Terminator: An Unusual Form of Self-Mutilation

Bharath, Srikala; Neupane, Mehendra; Chatterjee, Somnath

doi:10.1159/000029088

Cited by 11 publications

(6 citation statements)

References 8 publications

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“…Tal comportamento apresenta graus variados: desde lesões leves, como arranhar a pele com as unhas ou se queimar com pontas de cigarros; passando por formas moderadas, como cortes superficiais em braços; e chegando até as mais graves, como a autoenucleação e a autocastração. Outras formas graves de automutilação encontradas são a introdução de corpos estranhos no organismo, como agulhas e a amputação dos lobos da orelha (Alroe & Gunda, 1995;Bharath, Neupane, & Chatterjee, 1999).…”

Section: Automutilações: Definições E Alguns Estudos Recentesunclassified

Dor e Gozo: relatos de mulheres jovens sobre automutilações

Cedaro

Nascimento

2013

Psicol. USP

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Este artigo discute a prática da automutilação, destacando os relatos de mulheres jovens (entre 15 e 21 anos), atendidas em um Centro de Atenção Psicossocial (CAPS). Tais atitudes consistem em provocar, de forma consciente, feridas no próprio corpo, como cortes, arranhões, queimaduras ou perfurações, não havendo nessas ações o desejo manifesto de suicídio, embora seja comum aparecerem ideações nesse sentido nas falas das pacientes. Os relatos acerca de tal comportamento são apresentados por meio de fragmentos de falas, registrados após atendimentos psicológicos, que esboçam a descrição dos sentimentos expostos dentro do setting terapêutico. As questões suscitadas são discutidas a partir das concepções psicanalíticas a respeito do gozo e do masoquismo, com ênfase nas proposições de Freud e Lacan, focalizando a seguinte indagação: qual é a função da dor autoprovocada - e das marcas corporais autoinflingidas - na dinâmica psíquica das pacientes com histórico de automutilações?

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Section: Automutilações: Definições E Alguns Estudos Recentesunclassified

Dor e Gozo: relatos de mulheres jovens sobre automutilações

Cedaro

Nascimento

2013

Psicol. USP

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“…Most patients showed only local pain and inflammation. In several cases, SEB was basically asymptomatic . Life‐threatening complications requiring urgent medical intervention were reported, however, in five cases: (i) multiple subcutaneous and intramuscular abscesses infected with Staphylococcus aureus and Serratia marcescens with bacteremia , (ii) aortic regurgitation , (iii) empyema thoracis , (iv) low‐output shock related to a large pericardial effusion , and (v) pneumothorax .…”

Section: Resultsmentioning

confidence: 99%

Self‐Embedding Behavior in Adults: A Report of Two Cases and a Systematic Review

Mannarino

Pereira

Gurgel

et al. 2016

Journal of Forensic Sciences

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Self-embedding behavior (SEB) is the repeated insertion of sharp objects, such as needles or pins, into the soft tissues of abdomen, limbs, and other body parts. In this study, two cases of SEB were reported and the scientific worldwide literature reviewed. Thirty-two cases of SEB were identified through systematic searches in the main bibliographic databases. Mean age was 35 years (SD = 8.97). Just over two-thirds of the patients were female. Although the number of embedded objects could be as high as 200, major clinical and surgical complications were uncommon and mortality was null. Patients with SEB presented three major diagnoses: psychotic (25%), personality (21.9%), and factitious (28.1%) disorders. The practice of SEB largely went undetected as the patients themselves did not bring it to the attention of family members or physicians and usually denied they have engaged in SEB. A high level of suspicion is required to avoid a missed diagnosis.

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“…In 1999, Bharath stated that the “introduction of foreign bodies into one's own body is one of the uncommon types of self-mutilation. Published psychiatric literature on this is meagre.”15 Indeed, he reported an unusual case of self-mutilation involving the introduction of 40–50 needles of various types (injection needles, sewing needles, paper pins) by a 53-year-old single man suffering from paranoid schizophrenia 2. Several case reports have described recurrent ingestion of foreign bodies and abdominal self-injury with multiple paperclips and needles embedded in the abdominal wall, as a form of attempted suicide 16 17.…”

Section: Discussionmentioning

confidence: 99%

Foreign bodies in the abdomen: self-harm and personality disorders

2015

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SUMMARYA 52-year-old woman presented to the accident and emergency department 5 h after deliberately stabbing herself with two pens through her midline laparotomy scar. Her medical history included an emotionally unstable (borderline) personality disorder and she was currently an inpatient in a psychiatric hospital. She had multiple accident and emergency attendances with previous episodes of self-harm. Clinical examination revealed evidence of trauma to her midline laparotomy scar with congealed blood covering the puncture site. Her abdomen was soft and non-tender on palpation. A chest radiograph revealed no air beneath her diaphragm and her abdominal radiograph identified a radiopacity in her upper right abdomen and dilated loops of small bowel. CT of the abdomen and pelvis confirmed two pens, with the lower pen tip reaching the pancreas. A midline laparotomy was performed and both foreign bodies were extricated unremarkably. The patient's postoperative recovery was uneventful. The second case involves a 22-year-old woman, a psychiatric hospital resident, presenting to the accident and emergency department 5 h after deliberately inserting the metal nib and inner plastic ink containing tube of a pen through her umbilicus. Her medical history included an emotionally unstable (borderline) personality disorder and paranoid schizophrenia. She had multiple accident and emergency department attendances with previous episodes of self-harm. Clinical examination revealed a soft, non-tender abdomen. Her chest radiograph was unremarkable and her abdominal radiograph identified a radiopaque foreign body at the right upper quadrant of the abdomen. CT of the abdomen and pelvis confirmed a metallic foreign body in the small bowel mesentery. An exploratory laparotomy converted to a midline laparotomy was performed and the foreign body was extricated. The patient's postoperative recovery was uneventful. BACKGROUND

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Terminator: An Unusual Form of Self-Mutilation

Cited by 11 publications

References 8 publications

Dor e Gozo: relatos de mulheres jovens sobre automutilações

Dor e Gozo: relatos de mulheres jovens sobre automutilações

Self‐Embedding Behavior in Adults: A Report of Two Cases and a Systematic Review

Foreign bodies in the abdomen: self-harm and personality disorders

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