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February 1976

Self-Enucleation and PsychosisReport of Two Cases and Discussion

Author Affiliations

From the Department of Psychiatry, McGill University, Montreal.

Arch Gen Psychiatry. 1976;33(2):242-249. doi:10.1001/archpsyc.1976.01770020076012

• We report two cases of self-enucleation and the case histories of the two schizophrenic men who carried out this drastic form of self-mutilation.

In a review of the literature and consideration of the case material, it is concluded that castration fears, failure to resolve oedipal conflicts, repressed homosexual impulses, severe guilt, and self-punishment are ubiquitous phenomena in such cases. However, we conclude that psychosis, most probably schizophrenia, with a severe disturbance in body image, are necessary variables in the act of self-enucleation.