Psychiatr Serv 52:685-686, May 2001
© 2001 American Psychiatric Association
Autocastration as a Presenting Sign of Incipient Schizophrenia
Wade C. Myers, M.D. and
Matthew Nguyen, M.D.
Previous case reports on autocastration have identified individuals who engaged in genital self-mutilation as being overtly psychotic, as having previously received a diagnosis of schizophrenia, or as having significant dysfunction of ego integrity, manifesting as guilt and low self-esteem. This paper describes a patient who had had no previous psychiatric symptoms or mental health treatment and for whom the act of autocastration was the first sign of incipient schizophrenia.
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