A 7-year-old girl scratching holes in herself

Sheffield, Jeanie (2009) A 7-year-old girl scratching holes in herself. Medicine Today: the peer reviewed journal of clinical practice, 10 1: 46-49.

Author Sheffield, Jeanie
Title A 7-year-old girl scratching holes in herself
Journal name Medicine Today: the peer reviewed journal of clinical practice   Check publisher's open access policy
ISSN 1443-430X
Publication date 2009-01
Year available 2009
Sub-type Article (original research)
Volume 10
Issue 1
Start page 46
End page 49
Total pages 4
Place of publication Australia
Publisher Medicine Today Pty. Ltd.
Collection year 2010
Language eng
Subject C1
17 Psychology and Cognitive Sciences
97 Expanding Knowledge
Abstract Case scenario Emma is aged 7 years and lives with her mother and stepfather and her adored baby sister. She spends most weekends with her father who has moved back into the home of his elderly parents. Emma's mother brought her in to the surgery and confided that she was at her wit's end because Emma was recurrently scratching holes in herself. It appeared that a kind of ritual had developed where Emma started to rub a small area of her skin harder and harder until she was able to penetrate the skin with her fingernail and dig out a small lump of flesh. She had about seven or eight scabbed holes on her trunk and limbs and even a couple medial to her scapula, where she hoped her mother wouldn't see. Emma said that she tried not to do it but that she couldn't stop thinking about it. She initially said that a voice was telling her to do it. She appeared to be a very self-possessed little girl who was happy at school and had lots of friends. What help can Emma be offered to overcome this problem?
Formatted abstract
Case scenario
Emma is aged 7 years and lives with her mother and stepfather and her adored baby sister. She spends most weekends with her father who has moved back into the home of his elderly parents. Emma's mother brought her in to the surgery and confided that she was at her wit's end because Emma was recurrently scratching holes in herself.
    It appeared that a kind of ritual had developed where Emma started to rub a small area of her skin harder and harder until she was able to penetrate the skin with her fingernail and dig out a small lump of flesh. She had about seven or eight scabbed holes on her trunk and limbs and even a couple medial to her scapula, where she hoped her mother wouldn't see.
    Emma said that she tried not to do it but that she couldn't stop thinking about it. She initially said that a voice was telling her to do it. She appeared to be a very self-possessed little girl who was happy at school and had lots of friends.
    What help can Emma be offered to overcome this problem?
Q-Index Code C1
Q-Index Status Confirmed Code

Document type: Journal Article
Sub-type: Article (original research)
Collections: 2010 Higher Education Research Data Collection
School of Psychology Publications
 
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Created: Wed, 21 Apr 2010, 10:02:28 EST by Lucy O'Brien on behalf of School of Psychology