Bodies Under Siege

Bodies Under Siege

"Bodies Under Siege: Self-mutilation in Culture and Psychiatry" is the title of a book written by psychiatrist Dr. Armando Favazza, and published in 1987. The title also lends its name to a messageboard and community for people who self-harm, commonly known as BUS.

"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.Fact|date=February 2007

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 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, and antisocial, histrionic, and borderline personality disorder.

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 ulimate 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.

External links

* [http://buslist.org/phpBB/ BUS] community


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