TY - JOUR PY - 1997// TI - Self-induced injuries--surgical aspects JO - Unfallchirurgie A1 - Katzer, A. A1 - Schaaf, S. R. A1 - Wening, J. V. A1 - Möller, H. C. A1 - Puschel, K. A1 - Jungbluth, K. H. SP - 105 EP - 113 VL - 23 IS - 3 N2 - So far, psychiatric-psychoanalytic theories have been able to explain the phenomenon "self-injury" only unsatisfactorily. Moreover, the patients do not turn to a psychiatrist in the first place, but to surgeons, dermatologists, gynecologists or general practitioners. This is therefore an interdisciplinary problem. Since general medical knowledge is relatively unhelpful in diagnosing self-inflicted disease and its treatment, these patients often do not receive adequate psychiatric co-management or further care or indeed often get the chance to delegate the act of self-injury to the physician. In view of the sustained tendency for the disorder to chronify, this frequently results in severe, partly irreversible and sometimes iatrogenically co-induced physical impairments. In the final analysis, it also leads to enormous financial burdens for the agencies which bear the costs.
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