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Original Article

A case of unrelenting pursuit of castration

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Pages 150-152 | Published online: 06 Jul 2009
 

Abstract

Objective: Explore the limitations of the classification of body dysmorphic disorder.

Clinical picture: A Chinese male relentlessly pursued castration to relieve painful erections which were never substantiated. The testes and corpora spongiosum had been removed. No psychotic symptom was prominent.

Treatment: Cognitive therapy and psychotropics were tried.

Outcome: The remaining corpora cavernosa was removed subsequently.

Conclusion: The distorted somatic perception and secondary cognitive amplification (painful erections) could represent a variant of body dysmorphic disorder involving internal body image; diagnostic classifications should accommodate such a category.

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