Self-mutilation: culture, contexts and nursing responses

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SummaryFew papers address the issue of deliberate self-mutilation other than from clinical perspectives.This paper advocates a user-perspective and discusses some of the issues which might attend such a change.The occurrence of self-mutilation is placed within a cultural framework so as to enlarge the debate beyond the confines of medical/nursing responses.It is suggested that nurses abrogate their attachment to such responses and embrace more collaborative approaches to care.In particular, nurses are asked to review their (moral) responses to self-mutilation, an activity which, too often, has been responded to with scorn and derision.

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