tions in perceptions of thought. There is a lack of stereotyped repetitive acts and behaviors are bizarre and drastic, symbolizing a meaning to the individual. The behaviors may be a response to hallucinations or delusions such as religiously theme-related delusions. The literature describes acts such as amputation of the ear, removal of the tongue, abdominal self-surgery, autoamputation of digits and limbs, self-enucleation, autocastration, and autocannibalism. Cases of blood letting and genital self-mutilation have also been found. These acts are not associated with pain and there is an experience of calm prior to, during, and following the injury (Faulconer, & House, 2001; Kress, 2003; McGuire & Ahmed, 1998).
Compulsive SIB includes repetitive skin picking, hair pulling, and nail biting with mild to moderate severity. These behaviors are consistent with DSM-IV-TR diagnoses of trichotillomania and stereotypic movement disorder with self-injurious behaviors. People who engage in these behaviors are compe
...