Literature DB >> 33643751

Deliberate Foreign Body Ingestion in a 35-Year-Old Woman With Borderline Personality Disorder and Several Psychiatric Comorbidities.

Fariha Bangash1, James L Megna2, Luba Leontieva1.   

Abstract

Deliberate foreign body ingestion (DFBI) is a rare psychopathological disorder that involves the swallowing of non-nutritive objects to cause self-harm. It is most commonly associated with borderline personality disorder (BPD). Very scant literature has been published on the psychopathological understanding or psychopharmacological interventions. Mostly, gastroenterological and surgical management regarding the removal of the foreign body has been discussed in the literature. DFBI can be very challenging in terms of the treatment of the patient and the morale of the health providers - it exhausts the patient and the family and evokes frustration among the medical staff due to its resistance to remission. By presenting the case of a patient in this article, we will discuss what is known about the poorly understood DFBI and the challenges and difficulties encountered while treating these patients. Further, we will discuss how a biopsychosocial approach can be used in treating these patients.
Copyright © 2021, Bangash et al.

Entities:  

Keywords:  borderline personality disorder; childhood sexual abuse; deliberate foreign body ingestion; post-traumatic stress disorder; repeated self-injurious behavior

Year:  2021        PMID: 33643751      PMCID: PMC7885791          DOI: 10.7759/cureus.13179

Source DB:  PubMed          Journal:  Cureus        ISSN: 2168-8184


  17 in total

1.  MANAGEMENT OF INGESTED FOREIGN BODIES IN THE PSYCHOTIC PATIENT.

Authors:  B TEIMOURIAN; A S CIGTAY; N P SMYTH
Journal:  Arch Surg       Date:  1964-06

2.  A controlled trial of psychodynamic psychotherapy for co-occurring borderline personality disorder and alcohol use disorder.

Authors:  Robert J Gregory; Susan Chlebowski; David Kang; Anna L Remen; Maureen G Soderberg; Jason Stepkovitch; Subhdeep Virk
Journal:  Psychotherapy (Chic)       Date:  2008-03

3.  Prevalence of and risk factors for suicide attempts versus suicide gestures: analysis of the National Comorbidity Survey.

Authors:  Matthew K Nock; Ronald C Kessler
Journal:  J Abnorm Psychol       Date:  2006-08

4.  Foreign-body ingestion in patients with personality disorders.

Authors:  David F Gitlin; Jason P Caplan; Malcolm P Rogers; Orit Avni-Barron; Ilana Braun; Arthur J Barsky
Journal:  Psychosomatics       Date:  2007 Mar-Apr       Impact factor: 2.386

Review 5.  Hard to swallow: a systematic review of deliberate foreign body ingestion.

Authors:  Brittany A Poynter; Jon J Hunter; John H Coverdale; Cheryl A Kempinsky
Journal:  Gen Hosp Psychiatry       Date:  2011-08-17       Impact factor: 3.238

6.  Mental illness in adults with fetal alcohol syndrome or fetal alcohol effects.

Authors:  C Famy; A P Streissguth; A S Unis
Journal:  Am J Psychiatry       Date:  1998-04       Impact factor: 18.112

7.  Controlled study of psychiatric comorbidity in psychiatrically hospitalized young adults with substance use disorders.

Authors:  C M Grilo; S Martino; M L Walker; D F Becker; W S Edell; T H McGlashan
Journal:  Am J Psychiatry       Date:  1997-09       Impact factor: 18.112

8.  Intentional swallowing of foreign bodies is a recurrent and costly problem that rarely causes endoscopy complications.

Authors:  Brian L Huang; Harlan G Rich; Susan E Simundson; Mukesh K Dhingana; Colin Harrington; Steven F Moss
Journal:  Clin Gastroenterol Hepatol       Date:  2010-08-06       Impact factor: 11.382

9.  Long-term and bizarre self-injurious behavior: an approach to underlying psychological mechanisms and management.

Authors:  Ricard Navinés; Fernando Gutierrez; Belen Arranz; Jose Moreno-España; María Luisa Ímaz; Victoria Soler; Mireia Vázquez; Juan Carlos Pascual; Rocío Martín-Santos; David A Kahn
Journal:  J Psychiatr Pract       Date:  2013-01       Impact factor: 1.325

10.  Treatment of suicidal and deliberate self-harming patients with borderline personality disorder using dialectical behavioral therapy: the patients' and the therapists' perceptions.

Authors:  Kent-Inge Perseius; Agneta Ojehagen; Susanne Ekdahl; Marie Asberg; Mats Samuelsson
Journal:  Arch Psychiatr Nurs       Date:  2003-10       Impact factor: 2.218

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