners were medicated extensively for the Streptococci, to little effect. A ventilation expert was called in and the diagnosis was 'variable air distribution patterns resulting in slurry pit ventilation'. To solve the problem a number of modifications were made to the ventilation system. The solution was found in attaching flaps under the floor, hanging down into the slurry at every pen partition and in the middle across the entire length of each section. In this manner all air circulation in the slurry pit was effectively ended. Thus in conclusion, mutilative behaviour, eg. ear biting and ear necrosis, can be caused by draught. Medication can provide temporary relief, but does not solve the problem. Only ending the air circulation in the slurry pit provided a lasting solution.

Animals↗
PubMed1984

The possible participation of a dopaminergic system in mutilating behavior in rats with forelimb deafferentation.

Partial rhizotomy (section of dorsal roots C5 to Th 1 included) leads to abnormal mutilating behavior in the rat, presumably due to pain sensation in the deafferented limb. As dopamine (DA) has been shown to play a role in analgesia, destruction and stimulation of the ventral tegmental area (VTA) were used to check whether they induced an increase or a decrease in the mutilating behavior respectively. Destruction of DA neurons located in the VTA was performed by local administration of 6-hydroxydopamine whereas activation was achieved either by imposed electrical stimulation or by chronic oral administration of D-amphetamine sulfate. These 3 treatments accelerated the onset of the mutilating behavior and induced an extension of the mutilating wounds, D-amphetamine sulfate producing the most pronounced acceleration in their development. The results obtained after destruction of DA-VTA neurons fit well with the working hypothesis. The increase of the mutilating behavior rather than a decrease subsequent to the other treatments could have been caused by the hyperactivity and increase of chewing behavior induced by the less specific stimulating techniques.

Afferent Pathways↗
PubMed1996

Oral and maxillofacial manifestations of hereditary sensory neuropathy.

Hereditary sensory neuropathies are a rare group of neurological disorders manifested from early childhood by diminished or absent sensibility to pain, touch and temperature. A Kashmiri family with four members affected by congenital sensory neuropathy and its oral manifestations is described. Pain and temperature sensation was lost in various parts of the body including the orofacial region resulting in mutilating acropathy, particularly of the limbs and face. Orofacial motor function was normal. Three of the four members had corneal opacification due to scarring from keratitis. To prevent any further mutilation, any corrective surgery is best delayed until the patient is old enough. A discussion of the oral manifestations of this condition with a review of the literature is presented.

Adult↗
PubMed1989

[Tooth mutilation in the scope of ritual mutilation].

Study of the motivations and description of ritual dental mutilation techniques. All initiation rites have one thing in common: blood must flow. Some tribes give the choice between circumcision or the pulling of one or several teeth. Proposal of analysis of the transfer in modern life of the primitive "obsession of the borders" described by ethnologists.

Africa↗
PubMed2001

Factitious disorders of the upper limb in Saudi Arabia.

This prospective study investigated 28 patients with factitious disorders of the upper limb. Several cases did not fit any of the well-known factitious syndromes such as SHAFT or Münchhausen syndrome. Patients were divided into five groups, three of which comprised active mutilators who either induced wounds, introduced foreign bodies or induced arm swelling and oedema. Passive mutilators were considered in a separate group and were defined as those who complained of factitious pain or numbness of the limb, for which there was no secondary gain regarding employment or compensation: these patients underwent surgery and hence persuaded the surgeon to do the mutilation. The fifth group of patients exhibited hand posturing and were divided into two subgroups: patients with psychological hand posturing and those seeking secondary gain (malingerers). The clinical presentation, diagnosis and outcome are described for each group.

Adolescent↗