Bodies Under Siege
Encyclopedia
Bodies Under Siege: Self-mutilation in Culture and Psychiatry is the title of a book written by psychiatrist Dr. Armando Favazza
Armando Favazza
Armando Favazza is an American author and psychiatrist best known for his studies of cultural psychiatry, deliberate self-harm, and religion. Favazza's Bodies Under Siege: Self-mutilation in Culture and Psychiatry was the first psychiatric book on this topic...

, and published in 1987.

Bodies Under Siege was the first psychiatric book on self-harm. The second edition (1996), subtitled Self-Mutilation and Body Modification in Culture and Psychiatry, remains the most often cited and thorough text in the field.

Favazza was the first person to classify self-mutilative (now more commonly called self-injurious) behaviors. Favazza's classification divides self-harm behaviors into two major categories, namely Culturally Sanctioned and Deviant. The subtypes of the former are practices and rituals. Practices often are faddish and include tattoos and body piercing. Ritual body modification
Body modification
Body modification is the deliberate altering of the human body for any non-medical reason, such as aesthetics, sexual enhancement, a rite of passage, religious reasons, to display group membership or affiliation, to create body art, shock value, or self expression...

 behaviors are traditional and reflect the history, spiritualism, and beliefs of a society. They are culturally and psychologically embedded in profound, elemental experiences especially connected to healing, spirituality, and social orderliness. Understanding body modification rituals sheds light on Deviant behaviors which, in Favazza’s classification, include Major, Stereotypic, Compulsive, and Impulsive. Each subtype is usually associated with specific mental disorders. The Major type, for example, exemplified by self-castration or eye-enucleation, is usually associated with psychosis, transsexualism, and/or substance intoxication. The most common type is the Impulsive, as exemplified by skin-cutting and burning, and is associated with a broad variety of disorders including generalized anxiety, post-traumatic stress disorder
Post-traumatic stress disorder
Posttraumaticstress disorder is a severe anxiety disorder that can develop after exposure to any event that results in psychological trauma. This event may involve the threat of death to oneself or to someone else, or to one's own or someone else's physical, sexual, or psychological integrity,...

, and antisocial, histrionic, and borderline personality disorder
Borderline personality disorder
Borderline personality disorder is a personality disorder described as a prolonged disturbance of personality function in a person , characterized by depth and variability of moods.The disorder typically involves unusual levels of instability in mood; black and white thinking, or splitting; the...

.

One aspect of body modification discussed by Dr. Favazza is the concept of the "skin/self border". Dr. Favazza describes the skin as one of the most simple physiological organs of the human body; yet this relatively simple organ has a very complex impact on human psychology.

In the "skin/self border" school of thought, Dr. Favazza theorizes that the skin is the ultimate border between a person and the outside world and in modifying this border, a person exercises a level of control of or communication with the relationship his/her body has with the outside world.
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