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Diagnostic issues in self-mutilation

A R Favazza¹, R J Rosenthal

¹University of Missouri-Columbia School of Medicine.

Hospital & Community Psychiatry

|February 1, 1993

Summary

This summary is machine-generated.

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Pathological self-mutilation, the deliberate destruction of body tissue without suicidal intent, can be categorized into major, stereotypic, and superficial/moderate types. Repetitive superficial self-mutilation may represent a distinct impulse disorder, often co-occurring with character pathology.

Area of Science:

Psychiatry
Clinical Psychology
Behavioral Science

Background:

Pathological self-mutilation involves deliberate tissue damage without suicidal intent.
It can manifest as a symptom of mental disorders or a distinct syndrome.

Purpose of the Study:

To examine pathological self-mutilation as both a symptom and a distinct syndrome.
To categorize the diverse behaviors associated with self-mutilation.

Main Methods:

Review of over 250 articles and books.
Incorporation of extensive clinical experience with self-mutilating patients.

Main Results:

Categorization into three types: major (psychoses, intoxication), stereotypic (mental retardation), and superficial/moderate (various disorders).

Related Experiment Videos

Superficial/moderate self-mutilation behaviors include skin cutting, burning, and scratching.

Conclusions:

Proposes repetitive superficial or moderate self-mutilation as an Axis I impulse disorder.
This syndrome frequently coexists with character pathology.