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The Forced Swim Test as a Model of Depressive-like Behavior
05:42

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Published on: March 2, 2015

Self-enucleation in depression: a case report.

K N Rao1, S Begum

  • 1K.N. RAO MD., Professor of Psychiatry, J.J.M. Medical College, Davangere - 577 004.

Indian Journal of Psychiatry
|May 18, 2011
PubMed
Summary
This summary is machine-generated.

Self-enucleation, an extreme self-harm, is rarely seen in depression. This case study highlights self-enucleation as an aggressive act in a depressed patient facing interpersonal loss, indicating a loss of emotional control.

Keywords:
Self-enucleation depression

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Last Updated: Jun 1, 2026

The Forced Swim Test as a Model of Depressive-like Behavior
05:42

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Published on: March 2, 2015

Assessment of Long-term Depression Induction in Adult Cerebellar Slices
09:30

Assessment of Long-term Depression Induction in Adult Cerebellar Slices

Published on: October 16, 2019

Area of Science:

  • Psychiatry
  • Psychology
  • Clinical Case Study

Background:

  • Self-enucleation is a rare and extreme form of self-mutilation.
  • While self-injury occurs in depression, severe forms like self-enucleation are infrequently reported.
  • Schizophrenia is the most common diagnosis associated with self-enucleation.

Purpose of the Study:

  • To describe a rare case of self-enucleation in a patient with depression.
  • To explore the psychodynamic underpinnings of severe self-mutilation in depressive syndromes.
  • To present self-enucleation as a manifestation of inward-directed aggression in depression.

Main Methods:

  • Case report detailing a patient presenting with self-enucleation.
  • Clinical observation and psychodynamic interpretation of the patient's behavior.
  • Review of literature on self-mutilation in depressive disorders.

Main Results:

  • The patient exhibited self-enucleation as an extreme act of aggression.
  • The behavior was linked to the threat of interpersonal loss and a loss of affective control.
  • Self-mutilation in depression can be an expression of aggression turned inward.

Conclusions:

  • Self-enucleation, though rare, can occur in depressive syndromes.
  • It may represent an extreme expression of aggression and loss of emotional regulation in depression.
  • Understanding the psychodynamics of self-mutilation is crucial for managing depressive disorders.