Muluka E A, Dhadphale M
Br J Psychiatry. 1986 Dec;149:778-80. doi: 10.1192/bjp.149.6.778.
Four case reports are presented of psychotic patients seen in clinical practice in Nairobi over a period of one year, who inflicted serious bodily harm to themselves during that period. Possible psychopathological basis for this self-damage is briefly considered. A review of the literature reveals paucity of similar reports from Africa and the third world. Reasons for this paucity are hard to come by.