Male genital self-mutilation
H. Greilsheimer and J. E. Groves
Men who intentionally mutilate or remove their own genitals are likely to
be psychotic at the time of the act, to have a number of goals and aims
relating to conflicts about the male role, and to be vulnerable to
sociocultural and psychological forces in a causal network as yet unknown.
However, from a review of the cases of 53 male self-mutilators, it appears
that a significant number involve individuals not psychotic at the time of
the act but rather having character disorders and rageful feelings toward
themselves or women, and transsexual males who premeditate their own gender
conversion surgery. The psychiatric consultant's role in the management of
such an individual in the general hospital setting includes not only care
of a patient with a psychotic or impulse disorder but also involves support
of the house staff, who are distressed by the fear, guilt, hopelessness,
anger, and revulsion that the patient's act of genital self-mutilation
causes.
Major Self-mutilation in the First Episode of Psychosis
Large et al.
Schizophr Bull 2008;0:sbn040v1-sbn040.
ABSTRACT
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'Delicate' Cutters: Gendered Self-mutilation and Attractive Flesh in Medical Discourse
Brickman
Body Society 2004;10:87-111.
ABSTRACT
Clinical Experience With the Management of Schizophrenia in the General Hospital
Freudenreich and Stern
Psychosomatics 2003;44:12-23.
ABSTRACT
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Patterns of self-inflicted injury
Matthews and Wallis
Trauma 2002;4:17-20.
ABSTRACT
Autocastration as a Presenting Sign of Incipient Schizophrenia
Myers and Nguyen
Psychiatr. Serv. 2001;52:685-686.
ABSTRACT
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Penile self-mutilation
Bhatia and Arora
Br. J. Psychiatry 2001;178
:86a-87a.
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A Homeless Person With Bipolar Disorder and a History of Serious Self-Mutilation
Green et al.
Am. J. Psychiatry 2000;157:1392-1397.
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Female Genital Self-Mutilation
Alao et al.
Psychiatr. Serv. 1999;50:971-971.
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NONMAINSTREAM BODY MODIFICATION: Genital Piercing, Branding, Burning, and Cutting
MYERS
Journal of Contemporary Ethnography 1992;21:267-306.
ABSTRACT
