title: The effects of exogenous analgesia in a patient with borderline personality disorder (BPD) and severe self-injurious behaviour.
abstract: In order to analyse the effects of potent exogenous analgesia with opioids in borderline personality disorder (BPD), we present a case report in which the application of morphine abolished the perception of pain during self-injury and intensified self-injurious activities. On the basis of our observations, we concluded that the use of potent analgesics might aggravate psychopathology in BPD.
authors.affiliation: Department of Psychiatry, University of Erlangen-Nürnberg, Schwabachanlage 6, Erlangen, 91054, Germany. snthuerauf@aol.com
authors.forename: N J
authors.initials: NJ
authors.lastname: Thürauf
authors.forename: H A
authors.initials: HA
authors.lastname: Washeim
mesh_terms: D000328:Adult; D000701:Analgesics, Opioid / Q000009:adverse effects*; D018687:Antidepressive Agents, Second-Generation / Q000627:therapeutic use; D001883:Borderline Personality Disorder / Q000523:psychology* / Q000628:therapy; D005260:Female; D006801:Humans; D017116:Low Back Pain / Q000188:drug therapy; D010146:Pain / Q000188:drug therapy*; D010147:Pain Measurement; D017374:Paroxetine / Q000627:therapeutic use; D011613:Psychotherapy; D016728:Self-Injurious Behavior / Q000523:psychology* / Q000628:therapy
chemical_list: D000701:Analgesics, Opioid; D018687:Antidepressive Agents, Second-Generation; D017374:Paroxetine