Self-mutilation and psychosomatic auto-aggression: a cautionary note in the management of chronic bone and soft tissue infections.
expert_opinion · Level V
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- Record sourced from PubMed, PMID 24193279.
- Also identified by DOI 10.1007/BF02716221.
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Abstract
In septic bone surgery the treating orthopaedic surgeon is occasionally confronted with patients in whom, inspite of adequate treatment, a favourable clinical result cannot be obtained. In such instances one has to think about self-mutilating patients with subconscious manipulative behavior or patients with psychosomatic auto-aggression of concealed psychotic depression but without self-mutilation. The aim of this publication is to identify these patients and learn how to deal with them.