Genital self-mutilation in erectile disorder

Sudarshan, C Y; Rao, K. Nagaraja; Santosh, SV

doi:10.4103/0019-5545.31623

Cited by 6 publications

(4 citation statements)

References 10 publications

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“…Case numbers 21 (schizophreniform disorder); 22 (paranoid schizophrenia); 23 (disorganized schizophrenia); 24 (bipolar disorder); 25 and 26 (major depressive disorder); 27 (mental retardation); 28 and 29 (alcohol dependence); 30 (OBS); 31 (epilepsy); and 32 (erectile disorder) had isolated and very severe form of SIB. [ 31 – 34 ]…”

Section: Discussionmentioning

confidence: 99%

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Self-injurious behavior: A clinical appraisal

Rao

Sudarshan

Begum

2008

Indian J Psychiatry

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A case series of self-injurious behavior (SIB) encountered in a General Hospital setting has been described. Limitations of current definition of SIB are explained. SIB is not a single clinical entity and it occurs in various psychiatric syndromes with wide range of psychopathology. Based on clinical criteria, a classification of SIB into three groups has been proposed viz 1) Mild and isolated form, 2) Moderately severe and repetitive form, and 3) Very severe and isolated form. Psychodynamic, cognitive and neurochemical explanations of SIB have been reviewed. Frustration, aggression and impulsivity appearing in helpless situation appear to be a common script across most of these models of explanations. Severity of injury seems to be determined by severity of psychopathology. Site of injury appear to have symbolic significance for a particular patient. Understanding some of these clinicopsychopathological issues helps in management of these cases.

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Section: Discussionmentioning

confidence: 99%

“…[ 37 ] In such cases, we have proposed that severe form of mutilation is a form of psychotic solution without recourse to much simpler nonpsychotic solution available for a rational mind. [ 34 ]…”

Section: Psychopathologymentioning

confidence: 99%

Self-injurious behavior: A clinical appraisal

Rao

Sudarshan

Begum

2008

Indian J Psychiatry

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“…In Indian settings, cases of severe mutilation in response to religious delusions and self-induced bleeding to relieve pain in cases of delusional disorders have been reported. Our case however had no association with any religious or sexual theme [15]. In this case, the self-mutilation was attributed as an act of suicide.…”

Section: Discussionmentioning

confidence: 50%

Self-Mutilation of Genitalia Masquerading as Suicide: A Rare Case Report

Mushtaq¹

2014

J Psychiatry

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Genital self-mutilation is an uncommon, but severe form of self-injury. The causes of self-mutilation of genitalia are multiple that is, from command hallucination in psychotic disorder, drug intoxication, mental retardation, gender dysphasia to personality disorders. Self-mutilation of genitalia as a method of suicide is very rare in depression.Here we report a case of 28 year old male, who presented to emergency department with self-mutilation of genitalia as an attempt of suicide. Thus the clinician should always be watchful while dealing with self-mutilation in psychiatric patients, as sometimes self-mutilation of genitalia in psychiatric patients can present as suicide.

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“…Self-mutilation, such as genital mutilation, castration, or eye extraction, is extremely rare. The majority of causes of self-mutilation recorded in the literature are psychiatric, such as schizophrenia, drug abuse, depression, or post-traumatic stress disorder [2][3][4][5]. In some cases, such an action may be unrelated to psychiatric illnesses [6].…”

Section: Discussionmentioning

confidence: 99%

A Case Report of Self-Inflicted Surgical Castration

Yoo,

Chang

2023

Urogenit Tract Infect

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Religious beliefs are a very significant part of one's life. We report the case of a strongly religious man who sought to remove his testicles. After enlisting in the military, the man had a surgical castration performed on him while on vacation from military service. The procedure aimed to rid the man of his libido, which he saw as a hindrance to his religious life. After the removal of the testes, his serum testosterone was 0.25 ng/ml. The luteinizing hormone, 22.1 (1.7-8.6 mIU/ml), and follicle stimulating hormone, 53.5 (1.5-12.4 mIU/ml) were elevated. Testicular scans showed an absence of both testes. This appears to be an unfortunate situation caused by false religious beliefs and the reckless use of internet resources.

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Genital self-mutilation in erectile disorder

Cited by 6 publications

References 10 publications

Self-injurious behavior: A clinical appraisal

Self-injurious behavior: A clinical appraisal

Self-Mutilation of Genitalia Masquerading as Suicide: A Rare Case Report

A Case Report of Self-Inflicted Surgical Castration

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