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REFERENCES 1. Feldman MD. The challenge of self-mutilation: A review. Comprehensive Psychiatry. 1988; 29:252–269. 2. Kharbach Y, Amiroune D, Ahsaini M et al. Penile self-mutilation preceded by bizarre delusions: two case reports. Journal of Medical Case Reports 2014; 8:246 3. Stroch D. Self-castration [letter]. JAMA 1901;XXXVI(4): 270 4. Greilsheimer H, Groves JE. Male genital self-mutilation. Arch Gen Psychiatry 1979; 36(4):441-446 5. Becker H, Hartmann U. Genital self-inflicted injuries-phenomenological and differential diagnostic considerations from

2012 18. Favazza A. The Coming of Age of Self - Mutilation The Jurnal of Nervous and Mental Diseases Volume 1996; 186: 259 – 268 19. Rush J. A. Spiritual Tattoo: A Cultural History of Tattooing, Piercing, Scarification, Branding, and Implants North Atlantic Books U.S. 2005 20. Stanley B., Sher L., Wilson S., Ekman R., Huang Y., Mann JJ. Non-suicidal Self-Injurious Behavior, Endogenous Opioids and Mo-noamine Neurotransmitters. Journal of affective disorders. 2010;124(1-2):134-140. 21. Victor S. E., Glenn C. R., Klonsky E. D. Is non-suicidal self-injury an “addiction

Abstract

The present report describes a case of distal tail self-mutilation in a 5-year-old neutered male domestic short-hair cat. The cat started licking his tail few months before the behavioural visit. Because of the severity of the self-induced injuries, the veterinarian performed a surgical partial caudectomy. After 3 months, the excessive self-grooming of the tail recurred. Neurological and dermatological examinations, radiographs, urine and blood tests did not show any abnormalities. During the behavioural visit, through direct observation of the cat’s posture and behavioural history, the pet received a diagnosis of psychogenic alopecia. The cat was treated with clomipramine for 2 months (0.5 mg/kg/PO SID) along with behaviour modification and environmental changes. After 1 month, the cat no longer showed excessive self-grooming. Even if no other systemic pathologies were identified, it is always recommended to address these patients with a multidisciplinary approach.

zagadnień. Self-aggression as a form of coping with stress-a reviewof issues. Psychiatria i Psychoterapia 2010;6(1):19-30. 51. Briere J, Gil E. Self-mutilation in clinical and general population samples: prevalence, correlates, and functions. Am J Orthopsychiatry. 1998;68 (4):609–20. 52. Evren C, Sar V, Evren B, Dalbudak E. Self-mutilation among male patients with alcohol dependency: the role of dissociation. Compr. Psychiatry 2008; 9(5): 489-495. 53. Evren C, Evren B. Self-mutilation in substance-dependent patients and relationship with childhood abuse and neglect

adults: prevalence, sociodemographics, topography and functions. Psychol Med. 2011;41(9):1981-6. 11. Pawłowska B, Potembska E, Zygo M, et al. Rozpowszechnienie samouszkodzeń dokonywanych przez młodzież w wieku od 16 do 19 roku życia. Psych Pol. 2016;50(1) (in press). 12. Zoroglu SS, Tuzun U, Sar V, et al. Suicide attempt and self-mutilation among Turkish high school students in relation with abuse, neglect and dissociation. Psychiatry Clin. Neurosci. 2003;57(1):119-26. 13. Lewinsohn PM, Rohde P, Seeley JR, Baldwin CL. Gender differences in suicide attempts from

. Bryman. Alan. 2012. Social Research Methods. Oxford: Oxford University Press. Darche. Mary A. 1990. Psychological Factors Differentiating Self-Mutilating and Non-Self-Mutilating Adolescent Inpatient Females. Psychiatric Hospital no. 21: 31-35. Lewis. Stephen P. Nancy L. Heath. Michael J. Somberger and Alexis E. Arbuthnott. 2012. Helpful or Harmful? An Examination of Viewers’ Responses to Nonsuicidal Self-Injury Videos on YouTube. Journal of Adolescent Health no. 51: 380-385. Favazza. Armando R. 1996 [1987]. Bodies under Siege: Self-Mutilation and Body Modification in

References 1. Fischer N, Hauser S, Brede O, Fisang C, Muller S. Implantation of artifi cial penile nodules - a review of literature. J Sex Med 2010;7:3565-71. 2. Wilcher G. Artifi cial penile nodules - a forensic pathosociology perspective: four case reports. Med Sci Law 2006;46:349-56. 3. Tsunenari S, Idaka T, Kanda M, Koga Y. Self-mutilation. Plastic spherules in penile skin in yakuza, Japan’s racketeers. Am J Forensic Med Pathol 1981;2:203-7. 4. Wolf P, Kerl H. Artifi cial penile nodules and secondary syphilis. Genitourin Med 1991;67:247-9. 5. Norton SA

References: 1. DSM-5 American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. Arlington: American Psychiatric Publishing; 2013. 2. Fliege H, Scholler G, Rose M, Willenberg H, Klapp BF. Factitious disorders and pathological self-harm in a hospital population: an interdisciplinary challenge. Gen Hosp Psychiatry 2002;24(3):164–71. 3. Kapfhammer HP, Rothenhäusler HB, Dietrich E, Dobmeier P, Mayer C. Artifactual disorders–between deception and self-mutilation. Experiences in consultation psychiatry at a university clinic. Der Nervenarzt

spasticity and hyperreflexia. The most striking aspect of the disease concerns behavioral problems: a peculiar severe sort of compulsive self-injurious behavior is common, with self mutilation (lip, tongue or finger biting), and other occasional different means of self-harm. Self-injury is not the result of a lack of sensation (the patients feel pain and are relieved when protected from themselves) but can be ascribed to an obsessive-compulsive behavior often revealing new and unexpected forms [ 25 ] and still under study Without restrictions, most patients can develop

trivialize the character, but, on the contrary, it gives that sensitive load, that emotion that leads to the elevation in the end. In the same register, the apparently new and naive couple, Jorgen- Thea, is saved through love from anonymity and conventionalism. As an individual character, Thea Elvsted (Cendana Trifan), on the other hand, is subtracted, subdued by Hedda’s darkened magnetism, but highlighted by flashy clothing and by the symbolic self-mutilation gesture of gleaming her face with an ice cream at the conflict’s paroxysm. Alongside these two core