Psychological Models of Self-Mutilation

The descriptive models of self-mutilation fall into 3 broad categories. The psychodynamic formulation; the 2nd category includes the anxiety reduction model, the hostility model, the behavioral learning model & the appeal model; the 3rd social learning category includes the group-epidemic model & aspects of the violence & punishment model. The problems faced by self-mutilating patients […]

A Case Study of Autocastration

Although transsexual surgery has received considerable attention, autocastration remains a rarity. Self-castration is usually performed in a state of psychotic confusion, except for those few men throughout history who castrated themselves for religious reasons. A case report describes a man with minimal psychotic confusion & elements of psychotic depression, who committed autocastration in a premeditated […]

Interpersonal Relations in Suicidal Attempts: Some Psychodynamic Considerations and Implications for Treatment

Reactive Parricide

This paper describes a variety of homicides characterized by an element of reality in resorting to the killing of a parent. It deals with families marked by the presence of what is catastrophic conflict. This term denotes a conflict which exceeds the adaptive capacity of an individual and can be resolved only by structural changes […]

Two Suicidal Syndromes: The Malignant Masochist and the Harlequin

This brief paper decribes two case studies of attempted suicide, classifying them as Malignant Masochism and the Harlequin. The Malignant Masochist makes suicide attempts in an effort to get away from the tension and pain and anxiety of life, whereas the Harlequin makes suicide attempts as the result of being drawn towards death with feelings […]

The Psychopathology of Suicide in Japan

In trying to understand what motivates suicide in Denmark, as compared to Sweden, the author found not one dynamic explanation for suicide but many. Japanese suicide is contrasted with Scandinavian suicide. To fully understand suicide, it must be viewed within the context of the total culture-considering its economic constraints, it social attitudes and its dominant […]

Depression and Suicide: on Some Particularly High Risk Suicidal Patients

This article defines two separate types of suicidal individuals: those having the impulse-ridden character disorders which include obsessive-compulsive, sociopathic, shizo-affective, manic-depressive, & “acting out” adolescents; & those individuals classified as being life long masochists. Basic features found in these two types of patients are discussed. (21 ref.)

Bondage Deaths

Brief description of a study done on bondage practitioners, including common characteristics of the individuals, a brief review of non-medical literature making reference to sexual asphyxiation, and a note on the number of women in bondage deaths.

Sexual Fatalities: Behavioral Reconstruction in Equivocal Cases

A few sexual fatalities show ambiguous evidence of manner of death or, in cases involving partners, of the partner’s intent. In such cases, postmortem behavioral analysis & reconstruction aid in understanding what happened & provide an explanable basis for expert judgement & opinion, even though some cases can never be resolved with certainty. Behavioral analysis […]

Self-Mutilation

A controlled study of self-mutilators found them to be significantly more introverted, neurotic and hostile. They report excessive physical punishment in childhood, saso-masochistic fantasies and more suicidal attempts.

Some Forms of Indirect Self-Destruction and Their Psychopathology

This brief pamphlet describes some methods of indirect self-destructive behaviour and includes a discussion on intent. Brought forth are methods such as masochism and certain character disorders, ascetism, psychosomatic and somatic illness, neglecting the treatment of diabetes, drug abuse and alcoholism, and motor-car accidents. (38 ref.)

Women Who Seek Therapeutic Abortion: A Comparison With Women Who Complete Their Pregnancies

The authors compared 40 women seeking therapeutic abortion with 52 pregnant women who were not requesting abortion. The women in the abortion group complained more frequently of depression, anxiety, insomnia, loss of libido, anorexia, and suicidal ideation. Their average MMPI scores were significantly elevated for most scales. The women in the abortion group were more […]

Bondage and Suicide

Reported are two fatal cases of death which involved some sort of bondage mechanism(s). An extensive literature review relevant to suicide by bondage is included, as well as interviews from nine men and three women who engage in masochistic behaviours. Prevention and treatment of these individuals is brought up with suggestions offered. (14 ref.)

Suicidal Behavior in Children

This paper summarizes current thought on the subject, as presented in available literature, and suggests treatment procedures with suicidal children on the basis of the experience of the authors & literature. Deep, uncovering therapy is for the most part to be avoided. Establishing a relationship and encouragement of verbalization is foremost. In many cases, the […]