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Self‐Mutilation and Eating Disorders

Self‐Mutilation and Eating Disorders ABSTRACT: Patients with eating disorders are at high risk for self‐mutilation (e.g., skin cutting and burning), and vice versa. Evidence for this linkage comes from a literature review, from patient interviews, from responses to an instrument we have developed (the Self‐Harm Behavior Survey), and from three instructive case reports. Even if the self‐mutilation in these patients is regarded as a Borderline Personality Disorder symptom, DSM‐IV should list it as an associated feature or a complication of Anorexia Nervosa/Bulimia Nervosa. In lieu of a dual diagnosis, we postulate that the combination of self‐mutilation, anorexia, bulimia, and other symptoms (such as episodic alcohol abuse and swallowing foreign objects) may be manifestations of an impulse control disorder known as the “deliberate self‐harm syndrome.” http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Suicide and Life-Threatening Behavior Wiley

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References (25)

Publisher
Wiley
Copyright
1989 The American Association for Suicidology
ISSN
0363-0234
eISSN
1943-278X
DOI
10.1111/j.1943-278X.1989.tb00566.x
Publisher site
See Article on Publisher Site

Abstract

ABSTRACT: Patients with eating disorders are at high risk for self‐mutilation (e.g., skin cutting and burning), and vice versa. Evidence for this linkage comes from a literature review, from patient interviews, from responses to an instrument we have developed (the Self‐Harm Behavior Survey), and from three instructive case reports. Even if the self‐mutilation in these patients is regarded as a Borderline Personality Disorder symptom, DSM‐IV should list it as an associated feature or a complication of Anorexia Nervosa/Bulimia Nervosa. In lieu of a dual diagnosis, we postulate that the combination of self‐mutilation, anorexia, bulimia, and other symptoms (such as episodic alcohol abuse and swallowing foreign objects) may be manifestations of an impulse control disorder known as the “deliberate self‐harm syndrome.”

Journal

Suicide and Life-Threatening BehaviorWiley

Published: Dec 1, 1989

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