Self-injurious behavior in college students
Autor: | Armando R. Favazza |
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Rok vydání: | 2006 |
Předmět: |
Siege
Adult Male Social stability Psychoanalysis Adolescent Universities business.industry Human factors and ergonomics Poison control medicine.disease Suicide prevention Phenomenon Pediatrics Perinatology and Child Health Injury prevention Medicine Humans Female Medical emergency business Self-Injurious Behavior Order (virtue) |
Zdroj: | Pediatrics. 117(6) |
ISSN: | 1098-4275 |
Popis: | As an introduction to my comments on the Whitlock et al study1 (in this issue of Pediatrics ), I would like to present some of my understandings about self-injurious behavior (SIB, the politically correct term for self-mutilation [SM]) based on 25 years of studying and treating self-injurers. Up until the late 1980s most psychiatrists and psychologists (the pediatric literature was conspicuously silent) regarded SM as a singular, horrific, and senseless behavior that was somehow linked with suicidality either symbolically or in fact. Only a few researchers attempted to truly understand this phenomenon. In 1987, my book Bodies Under Siege ,2 which was broadly and favorably reviewed, brought a measure of order to SM by dividing it into 2 major categories that I labeled “culturally sanctioned” and “pathologic.” By examining deep-seated mutilative rituals, some going back to the stone age, I determined that they primarily served 3 purposes: (1) to attain grace and improve relationships with God; (2) to maintain social stability; and (3) to achieve physical healing. This finding led me to consider self-injury as a morbid form of self-help. By examining patients I devised a phenomenological classification of deviant SM that I refined in the 1996 second edition of my book and in collaborative publications. Deviant SM may be divided into … Address correspondence to Armando R. Favazza, MD, Department of Psychiatry, University of Missouri, 3 Hospital Dr, Columbia, MO 65201. E-mail: favazzaa{at}health.missouri.edu |
Databáze: | OpenAIRE |
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