A 51 year-old male patient was admitted to Neuropsychiatric ward of Kyunghee University Hospital from April 2 to May 28 in 1984, because he amputed his tongue for himself with a tool under the psychotic state. He has been a heavy drinker with paranoid personality make-up, and lost his father when he was 10 year-old, and separated from his mother at eighteen. Recently, he lost his job and frequently troubled with his spouse, and separated from his son. Psychodynamically, guilt, separation anxiety, lowered self-esteem induced by loss of social role function which led social isolation, and using of rigid adaptation to the stressful life events were remarkable features.
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