Mareko G M, Othieno C J, Kuria M W, Kiarie J N, Ndetei D M
Kenyatta National Hospital, P.O. Box 26-00202, Nairobi, Kenya.
East Afr Med J. 2007 Sep;84(9):450-2. doi: 10.4314/eamj.v84i9.9555.
The desire for self-mutilation in the absence of any discernible psychopathology is relatively rare. Self-mutilation is most commonly a manifestation of an underlying psychopathology such as depression, schizophrenia, personality disorder, transexuality, body dysmorphic disorder and factitious disorder. In this article, a case in which a 29-year-old single Kenyan lady of African origin demanded a surgical operation to modify and reduce the size of her external genitalia is presented. Although female genital mutilation is still widespread in the country, this case is of interest in that the woman did not seek the usual circumcision but sought to specifically reduce the size of her labia minora so that she could feel like a normal woman. The unique challenges in her management are discussed. Possible aetiological factors in patients who demand surgical removal or modification of parts of their bodies without an obvious cause is discussed.
在没有任何可识别的精神病理学的情况下，自残的欲望相对罕见。自残最常见的是潜在精神病理学的一种表现，如抑郁症、精神分裂症、人格障碍、易性癖、躯体变形障碍和做作性障碍。本文介绍了一个案例，一名29岁、来自非洲的单身肯尼亚女性要求进行手术，以改变并减小其外生殖器的大小。尽管女性生殖器切割在该国仍然很普遍，但该案例的有趣之处在于，这名女性并非寻求通常的环切术，而是专门寻求减小其小阴唇的大小，以便她能感觉自己像个正常女性。文中讨论了对她进行治疗时面临的独特挑战。还讨论了那些无明显原因就要求手术切除或改变身体部位的患者可能的病因因素。
