Two Cases of Male Genital Self-Mutilation: An Examination of Liaison Dynamics
| Autor: | Anton C. Trinidad, Eugene F. Simopoulos |
|---|---|
| Rok vydání: | 2012 |
| Předmět: |
Adult
Male medicine.medical_specialty Attitude of Health Personnel media_common.quotation_subject medicine.medical_treatment MEDLINE Hemorrhage Suicidal intent Gangrene Erectile Dysfunction Arts and Humanities (miscellaneous) medicine Humans Sex organ Fasciitis Necrotizing Medical diagnosis Countertransference Psychiatry Ligation Referral and Consultation Applied Psychology media_common Depressive Disorder business.industry Penile prosthesis Middle Aged Body modification Body Modification Non-Therapeutic Radiography Psychiatry and Mental health Feeling Scrotum Self Mutilation Dementia Penile Prosthesis business Orchiectomy Transsexualism Hydrocephalus Penis |
| Zdroj: | Psychosomatics. 53:178-180 |
| ISSN: | 0033-3182 |
| DOI: | 10.1016/j.psym.2011.09.007 |
| Popis: | Genital self-mutilation (GSM) presents to hospital surgical services in a dramatic fashion, requiring immediate surgical evaluation, often evoking strong countertransferential feelings, and eluding an easy categorical psychiatric diagnosis. It is defined as the direct destruction of genital tissue without suicidal intent. Psychiatric involvement is called for in many cases because of the obvious issue of self-harm, and to assist in discerning motivations for the injuries. We present two cases of GSM recently evaluated by our Consultation-Liaison (C-L) psychiatry service. They highlight not only the complexity and clinical heterogeneity of patients who present after GSM but also the importance of investigating whether both medical and non-psychiatric diagnoses could explain the cause for self-injury. We discuss the countertransference that may develop between the patient and the primary treating team, and liaison issues that C-L psychiatrists should be mindful of to improve patient care. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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