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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 12 of 12. This is the beginning of the thread.
Posted by hrtlm on July 10, 2002, at 3:51:50
Would it be considered self-injury if a person:
pulled off scabs and picked at wounds, keeping them unhealed for many months (up to a year)
even creating a wound by starting with something small like a pimple or a mosquito bite and, over time and with constant picking and scratching, turning it into something big enough to scab over
Posted by OddipusRex on July 10, 2002, at 14:40:17
In reply to Is this self-injury?, posted by hrtlm on July 10, 2002, at 3:51:50
The most common form of self-mutilation, and the topic of this site, is called superficial or moderate. This can include cutting, burning, scratching, skin-picking, hair-pulling, bone-breaking, hitting, deliberate overuse injuries, interference with wound healing, and virtually any other method of inflicting damage on oneself. Both in clinical studies and in an informal Usenet survey, the most popular act was cutting, and the most popular sites were wrists, upper arms, and inner thighs. Many people have used more than one method, but even they tend to favor one or two preferred methods and sites of abuse.
http://www.palace.net/~llama/psych/fwhat.html
Posted by judy1 on July 10, 2002, at 16:15:12
In reply to Is this self-injury?, posted by hrtlm on July 10, 2002, at 3:51:50
Yes it is. If it is you that is SI, please let us know so we can be supportive. (several of us on this site do this type of 'coping' behavior) take care, judy
Posted by hrtlm on July 12, 2002, at 3:06:44
In reply to Re: Is this self-injury? » hrtlm, posted by judy1 on July 10, 2002, at 16:15:12
it is me that does that, but i dont really see it as a problem
i read all these stories about people "cutting" to "bring them into reality" or to "feel pain because thats better than feeling nothing", yadda, yadda, yadda and it just doesnt apply
im not making fun of those people, its just something that im ignorant about
so, its strange to me that i could be exhibiting similar behavior, but for such different reasons
is it some subconscious desire to make myself ugly (trust me, the scars from keeeping a wound open for almost a year are in fact hideous) or something else? could it be just a bad habit?
is the behavior in and of itself "bad" or does it depend of the reasons for doing it
i dont know
i was just kinda shocked to see what i do lumped in with these other things> Yes it is. If it is you that is SI, please let us know so we can be supportive. (several of us on this site do this type of 'coping' behavior) take care, judy
Posted by OddipusRex on July 12, 2002, at 7:45:28
In reply to Re: Is this self-injury?, posted by hrtlm on July 12, 2002, at 3:06:44
http://www.ocdla.com/compulsiveskinpicking.html
Well here's another description of it as a kind of OCD. But I think if you don't see it as a problem maybe it isn't. Sometimes it's easy to start seeing everything as a symptom of something.
Posted by Phil on July 12, 2002, at 18:14:59
In reply to Re: Is this self-injury? » hrtlm, posted by OddipusRex on July 12, 2002, at 7:45:28
Keeping a wound open for a year isn't a bad habit.
It's self-destruction.
How does this tie into your post about making yourself deaf?
I do hope you are seeing a pdoc.
Posted by hrtlm on July 12, 2002, at 22:11:24
In reply to Re: Of course it's a problem, posted by Phil on July 12, 2002, at 18:14:59
why would you just make something like that up? you have no idea what my request was for - ever hear of "research"???
please dont make things up about other people - its not nice - maybe you should see a pdoc about *that*
> Keeping a wound open for a year isn't a bad habit.
> It's self-destruction.
> How does this tie into your post about making yourself deaf?
> I do hope you are seeing a pdoc.
Posted by Phil on July 13, 2002, at 7:12:55
In reply to making myself deaf??? » Phil, posted by hrtlm on July 12, 2002, at 22:11:24
I made it up, as you say, because you ignored the question. Didn't mean to assume but you gotta admit, it's an unusual question.
I think Remeron has a rare SE of deafness but that's a long shot.
I've played drums for 25 years and have serious hearing loss in my left ear.
I guess you could, listen to headphones at incredibly loud volume, stand near an airport runway, shoot 44 magnums w/o hearing protection.
As far as an immediate way, I'm sure there are some but I don't know them.
You might want to do a search on www.google.com.
Posted by Phil on July 13, 2002, at 7:28:24
In reply to making myself deaf??? » Phil, posted by hrtlm on July 12, 2002, at 22:11:24
I do see a pdoc and will ask her why I make up scenarios when I read that someone wants to know how to go deaf w/o sticking an icepick in their ear.
We haven't covered that one.Oh, the picking at scabs, here's your answer. BTW, I had a friend in school who pulled out his eyelashes(same syndrome)
------------ABSTRACT----------
Characterization of trichotillomania. A phenomenological model with clinical relevance to obsessive-compulsive spectrum disorders.O'Sullivan RL, Mansueto CS, Lerner EA, Miguel EC.
Department of Psychiatry, Harvard Medical School, Boston, Massachusetts, USA.
Multiple approaches to characterization of TTM have been developed, including categoric definitions and dimensional considerations. When TTM is viewed in the context of other disorders with common comorbidities and overlapping similar phenomenologies, such as OCD, body dysmorphic disorder, skin picking, TS, and olfactory reference syndrome, clinical approaches to assessment and differential diagnosis are more complex. This article presents a general overview of TTM included as a background for a heuristic clinical framework for assessing obsessive-compulsive spectrum disorders. A comprehensive behavioral model of TTM as a template is presented in the context of a broader, phenomenologic approach to assessment of several other disorders. These additional conditions were chosen on clinical grounds because they seem to share some phenomenologic characteristics with TTM. It is hoped that combining a phenomenologic approach to the differentiation of repetitive behaviors (as has been valuable in advancing the understanding of repetitive behaviors in TS and OCD), coupled with a paradigmatic comprehensive behavioral assessment and treatment model of TTM, may foster the validation of such approaches for other putative obsessive-compulsive spectrum disorders. Also, the relative intensity and frequency ascribed to the various behavioral and phenomenologic components of the conditions depicted represent clinical impressions, with varying degrees of empiric support, and require objective validation. This approach is meant to serve as a point of departure for clinical assessment of these complex, interesting, and sometimes incompletely diagnosed and inadequately treated conditions. It is hoped that empiric validation or refutation of this conceptualization will stimulate additional research and provide clinicians with a general framework for assessing patients suffering from these difficult conditions. For more information about trichotillomania, contact The Trichotillomania Learning Center (TLC), 1215 Mission Street, Santa Cruz, CA 95060 (831-457-1004; www.trich.org).
Posted by Phil on July 13, 2002, at 7:35:02
In reply to Re: Is this self-injury?, posted by hrtlm on July 12, 2002, at 3:06:44
If you go to PB, I'm not the only one who assumed you wanted to harm yourself.
If you don't mind me asking, what kind of research project is this?
Posted by hrtlm on July 13, 2002, at 10:17:52
In reply to Re: making myself deaf??? » hrtlm, posted by Phil on July 13, 2002, at 7:28:24
> I do see a pdoc and will ask her why I make up scenarios when I read that someone wants to know how to go deaf w/o sticking an icepick in their ear. <
Did I ever say that I wanted to know how to go deaf w/o sticking an ice pick in my ear? No. I simply asked if it was even possible. Here's my exact question:
<<could you make yourself deaf (without jabbing an ice pick into your inner ear or anything painful like that)?>>
Then you say:
<<I made it up, as you say, because you ignored the question.>>
So it's my fault that you just make things up about other people? If you are talking about the fact that I didn't answer the "Why do you want to know?" question, here's a thought:
Why do I need to justify my question to you? Either you want to answer the original post or you don't. But you don't need to try and dictate to me any criteria that you might have before answering my question. If you *want* to help out, go ahead, but don't try to invalidate my request for information just because you, in all your professional training (LOL), decide that I'm not entitled to an answer. And you are most certainly *NOT* entitled to make up your own little scenario (lies) just because I didn't rush to explain myself to you.
In the interest of putting the argument to rest, I will tell you why I asked. A friend and I were talking about mental illness, treatment, the snowballing of symptoms that occurs with lack of treatment, etc. My friend, a lot of times, makes crap up (Wow, maybe you two would hit it off.). Anyway, he gets into this story about someone who couldn't take even the smallest of noises, so the guy intentionally inflicted deafness upon himself. I said "Jesus, that would hurt!", thinking it would have to be a self-inflicted physical injury (unless it was really some sort of uncontrollable incident like a virus, etc.). He said that no, it wasn't anything like that. So I asked him for specifics and he, of course, didn't have any, so I thought I'd ask here.
Again, I'm not saying that you had any obligation to answer my original post. But it's really not appropriate to publicly deem my request "unworthy" by asking "Why do you want to know?" And again, you definitely have no right to create your own scenario and post it.
> We haven't covered that one.
>
> Oh, the picking at scabs, here's your answer. BTW, I had a friend in school who pulled out his eyelashes(same syndrome)
>
> ------------ABSTRACT----------
> Characterization of trichotillomania. A phenomenological model with clinical relevance to obsessive-compulsive spectrum disorders.
>
> O'Sullivan RL, Mansueto CS, Lerner EA, Miguel EC.
>
> Department of Psychiatry, Harvard Medical School, Boston, Massachusetts, USA.
>
> Multiple approaches to characterization of TTM have been developed, including categoric definitions and dimensional considerations. When TTM is viewed in the context of other disorders with common comorbidities and overlapping similar phenomenologies, such as OCD, body dysmorphic disorder, skin picking, TS, and olfactory reference syndrome, clinical approaches to assessment and differential diagnosis are more complex. This article presents a general overview of TTM included as a background for a heuristic clinical framework for assessing obsessive-compulsive spectrum disorders. A comprehensive behavioral model of TTM as a template is presented in the context of a broader, phenomenologic approach to assessment of several other disorders. These additional conditions were chosen on clinical grounds because they seem to share some phenomenologic characteristics with TTM. It is hoped that combining a phenomenologic approach to the differentiation of repetitive behaviors (as has been valuable in advancing the understanding of repetitive behaviors in TS and OCD), coupled with a paradigmatic comprehensive behavioral assessment and treatment model of TTM, may foster the validation of such approaches for other putative obsessive-compulsive spectrum disorders. Also, the relative intensity and frequency ascribed to the various behavioral and phenomenologic components of the conditions depicted represent clinical impressions, with varying degrees of empiric support, and require objective validation. This approach is meant to serve as a point of departure for clinical assessment of these complex, interesting, and sometimes incompletely diagnosed and inadequately treated conditions. It is hoped that empiric validation or refutation of this conceptualization will stimulate additional research and provide clinicians with a general framework for assessing patients suffering from these difficult conditions. For more information about trichotillomania, contact The Trichotillomania Learning Center (TLC), 1215 Mission Street, Santa Cruz, CA 95060 (831-457-1004; www.trich.org).
Posted by oracle on August 7, 2002, at 17:08:38
In reply to Re: making myself deaf??? » Phil, posted by hrtlm on July 13, 2002, at 10:17:52
First you indicated you were doing these behaviors:
so, its strange to me that i could be exhibiting similar behavior, but for such different reasons
is it some subconscious desire to make myself ugly (trust me, the scars from keeeping a wound open for almost a year are in fact hideous) or something else? could it be just a bad habit?
Then you said it was someone else:
>
> In the interest of putting the argument to rest, I will tell you why I asked. A friend and I were talking about mental illness, treatment, the snowballing of symptoms that occurs with lack of treatment, etc. My friend, a lot of times, makes crap up (Wow, maybe you two would hit it off.). Anyway, he gets into this story about someone who couldn't take even the smallest of noises, so the guy intentionally inflicted deafness upon himself. I said "Jesus, that would hurt!", thinking it would have to be a self-inflicted physical injury (unless it was really some sort of uncontrollable incident like a virus, etc.). He said that no, it wasn't anything like that. So I asked him for specifics and he, of course, didn't have any, so I thought I'd ask here.
>
> Again, I'm not saying that you had any obligation to answer my original post. But it's really not appropriate to publicly deem my request "unworthy" by asking "Why do you want to know?" And again, you definitely have no right to create your own scenario and post it.
Posting again and again on this (without answering "why"?), and then mixing up who you are talking about tends to confuse people.
This is the end of the thread.
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