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Self-Enucleation and PsychosisReport of Two Cases and Discussion
George MacLean, MD;
Brian M. Robertson, MD
Arch Gen Psychiatry. 1976;33(2):242-249.
Abstract
• We report two cases of self-enucleation and the case histories of the two schizophrenic men who carried out this drastic form of self-mutilation.
In a review of the literature and consideration of the case material, it is concluded that castration fears, failure to resolve oedipal conflicts, repressed homosexual impulses, severe guilt, and self-punishment are ubiquitous phenomena in such cases. However, we conclude that psychosis, most probably schizophrenia, with a severe disturbance in body image, are necessary variables in the act of self-enucleation.
Author Affiliations
From the Department of Psychiatry, McGill University, Montreal.
Footnotes
Accepted for publication Sept 30, 1974.
Reprint requests to the Department of Psychiatry, Montreal Children's Hospital, 2300 Tupper St, Montreal, 108 Quebec, Canada (Dr. MacLean).
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