Self castration in trance and possession disorder: a case report
S Adhikari, Sb Pant, Sp Ojha, M Chapagai, P Tulachan, S Dhungana, S Upadhyaya
Journal of Institute of Medicine Nepal August 31, 2017 DOI: 10.59779/jiomnepal.989
Summary
AI-generated from the abstractSelf-castration is rare and usually linked to psychotic disorders, but it can also occur in non-psychotic individuals due to autoerotic acts, attempts at sex change, or religious delusions. A 35-year-old man from rural Nepal with a seven-year history of trance and possession spells and amnesia for the event inflicted a scrotal injury on himself. Surgical orchiectomy was performed two days later, and his recovery was uneventful. This case is notable because self-castration in dissociative disorder is seldom reported.
Study at a glance
| Characteristics | Case study Case report Peer reviewed |
|---|---|
| Sample size | 1 |
| Population | 35-year-old male from rural Nepal with dissociative disorder |
| Intervention | surgical orchiectomy |
| Key finding | Self-castration can occur in dissociative disorder, not only in psychotic disorders. |
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.