Repetetively Cutting Own Oral Mucosa as a Self-Harming Behavior: A Case Report

Tekrarlayıcı, tasarlanmış bir şekilde, ölüm isteği olmadan yapılan, doku hasarı ile sonuçlanan, kendi vücuduna yönelik girişimler olarak tanımlanan kendine zarar verme davranışı, Ruhsal Bozuklukların Tanısal ve Sayımsal El Kitabı'nın yeniden gözden geçirilmiş dördüncü baskısında (DSM-IV TR) başka bir yerde sınıflandırılmamış dürtü kontrol bozuklukları ve ilk kez bebeklik çocukluk çağı ve ergenlikte tanısı konan bozukluklar içinde basmakalıp davranım bozuklukları başlıkları altında yer almaktadır. DSM-V için intihar niteliği olmayan kendine zarar verme başlığı ile ayrı bir tanımlama önerilmiş ve klinik ilgi odağı olabilecek diğer durumlar bölümünde, kişisel öykünün olduğu diğer durumlar başlığı altında, 'kendine zarar verme öyküsü' olarak ayrıca tanımlanmıştır. Sıklıkla ergenlikte başlayan kendine zarar verme davranışının en çok karşılaşılan şekli kendini keserek zarar verme olup, çoğunlukla da kollar ve bacaklar seçilmektedir. Genellikle kişilik bozuklukları, depresyon, madde kullanımı ile birlikte görülmektedir. Bu makalede kendine zarar verme şekillerinden sıkça görülen kesmeyi, oldukça seyrek görüldüğü bir bölge olan ağız içinde gerçekleştiren bir olgu anlatılacaktır

Kendine zarar verme davranışı olarak tekrarlayıcı şekilde kendi ağız mukozasını kesme: Olgu sunumu

Self-harm behavior, defined as repetitive and deliberate attempts of harm to self-body without suicidal intentions and resulting in tissue damage, is classified in the text revision of Diagnostic and Statistical Manual of Mental Disorders fourth edition (DSM-IV-TR) under the sections of impulse-control disorder not otherwise specified and stereotypic movement disorder which falls under the category of disorders usually first diagnosed in infancy, childhood or adolescence. For DSM-V, a separate classification with the title of non-suicidal self-harm has been recommended and defined separately as personal history of selfharm under the section of other circumstances of personal history under the main category of other conditions that may be a focus of clinical attention. The most encountered form of self-harm behavior starting mostly in adolescence is harming by self-cutting and mostly legs and arms are chosen. Such behavior is generally accompanied with personality disorder, depression, substance abuse. In this article, a case of cutting, a common form of self harm behavior that involves one of the rare parts of the body, oral mucosa is discussed.

Kaynakça

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