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Revista Colombiana de Psiquiatría

Print version ISSN 0034-7450


MILLAN-GONZALEZ, Ricardo. Mutilación genital en paciente transexual: ¿manifestación de un espectro patológico imprecisamente definido?Genital Mutilation in a Transsexual Patient: Is it an Indication of an Imprecisely Defined Pathological Spectrum?. rev.colomb.psiquiatr. [online]. 2010, vol.39, n.3, pp.624-634. ISSN 0034-7450.

Introduction: Traditionally, genital self-mutilation has been considered a psychotic reaction in or outside the religious context. There are good data supporting the fact that it is not as infrequent as once thought and that psychosis might not always be present as a psycho-pathological determinant. Objectives: To review the literature concerning genital self-mutilation and to redefine its psychopathological conception. Method: Case report. Results: The presentation of a patient with gender identity disorder who failed in the attempt to perform an orchidectomy on himself. The act, motivated by a deep body image distortion, happened without evident psychosis as assessed clinically and by psychological batteries. As far as we know, this is the first case reported in the Latin-American scientific community. Conclusions: This kind of acts could be one of several points of clinical confluence in a continuum of disorders whose most important psychopathologic element would be self body image distortion and not necessarily psychosis. This group of entities eventually could be grouped into a new categorical section of future diagnostic classifications in psychiatry.

Keywords : Self-mutilation; body dysmorphic disorder; gender identity.

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