Rosen S, Collins K J
Curationis. 1993 Apr;16(1):50-5.
This article comprises information on self-mutilation (and specifically on the Deliberate Self-harm Syndrome) which obtained from a study of mainly American and British literature. Included is data obtained from interviews conducted with a sample of South Africans suffering from the syndrome. Etiology was explained from both a psychological and biological perspective. The former highlighted deficiencies in coping and communication skills while the latter highlighted the compulsive and pain-killer role that endorphines play. From case studies and literature it was possible to clearly distinguish the Deliberate Self-harm Syndrome as a distinct disorder-a syndrome consisting of deliberate, repetitive and private acts of self-harm in the form of cutting, burning and banging oneself. This culminates in extreme tension release.
本文包含了关于自残行为（特别是故意自我伤害综合征）的信息，这些信息主要来源于对美国和英国文献的研究。其中还包括对一群患有该综合征的南非人进行访谈所获得的数据。本文从心理学和生物学角度对病因进行了解释。心理学角度强调了应对和沟通技巧的不足，而生物学角度则强调了内啡肽所起的强迫性和止痛作用。从案例研究和文献中可以清楚地将故意自我伤害综合征识别为一种独特的疾病——一种由故意、重复且私下进行的自我伤害行为组成的综合征，这些行为包括割伤、烧伤和撞击自己等，最终以极度紧张的缓解为终结。
