@article{ref1,
title="Command Hallucinations and self-amputation of the penis and hand during a first psychotic break",
journal="Journal of clinical psychiatry",
year="1981",
author="Hall, D. C. and Lawson, B. Z. and Wilson, L. G.",
volume="42",
number="8",
pages="322-324",
abstract="An unusual case is presented of a psychotic young man who experienced command auditory hallucinations which directed him to amputate his right hand and distal penis to atone for a &quot;terrible sexual transgression.&quot; The existing literature on genital self-mutilation is reviewed as well as some recent work on factors that might be used to predict an episode of self-mutilation. In patients who are felt to be at extremely high risk, careful monitoring and rapid medication schedules might be effective in preventing such an incident.<p /><p>Language: en</p>",
language="en",
issn="0160-6689",
doi="",
url="http://dx.doi.org/"
}