title: Self-mutilation and psychosomatic auto-aggression: a cautionary note in the management of chronic bone and soft tissue infections.
abstract: In septic bone surgery the treating orthopaedic surgeon is occasionally confronted with patients in whom, inspite of adequate treatment, a favourable clinical result cannot be obtained. In such instances one has to think about self-mutilating patients with subconscious manipulative behavior or patients with psychosomatic auto-aggression of concealed psychotic depression but without self-mutilation. The aim of this publication is to identify these patients and learn how to deal with them.
authors.affiliation: Psychoanalyst in free practice and consulting clinical psychologist at the B.G. Unfallklinik, Frankfurt am Main, Germany.
authors.forename: B
authors.initials: B
authors.lastname: Winter-Klemm