| Severe morbid onychophagia: the classification as self-mutilation and a proposed model of maintenance. | |
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MedLine Citation:
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PMID: 9711368 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVES: The aim of this review is to make a distinction between a mild and a severe form of onychophagia (nailbiting) that has not been adequately recognised in clinical research. Furthermore, the aim is to emphasise the need for greater understanding of the motivation for such self-injury as occurs in the severe form. The purpose of making the distinction is to evaluate whether a label of self-mutilation can be applied to the severe form. If this is the case, the tension-reduction model of self-mutilation can be proposed as the mechanism which may maintain the behaviour in the face of serious social and physical consequences. METHOD: Examination was made of the literature relating to onychophagia and to self-mutilation. Treatment studies of onychophagia were examined to evaluate the mechanisms by which the behaviour may be maintained. RESULTS: Considering the self-mutilative nature of the severe form and the common theme of tension reduction in the literature on onychophagia, application of the tension-reduction model of self-mutilation is warranted. CONCLUSION: There is a need for empirical research as to the tension-reducing nature of severe onychophagia. |
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Authors:
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J H Wells; J Haines; C L Williams |
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Publication Detail:
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Type: Journal Article; Review |
Journal Detail:
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Title: The Australian and New Zealand journal of psychiatry Volume: 32 ISSN: 0004-8674 ISO Abbreviation: Aust N Z J Psychiatry Publication Date: 1998 Aug |
Date Detail:
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Created Date: 1998-11-23 Completed Date: 1998-11-23 Revised Date: 2009-11-11 |
Medline Journal Info:
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Nlm Unique ID: 0111052 Medline TA: Aust N Z J Psychiatry Country: AUSTRALIA |
Other Details:
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Languages: eng Pagination: 534-45 Citation Subset: IM |
Affiliation:
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Department of Psychology, University of Tasmania, Hobart, Australia. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Anxiety
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complications Behavior Therapy / methods, standards Compulsive Behavior / etiology, psychology*, therapy Cosmetic Techniques / classification, psychology Humans Nail Biting* / adverse effects, psychology, therapy Reinforcement (Psychology)* Self Mutilation* / classification, ethnology, etiology, psychology, therapy Severity of Illness Index Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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