Self castration in trance and possession disorder: a case report

Abstract

Castration is a rare event that is commonly associated with psychotic disorders. However, such injuries have also been reported from non-psychotic patients as a result either from bizarre autoerotic acts. attempts at crude sex change operation by transsexuals or secondary to complex religious beliefs and delusions regarding sexual guilt. We report a case of 35 years male from rural Nepal with history of trance and possession spells for last 7 years and self-inflicted scrotal injury with amnesia for that period. After two days, surgical orchiectomy was done and postoperative outcome was uneventful. Such case of self castration in dissociative disorder is rarely reported and worth to bring in notice.