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Aspiration of Foreign Bodies in Adults With Personality Disorders: Impact on Diagnosis and Recurrence
- Source :
- Journal of the National Medical Association. 103:620-622
- Publication Year :
- 2011
- Publisher :
- Elsevier BV, 2011.
-
Abstract
- Most cases of foreign-body aspiration are accidental events in children, whereas the majority of adults will have neurological dysfunction, trauma, alcohol abuse, or psychological disorders. 1 Much has been written about psychiatric patients engaging in self-mutilation such as cutting and burning, but little is recorded about deliberate aspiration of objects in these patients, who clinically can be separated into 4 groups: (1) malingering, (2) psychosis, (3) pica, and (4) personality disorders. The immediate psychological gain for these patients is unclear, as the act is insidious with no evidence of intentional harm or immediate danger. Thus, they are considered as being parasuicidal events designed to diminish other psychological processes. 2 Aspirated objects that are not immediately dislodged by coughing, choking, or gagging require surgical intervention. Most of these patients usually come to the attention of a psychiatrist, but such intervention does not prevent recurrences. We discuss a schizophrenic patient who aspirated multiple coins while under psychiatric treatment for prior episodes of aspiration of coins, ingestion of objects, and insertion of others in his urethra and rectum, while also reviewing some of the diagnostic and therapeutic challenges inherent in the management of these patients.
- Subjects :
- Male
medicine.medical_specialty
Schizophrenia, Paranoid
business.industry
Respiratory Aspiration
Poison control
Alcohol abuse
General Medicine
Middle Aged
Foreign Bodies
medicine.disease
Personality disorders
Radiography
Alcoholism
Malingering
Accidental
Intervention (counseling)
Humans
Medicine
Pica (disorder)
medicine.symptom
business
Psychiatry
Choking
Lung
Subjects
Details
- ISSN :
- 00279684
- Volume :
- 103
- Database :
- OpenAIRE
- Journal :
- Journal of the National Medical Association
- Accession number :
- edsair.doi.dedup.....0eec3fa4cd549a61b4a73f78c51dc85c