Gilman Sander L
Emory University, Atlanta, USA.
Hist Psychiatry. 2013 Jun;24(2):148-65. doi: 10.1177/0957154X13478082.
It is rare that a symptom becomes a disease entity. 'Self-harm' is now a full-fledged diagnostic category for DSM-5. The existing literature of the topic posits that it is a trans-historical psychiatric category and that examples of self-harm can be found from the earliest written records, which is part of the underlying argument for its inclusion in DSM-5. But how old is self-harm and indeed what defines 'self-harm' historically and culturally?
一种症状演变成一种疾病实体的情况很少见。“自我伤害”如今已成为《精神疾病诊断与统计手册》第五版（DSM - 5）中一个成熟的诊断类别。关于该主题的现有文献认为，它是一个跨历史的精神病学类别，并且从最早的书面记录中就能找到自我伤害的例子，这也是将其纳入DSM - 5的部分潜在论据。但是自我伤害存在多久了？从历史和文化角度来看，究竟什么才定义了“自我伤害”？
