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Self-Amputation of the Breasts by a Male With Schizotypal Personality Disorder
Philip M. Coons
Psychiatric Services 1992; doi:
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Indiana University School of Medicine and a staff psychiatrist at Larue D. Carter Memorial Hospital, 1315 West 10th Street, Indianapolis, Indiana 46202

1992 by the American Psychiatric Association

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Abstract

In addition to being the first reported case of self-amputation of the breasts by a male, Mr. M's case is unusual because the patient did not have symptoms of the diagnoses usually associated with self-mutilation, such as borderline and antisocial personality disorder, psychoses, or mental retardation. Although the patient's overtly sexualized self-injury was like that seen in psychotic individuals, a diagnosis of a psychotic disorder was not appropriate in this case.The case is also unusual because the patient's self-mutilation was responsive to treatment. Self-mutilation is often difficult to treat, but this case shows that, at least in the context of some disorders, a multifaceted treatment approach may be effective in reducing this behavior.

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