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  • Title: Self-mutilation accompanying religious delusions: a case report and review.
    Author: Clark RA.
    Journal: J Clin Psychiatry; 1981 Jun; 42(6):243-5. PubMed ID: 7240105.
    Abstract:
    A case is described of a man who castrated himself while depressed over deviated sexual urges, with eventual favorable response to psychiatric hospitalization and psychotherapy. The literature on self-mutilation is then reviewed, comparing 26 cases of enucleation of eyes, cutting off a hand, mutilating genitals (by males) and cutting out the tongue. Recommendations for treatment and study are attention to previous history or evidence of self-injury, preoccupation with Biblical passages regarding self-injury, preceding drug abuse and early loss of the father in males. Rapid tranquilization and intensive psychotherapy are advised following hospitalization.
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