PMID: 7547614Jun 1, 1995Paper

A case study of female genital self-mutilation in schizophrenia

The British Journal of Medical Psychology
C KrasuckiA David

Abstract

A case of deliberate genital self-mutilation in a woman with familial schizophrenia is presented. Such behaviour, though well recognized in females with severe personality disorders, is extremely rare in female psychotics. The genital mutilation may be partially understood as a consequence of delusionally motivated action against a background of low self-esteem, premorbid body-image preoccupation, forced early sexual activity and hence profound ambivalence towards adult sexuality. Dealing with this constructively was hampered by a cognitive style characterized by impaired reasoning and reality testing. Tests of reasoning, judgement and reality testing showed deficits, and computed tomography revealed dilatation of the left frontal ventricular system. Both neuropsychological and psychodynamic factors appeared to be of relevance in this case.

Citations

Aug 13, 2011·Archives of Sexual Behavior·David Veale, Joe Daniels
Feb 22, 2012·Indian Journal of Psychological Medicine·Sri Hari Charan, C M Pavan Kumar Reddy
Jul 1, 2011·Industrial Psychiatry Journal·Pookala S BhatM Diwakar
Jun 13, 2014·The Journal of Sexual Medicine·James Fergus DonaldsonSatchi Kuchibhotla Swami
Aug 30, 2016·Indian Journal of Psychological Medicine·Anuj KhandelwalAlka Pawar
Sep 23, 2016·Frontiers in Psychology·Nicholas BottJoshua Zeier
May 1, 1997·The British Journal of Psychiatry : the Journal of Mental Science·R KempA David
Oct 16, 2021·BMJ Case Reports·Haw Huo Wong, Nicholas Tze Ping Pang

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