Bodies Under Siege

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Bodies Under Siege: Self-mutilation in Culture and Psychiatry is a book written by psychiatrist Dr. Armando Favazza, and published in 1987. [1]

Bodies Under Siege is a psychiatric book on self-harm. The second edition (1996) was subtitled Self-Mutilation and Body Modification in Culture and Psychiatry

Favazza's classification divides self-harm behaviors into two major categories, namely Culturally Sanctioned and Deviant. The subtypes of the former are practices and rituals. Practices often are faddish and include tattoos and body piercing. Ritual body modification behaviors are traditional and reflect the history, spiritualism, and beliefs of a society. They are culturally and psychologically embedded in profound, elemental experiences especially connected to healing, spirituality, and social orderliness. Understanding body modification rituals sheds light on Deviant behaviors which, in Favazza's classification, include Major, Stereotypic, Compulsive, and Impulsive. Each subtype is usually associated with specific mental disorders. The Major type, for example, exemplified by self-castration or eye-enucleation, is usually associated with psychosis, transsexualism, and/or substance intoxication. The most common type is the Impulsive, as exemplified by skin-cutting and burning, and is associated with a broad variety of disorders including generalized anxiety, post-traumatic stress disorder, and antisocial, histrionic, and borderline personality disorder. [2]

One aspect of body modification discussed by Dr. Favazza is the concept of the "skin/self border". Dr. Favazza describes the skin as one of the most simple physiological organs of the human body; yet this relatively simple organ has a very complex impact on human psychology.

In the "skin/self border" school of thought, Dr. Favazza theorizes that the skin is the ultimate border between a person and the outside world and in modifying this border, a person exercises a level of control of or communication with the relationship his/her body has with the outside world..

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<span class="mw-page-title-main">Body modification</span> Deliberate alteration of the human anatomy with the consent of the altered

Body modification is the deliberate altering of the human anatomy or human physical appearance. In its broadest definition it includes skin tattooing, socially acceptable decoration, and religious rites of passage, as well as the modern primitive movement.

<span class="mw-page-title-main">Borderline personality disorder</span> Personality disorder of emotional instability

Borderline personality disorder (BPD), also known as emotionally unstable personality disorder (EUPD), is a personality disorder characterized by a long-term pattern of intense and unstable interpersonal relationships, distorted sense of self, and strong emotional reactions. Those affected often engage in self-harm and other dangerous behaviors, often due to their difficulty with returning their emotional level to a healthy or normal baseline. They may also struggle with a feeling of emptiness, fear of abandonment, and dissociation.

<span class="mw-page-title-main">Self-harm</span> Intentional injury to ones body

Self-harm is intentional behavior that is considered harmful to oneself. This is most commonly regarded as direct injury of one's own skin tissues usually without a suicidal intention. Other terms such as cutting, self-injury, and self-mutilation have been used for any self-harming behavior regardless of suicidal intent. Common forms of self-harm include damaging the skin with a sharp object or by scratching, hitting, or burning. The exact bounds of self-harm are imprecise, but generally exclude tissue damage that occurs as an unintended side-effect of eating disorders or substance abuse, as well as societally acceptable body modification such as tattoos and piercings.

Conduct disorder (CD) is a mental disorder diagnosed in childhood or adolescence that presents itself through a repetitive and persistent pattern of behavior that includes theft, lies, physical violence that may lead to destruction, and reckless breaking of rules, in which the basic rights of others or major age-appropriate norms are violated. These behaviors are often referred to as "antisocial behaviors." It is often seen as the precursor to antisocial personality disorder, which by definition cannot be diagnosed until the individual is 18 years old. Conduct disorder may result from parental rejection and neglect and can be treated with family therapy, as well as behavioral modifications and pharmacotherapy. Conduct disorder is estimated to affect 51.1 million people globally as of 2013.

Infibulation is the ritual removal of the external female genitalia and the suturing of the vulva, a practice found mainly in northeastern Africa, particularly in Djibouti, Eritrea, Ethiopia, Somalia, and Sudan. The World Health Organization refers to the procedure as Type III female genital mutilation. Infibulation can also refer to placing a clasp through the foreskin in men.

Antisocial personality disorder is a personality disorder characterized by a limited capacity for empathy and a long-term pattern of disregard or violation of the rights of others. Other notable symptoms include impulsivity and reckless behavior, a lack of remorse after hurting others, deceitfulness, irresponsibility, and aggressive behavior.

<span class="mw-page-title-main">Body dysmorphic disorder</span> Mental disorder

Body dysmorphic disorder (BDD), occasionally still called dysmorphophobia, is a mental disorder characterized by the obsessive idea that some aspect of one's own body part or appearance is severely flawed and therefore warrants exceptional measures to hide or fix it. In BDD's delusional variant, the flaw is imagined. If the flaw is actual, its importance is severely exaggerated. Whether the physical imperfection is real or not, thoughts about it are pervasive and intrusive and may occupy the mind of the sufferer for many hours every day, causing severe distress and impairing otherwise normal activities. BDD is classified as a somatoform disorder, and the DSM-5 categorizes BDD in the obsessive–compulsive spectrum, and distinguishes it from anorexia nervosa.

<span class="mw-page-title-main">Trait theory</span> Approach to the study of human personality

In psychology, trait theory is an approach to the study of human personality. Trait theorists are primarily interested in the measurement of traits, which can be defined as habitual patterns of behavior, thought, and emotion. According to this perspective, traits are aspects of personality that are relatively stable over time, differ across individuals, are relatively consistent over situations, and influence behaviour. Traits are in contrast to states, which are more transitory dispositions.

<span class="mw-page-title-main">Suspension (body modification)</span> Body modification

Body suspension means the act of rigging a human body to hang from implements that have been placed through temporary perforations in the skin.

<span class="mw-page-title-main">Excoriation disorder</span> Medical condition

Excoriation disorder, more commonly known as dermatillomania, is a mental disorder on the obsessive–compulsive spectrum that is characterized by the repeated urge or impulse to pick at one's own skin, to the extent that either psychological or physical damage is caused.

<span class="mw-page-title-main">Zamora the Torture King</span>

Zamora the Torture King is the stage name of Tim Cridland, an American sideshow performer. Zamora was an original member of the Jim Rose Circus, where he performed painful feats as entertainment. His stunts include fire eating, sword swallowing, body skewering and electric shock. Zamora co-authored Circus of the Scars, a history of the Jim Rose Circus. In 2022 Gregor produced a 96 minute documentary with the same title, featuring Cridland and other stars of the circus.

Autophagia refers to the practice of biting/consuming one's body. It is a sub category of self-injurious behavior (SIB). Commonly, it manifests in humans as nail biting and hair pulling. In rarer circumstances, it manifests as serious self mutilative behavior such as biting of one's fingers. Autophagia affects both humans and non humans. Human autophagia typically occurs in parts of the body that are sensitive to pain, such as fingers. Human autophagia is not motivated by suicidal intent, but may be related to the desire to seek pain.

The obsessive–compulsive spectrum is a model of medical classification where various psychiatric, neurological and/or medical conditions are described as existing on a spectrum of conditions related to obsessive–compulsive disorder (OCD). "The disorders are thought to lie on a spectrum from impulsive to compulsive where impulsivity is said to persist due to deficits in the ability to inhibit repetitive behavior with known negative consequences, while compulsivity persists as a consequence of deficits in recognizing completion of tasks." OCD is a mental disorder characterized by obsessions and/or compulsions. An obsession is defined as "a recurring thought, image, or urge that the individual cannot control". Compulsion can be described as a "ritualistic behavior that the person feels compelled to perform". The model suggests that many conditions overlap with OCD in symptomatic profile, demographics, family history, neurobiology, comorbidity, clinical course and response to various pharmacotherapies. Conditions described as being on the spectrum are sometimes referred to as obsessive–compulsive spectrum disorders.

A spectrum disorder is a mental disorder that includes a range of linked conditions, sometimes also extending to include singular symptoms and traits. The different elements of a spectrum either have a similar appearance or are thought to be caused by the same underlying mechanism. In either case, a spectrum approach is taken because there appears to be "not a unitary disorder but rather a syndrome composed of subgroups". The spectrum may represent a range of severity, comprising relatively "severe" mental disorders through to relatively "mild and nonclinical deficits".

Armando Favazza is an American author and psychiatrist best known for his studies of cultural psychiatry, deliberate self-harm, and religion. Favazza's Bodies Under Siege: Self-mutilation in Culture and Psychiatry (1987) was an early psychiatric book on this topic. His 2004 work, PsychoBible: Behavior, Religion, and the Holy Book presents objective data regarding commonly held misconceptions about the Bible as a whole as well as its major passages. In Kaplan and Sadock's Comprehensive Textbook of Psychiatry he has written the chapter on "Anthropology and Psychiatry" in the 3rd edition (1980), the 4th edition (1985) and the 8th edition (2005), as well as the chapter on "Spirituality and Psychiatry" in the 9th edition (2009). He has published two cover articles in the American Journal of Psychiatry: "Foundations of Cultural Psychiatry" [135:293-303,1978] and "Modern Christian Healing of Mental Illness" [139:728-735,1982]. In 1979 he co-founded The Society for the Study of Culture and Psychiatry.

<span class="mw-page-title-main">Impulsivity</span> Tendency to act on a whim without considering consequences

In psychology, impulsivity is a tendency to act on a whim, displaying behavior characterized by little or no forethought, reflection, or consideration of the consequences. Impulsive actions are typically "poorly conceived, prematurely expressed, unduly risky, or inappropriate to the situation that often result in undesirable consequences," which imperil long-term goals and strategies for success. Impulsivity can be classified as a multifactorial construct. A functional variety of impulsivity has also been suggested, which involves action without much forethought in appropriate situations that can and does result in desirable consequences. "When such actions have positive outcomes, they tend not to be seen as signs of impulsivity, but as indicators of boldness, quickness, spontaneity, courageousness, or unconventionality." Thus, the construct of impulsivity includes at least two independent components: first, acting without an appropriate amount of deliberation, which may or may not be functional; and second, choosing short-term gains over long-term ones.

Self-embedding is the insertion of foreign objects either into soft tissues under the skin or into muscle. Self-embedding is typically considered deliberate self-harm, also known as nonsuicidal self-injury, which is defined as "deliberate, direct destruction of tissues without suicidal intent."

<i>A Bright Red Scream</i>

A Bright Red Scream: Self-Mutilation and the Language of Pain is a 1998 non-fiction psychology book written by American journalist Marilee Strong about self-harm. Published by Viking Press, it is the first general interest book on self-harm.

Sexual sadism disorder is the condition of experiencing sexual arousal in response to the extreme pain, suffering or humiliation of others. Several other terms have been used to describe the condition, and the condition may overlap with other conditions that involve inflicting pain. It is distinct from situations in which consenting individuals use mild or simulated pain or humiliation for sexual excitement. The words sadism and sadist are derived from the French writer and libertine Marquis de Sade, who wrote several novels depicting sexualized torture and violence.

A self-inflicted wound (SIW) or self-inflicted injury (SII) is a physical injury done to oneself. This may occur in contexts including:

References

  1. Prost, Eric; Roberts, Nasreen (May 2012). "Bodies Under Siege: Self-mutilation, Nonsuicidal Self-injury, and Body Modification in Culture and Psychiatry, 3rd edition". Journal of the Canadian Academy of Child and Adolescent Psychiatry. 21 (2): 155–156. PMC   3338185 .
  2. "Bodies Under Siege". APA PsycNET.