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The British Journal of Psychiatry 149: 656-658 (1986)
© 1986 The Royal College of Psychiatrists

Autocastration and biblical delusions in schizophrenia

AC Waugh

A young male castrated himself in response to the biblical passage, Matthew 19:12. Although extremely rare, autocastration usually occurs in men with chronic paranoid schizophrenia, with a long history of delusions of sexual guilt which can only be relieved by castration. Management of these patients is long-term, involving both pharmacotherapy and individual and family therapy.


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Copyright © 1986 The Royal College of Psychiatrists.