Integration of medical and psychiatric management in self-mutilation

Moffaert, M.M.M.P. Van

doi:10.1016/0163-8343(91)90010-t

Cited by 11 publications

(2 citation statements)

References 19 publications

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“…As such, it needs to be dealt with as a separate entity requiring a distinct nursing management. We need also to acknowledge recent European research which advocates strategies which incorporate a psychiatric element but within an overall medical setting ( van Moffaert, 1991). In some countries (e.g.…”

Section: Nursing Carementioning

confidence: 99%

Self-mutilation: culture, contexts and nursing responses

Clarke¹,

Whittaker²

1998

J Clin Nurs

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Few papers address the issue of deliberate self-mutilation other than from clinical perspectives. This paper advocates a user-perspective and discusses some of the issues which might attend such a change. The occurrence of self-mutilation is placed within a cultural framework so as to enlarge the debate beyond the confines of medical/nursing responses. It is suggested that nurses abrogate their attachment to such responses and embrace more collaborative approaches to care. In particular, nurses are asked to review their (moral) responses to self-mutilation, an activity which, too often, has been responded to with scorn and derision.

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Section: Nursing Carementioning

confidence: 99%

Self-mutilation: culture, contexts and nursing responses

Clarke¹,

Whittaker²

1998

J Clin Nurs

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“…An integrated liaison-type psychiatric intervention can be effective in improving compliance with psychiatric treatment, surgical outcomes and reducing medical consumption [16]. The first step in the treatment of our patient was to admit to the surgical unit to achieve haemostasis.…”

Section: Discussionmentioning

confidence: 99%

Bilateral testicular self-castration due to cannabis abuse: a case report

et al. 2011

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IntroductionThe self-mutilating patient is an unusual psychiatric presentation in the emergency room. Nonetheless, serious underlying psychiatric pathology and drug abuse are important background risk factors. A careful stepwise approach in the emergency room is essential, although the prognosis, follow-up, and eventual rehabilitation can be problematic.We present a unique and original case of bilateral self-castration caused by cannabis abuse.Case PresentationWe report a case of a 40-year-old Berber man, who was presented to our emergency room with externalization of both testes using his long fingernails, associated with hemodynamic shock. After stabilization of his state, our patient was admitted to the operating room where hemostasis was achieved.ConclusionThe clinical characteristics of self-mutilation are manifold and there is a lack of agreement about its etiology. The complex behavior associated with drug abuse may be one cause of self-mutilation. Dysfunction of the inhibitory brain circuitry caused by substance abuse could explain why this cannabis-addicted patient lost control and self-mutilated. To the best of our knowledge, this is the first case report which presents an association between self-castration and cannabis abuse.

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Psychocutaneous Disorders

Millard¹,

Cotterill²

2004

Rook's Textbook of Dermatology

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Integration of medical and psychiatric management in self-mutilation

Cited by 11 publications

References 19 publications

Self-mutilation: culture, contexts and nursing responses

Self-mutilation: culture, contexts and nursing responses

Bilateral testicular self-castration due to cannabis abuse: a case report

Psychocutaneous Disorders

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