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Pain agnosia and self-injury in the syndrome of reversible somatotropin deficiency (psychosocial dwarfism)

  • John Money
  • Georg Wolff
  • Charles Annecillo
Article

Abstract

Hospital and social service records of 32 patients, 23 boys and 9 girls, with reversible behavioral symptoms in a syndrome of dwarfism characterized by reversible inhibition of growth in stature are surveyed and discussed. When first seen, the patients ranged in age from 22 months to 16 years and 2 months. After initial hospitalization, they were discharged to a convalescent home and then to foster homes to experience a prolonged change of domicile and thus continue to grow. Changes in domicile from adverse environments, where growth failure began and persisted, to ameliorative where catch-up growth took place covaried significantly (p<.001) with decreased incidence of physical injury, severe physical punishment or abuse, self-inflicted injury, and behavior indicating pain agnosia. It is suggested that self-injury may counteract cognitional starvation under conditions of sensory deprivation when self-inflicted injury and pain agnosia coexist.

Keywords

Social Service Behavioral Symptom Physical Injury Reversible Inhibition Growth Failure 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Scripta Publishing Corporation 1972

Authors and Affiliations

  • John Money
    • 1
    • 2
  • Georg Wolff
    • 1
    • 2
  • Charles Annecillo
    • 1
    • 2
  1. 1.Department of Psychiatry and Behavioral SciencesThe Johns Hopkins University School of Medicine and HospitalUSA
  2. 2.Department of PediatricsThe Johns Hopkins University School of Medicine and HospitalUSA

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