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Letter to the Editor

Cessation of Self-Mutilation in a Patient With Borderline Personality Disorder Treated With Naltrexone

Michael D. McGee

Published: January 15, 1997

Article Abstract

Letter to the Editor

Sir: Self-mutilation and self-injurious behavior may be duein part to dysregulation of endorphin neurotransmitter systems.Self-mutilation and dissociation occur frequently inpatients with borderline personality disorder and associatedhistories of traumatic abuse and neglect, suggesting there maybe an etiologic relationship between trauma, neglect, endorphinsystem dysfunction, and self-mutilation. This hypothesis issupported by the observation that some patients with borderlinepersonality disorder have elevated pain thresholds, a phenomenonmediated in part by endorphin systems.

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