Search results for "Self-Injurious Behavior"
showing 5 items of 15 documents
Countertransference in Factitious Disorder
1994
In the treatment of patients with factitious disorder it is important to realize that at various levels of their experience these patients are more intimate with death than with life. This requires a particular awareness of resistance mechanisms to countertransference as well as of the importance of clinical procedures, in particular with regard to superego analysis. A requirement for establishing a psychotherapeutic alliance with patients suffering from factitious disorder is a high degree of 'therapeutic eros', hope and trust in one's own capabilities. The emphasis on a 'biophile attitude' does, however, involve the danger that the destructive potential, fantasies of death or killing, but…
Early-onset tobacco use and suicide-related behavior – A prospective study from adolescence to young adulthood
2018
Abstract Background Developmental relationships between tobacco use and suicide-related behaviors (SRB) remain unclear. Our objective was to investigate the longitudinal associations of tobacco use in adolescence and SRB in adulthood. Methods Using a prospective design, we examined whether tobacco use in adolescence is associated with SRB (intentional self-injury, suicide ideation) in young adulthood in a population-based sample of 1330 twins (626 males, 704 females). The baseline and follow-up data were collected by professionally administered semi-structured poly-diagnostic interviews at ages 14 and 22, respectively. Results After adjusting for multiple potential confounders, those who re…
Factitious disorders and pathological self-harm in a hospital population: an interdisciplinary challenge.
2002
Factitious disorder, Munchausen's Syndrome, and deliberate self-harm have recently been conceptualized as different facets of self-destructive behavior. A descriptive typological classification has been presented by Willenberg et al., but has not yet been tested with a clinical sample. The instrument distinguishes between direct self-harm (e.g., self-inflicted wounds), self-induced disease (e.g., factitious fever), and indirect self-harm delegated to medical staff (e.g., repeated operations occasioned by feigned symptoms). All patients referred to the psychosomatic-psychotherapeutic liaison-consultation service or to the outpatients' department within 14 months (n = 995) and all patients di…
Self-inflicted long bone fractures for insurance fraud.
2018
Self-inflicted fractures simulating traffic accident represent a new social fraud opportunity for criminality. Recognising scams through an increase of awareness of existence of self-inflicted arm fractures for insurance fraud could help community health workers to report these injuries to the competent authorities. In this article, authors have recognised an unusual but consistent pattern of upper and lower limb fractures whose incidence does not coincide in numerical terms with what is reported in literature. The aim of the present study is to describe fracture patterns observed over the past 2 years. Further, authors describe clinical presentations of these fractures and attempt to defin…
The treatment of severe self-injurious behavior through sensory stimulation: A case report
2016
Self-injurious behavior of an institutionalized man with profound intellectual disability was treated with a daily 15-min sensory stimulation program, which consisted of moving the arms and hands of the participant, swinging his body, and massage. The frequency of self-injurious behavior was measured in 10-min sessions. Using a reversal design, it was shown that sensory stimulation decreased the participant’s self-hitting behavior significantly, both in intensity and in frequency. Sensory stimulation is recommended for use in those cases in which functional analysis has shown that self-injury may be reinforced by its sensory consequences.