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Tijdschrift voor Psychiatrie 36 (1994) 3

New research

Autocastration and gender-identity

I.M. Brugman, E.C.A. Collumbien

Self-castration by non-psychotic men constitutes a poorly understood topic in the literature. By reviewing the cases reported and by analyzing 3 new cases, we found an association of this problem with a gender-identity disorder with atypical characteristics and with a disturbance of the core-gender-identity. We stress the importance of a better recognition of this group of patients which seems to be at risk for severe genital self-mutilation.