Hönigl D, Kriechbaum N, Zidek D, Hasiba K, Zapotoczky H G
Universitätsklinik für Psychiatrie, Graz.
Acta Med Austriaca. 1997;24(1):19-22.
Self-damage is defined as intentional injury of the own body. Patients with this disorder often consult and deceive surgeons. In case of factitious disease the diagnosis of self-injurious behavior can be difficult.
A literature review on self-injuring behavior was done with special emphasis on its clinical presentation in surgical departments, its psychodynamic background and the therapeutic consequences.
Self-damaging behavior is most frequent in adolescent females. Both a disturbed relation with the own body and with fellow-beings is the problem of all patients. Deprivation, physical or sexual abuse are common in the biography of these patients. The feelings of internal emptiness and unbearable psychic tension are the immediate psychodynamic causes of the self-damaging act. Psychotherapeutic strategies are aimed at learning to express emotions in a better way, to care for the own body, and to establish confidential and stable relationships.
The knowledge of the psychodynamic background facilitates the therapeutic approach to patients with self-injuring behavior.
自我伤害被定义为对自身身体的故意伤害。患有这种疾病的患者经常咨询并欺骗外科医生。在诈病的情况下，自我伤害行为的诊断可能很困难。
对自我伤害行为进行了文献综述，特别强调了其在外科科室的临床表现、心理动力学背景和治疗结果。
自我伤害行为在青春期女性中最为常见。与自身身体以及与他人关系的紊乱是所有患者的问题。在这些患者的个人经历中，剥夺、身体或性虐待很常见。内心空虚感和无法忍受的精神紧张是自我伤害行为的直接心理动力学原因。心理治疗策略旨在学会更好地表达情感、关爱自身身体，并建立信任和稳定的关系。
了解心理动力学背景有助于对自我伤害行为患者的治疗。
