Leung C M, Lee T S, Chan Ho M W, Cheung B
Department of Psychiatry, Chinese University of Hong Kong, Hong Kong.
Aust N Z J Psychiatry. 1996 Feb;30(1):150-2. doi: 10.3109/00048679609076086.
Explore the limitations of the classification of body dysmorphic disorder.
A chinese male relentlessly pursued castration to relieve painful erections which were never substantiated. The testes and corporaspongiosum had been removed. No psychotic symptom was prominent.
Cognitive therapy and psychotropics were tried.
The remaining corpora cavernosa was removed subsequently.
The distorted somatic perception and secondary cognitive amplification (painful erections) could represent a variant of body dysmorphic disorder involving internal body image; diagnostic classifications should accommodate such a category.
探讨躯体变形障碍分类的局限性。
一名中国男性不断寻求阉割以缓解从未得到证实的疼痛性勃起。睾丸和海绵体已被切除。无明显的精神病性症状。
尝试了认知疗法和精神药物治疗。
随后切除了剩余的海绵体。
扭曲的躯体感知和继发性认知放大（疼痛性勃起）可能代表涉及身体内部意象的躯体变形障碍的一种变体；诊断分类应涵盖此类情况。
