Chauhan Vinay Singh, Yadav Prateek, Goyal Sunil, Khan Sahabaz Ali
Department of Psychiatry, Base Hospital, Delhi Cantt, New Delhi, India.
Ind Psychiatry J. 2016 Jul-Dec;25(2):228-231. doi: 10.4103/0972-6748.207854.
Male genital self-mutilation (GSM) is a rare but serious phenomenon. Some of the risk factors for this act are the presence of religious delusions, command hallucinations, low self-esteem, and feelings of guilt associated with sexual offences. Other risk factors include failures in the male role, problems in the early developmental period, such as experiencing difficulties in male identification and persistence of incestuous desires, depression, and having a history of GSM. The eponym Klingsor Syndrome, which involves the presence of religious delusions, is proposed for GSM. Psychiatric case reports of male GSM in the literature are rare and mostly anecdotal.
男性生殖器自残（GSM）是一种罕见但严重的现象。这种行为的一些风险因素包括存在宗教妄想、命令性幻听、自卑以及与性犯罪相关的内疚感。其他风险因素包括男性角色方面的失败、早期发育阶段的问题，如在男性身份认同上遇到困难以及乱伦欲望的持续存在、抑郁，还有GSM病史。针对GSM提出了涉及宗教妄想的别名克林索综合征。文献中关于男性GSM的精神病学病例报告很少，且大多是轶事性的。
