Dissociation : Vol. 3, No. 2, p. 081-087 : Self-mutilation associated with dissociative disorders

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Date

1990-06

Authors

Coons, Philip M.
Milstein, Victor

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Publisher

Ridgeview Institute and the International Society for the Study of Multiple Personality and Dissociation

Abstract

The incidence of self-mutilation is high among patients with eating disorders, antisocial personality disorder, and borderline personality disorder. To determine the incidence of self-mutilation among patients with dissociative disorders, the first one hundred consecutive adult dissociative disorder patients who were enrolled in a dissociative disorders clinic were evaluated for self-mutilation. Self-mutilation was a common occurrence among patients with multiple personality disorder (48%), psychogenic amnesia (29%), and dissociative disorder not otherwise specified (23 %). Often the patients were amnesic for the self-mutilation. The occurrence of amnesia or persistent denial of self-injury in anyone who engages in self-mutilation makes it imperative that they be screened carefully for evidence of dissociation. Four case histories are described and illustrated with photographs.

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p. 081-087

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