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Forensic Science, Medicine and Pathology (2023) 19:281–287

https://doi.org/10.1007/s12024-023-00623-4

LESSONS FROM THE MUSEUM

Cannibalism—overview and medicolegal issues


Roger W. Byard1,2

Accepted: 28 March 2023 / Published online: 14 April 2023


© The Author(s) 2023

Abstract
Cannibalism, the consumption of another by an individual of the same species, is a widespread practice amongst many
animal groups. Human cannibalism or anthropophagy, however, is less common but has been found in many diverse groups
ranging from hominids to Crusaders and soldiers in World War II. Although the existence of human cannibalism has been
vigorously debated in recent times, it seems clear that well-described cases have occurred. The motivation for consuming
human tissues may be (1) nutritional, (2) ritual and (3) pathological. A case of alleged cannibalism involving one of the
victims of the so-called Snowtown serial killings in South Australia, Australia, is reported with an analysis of the history
and features of cannibalism. Forensic problems may occur in accurately identifying remains that have been cannibalized;
however, if ritualistic, serial and/or sadistic homicides are encountered, cannibalism should be considered, particularly if
body parts are missing.

Keywords Cannibalism · Serial murder · Sexual murder · Ritual · Sadism

Introduction hominids with respect to other food sources making them a


‘high-ranked prey type’ [5].
Cannibalism refers to the consumption of another by an Similar remains (Fig. 1) from Goughs Cave in Somerset,
individual of the same species. The word cannibal derives England, date from the Early Holocene to the Pleistocene
from Caníbales, the Spanish name for the Caribe Indians eras [6]. More recently, the finding of broken bones with
of the Lesser Antilles who were believed to indulge in this tooth marks and cuts, with signs of cooking, showed that
practice [1]. It is widespread in many animal groups, includ- it was occurring in Early Bronze Age Europe, just 4000
ing protozoa, insects, fish, birds and mammals, where it is years ago [7]. Crusaders allegedly cannibalized their dead
considered not aberrant behavior but a ‘normal response to opponents during the Siege of Ma`arra in the First Crusade
many environmental factors’ [2]. (1095–99) and possibly on the march to Jerusalem [8].
Human cannibalism or anthropophagy, however, is far Characteristic features of cannibalism in archeological
less common, although it has occurred for millennia in a material include the finding of admixed fragments of human
wide range of human societies and cultural groups. Anthro- and animal bones, all showing similar features with typical
pological studies have identified cut marks on 780,000-year- signs of butchery, often alongside stone implements [1]. The
old hominid bones and on 100,000-year-old bones from bones are generally fragmented with cut marks associated
Neanderthal populations that existed in the Middle Paleo- with the removal of attached tendons and soft tissues, in
lithic era [1, 3, 4]. According to the optimal foraging the- addition to peeling fractures from the bending of long bones
ory, it has been proposed that cannibalism in early hominid and percussion and chop marks from smashing of bones to
populations was driven by the ready availability of fellow extract marrow [1]. The finding of complete ribs with only
fragmented limb bones is supportive evidence for this [9].
Features such as these may also be used in more contem-
* Roger W. Byard porary skeletonized cases to indicate that cannibalism has
roger.byard@sa.gov.au
occurred (see below). Although it has been suggested that
1
Forensic Science SA, 5000 Adelaide, SA, Australia similar bone trauma may be found in cases of second buri-
2
School of Biomedicine, The University of Adelaide,
als where bones have been cleaned before reburial, this has
Level 2, Room N237, Helen Mayo North, Frome Road, been disputed as the pattern of bone trauma is different [9].
5005 Adelaide, SA, Australia

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282 Forensic Science, Medicine and Pathology (2023) 19:281–287

Case report

Following a detailed police investigation, six barrels that


were discovered in the vault of a bank in Snowtown, South
Australia, in May 1998 were transported to the Forensic
Science Centre in Adelaide where a team led by patholo-
gists John Gilbert and Roger Byard examined the con-
tents. The barrels contained eight intact and partially
dismembered adult bodies consisting of seven males and
one female, along with hand cuffs, thumb cuffs, dispos-
able gloves, duct tape, gags and rope. At the end of the
investigation, it transpired that there were 12 victims in
all, with 4 bodies being disposed of at other sites. The
causes of death were often difficult to determine given
the state of decomposition of the bodies, with a number of
pathological conclusions of ‘undetermined’ being made;
Fig. 1   A portion of maxilla from Gough’s Cave showing cut marks however, there was evidence of strangulation, choking and
suggestive of defleshing. (Natural History Museum, London, Nicolas
Perrault III, made available under the Creative Commons CC0 1.0 drug ingestion in several of the victims. The killings had
Universal Public Domain Dedication) taken place between 1992 and 1999 with John Bunting,
Robert Wagner and James Vlassakis subsequently being
convicted of multiple counts of murder [10].
While cannibalism may simply take place for nutritional During the trial, it was asserted by Vlassakis that Wag-
purposes, there are also cases that occur for ritual and patho- ner had removed flesh from the final victim, David Johnson
logical reasons. During the investigation of a series of bodies which was then cooked in a frying pan and eaten [10, 11].
found stored in large plastic barrels in the vault of a disused He claimed that the tissue came from the right thigh of the
bank in the South Australian village of Snowtown (Fig. 2), deceased and this was supported by the autopsy examination
a description of cannibalism was given by one of the per- which had revealed an 18 × 18 cm defect where a piece of
petrators. This case of alleged cannibalism is described as skin and muscle had been removed from the medial aspect
an introduction to an analysis of the types of cannibalism of the right lower thigh (although a fragment of skin and
that may be encountered in a forensic context, with specific muscle that could match the defect was also present with the
medicolegal issues that may arise. body in the barrel) (This illustrates difficulties that may arise
in relying upon pathological examinations to assess soft tis-
sue injuries in the presence of decomposition).

Discussion

Determining whether cannibalism has occurred may not be


possible based on autopsy findings, as was demonstrated
in the Snowtown case where only a tissue defect that could
correspond to a portion removed for consumption was found.
As the early stages of dismemberment consist of taking
slices of thigh and/or buttock muscle, this could be obscured
by subsequent putrefactive changes. This has been termed
‘survival cannibalism’. Later, more intensive searching for
nutritive material, ‘end stage cannibalism’, may leave detect-
able markings such as cut marks on the bone (Fig. 1) or the
breaking of long bones to access marrow with hammer stone
abrasions. Long bones that have been boiled may show char-
Fig. 2  The front of the bank in Snowtown, South Australia, where six acteristic end polishing of their ends from rubbing against a
barrels were found in May 1998 containing eight intact and partially pot side during cooking [12, 13].
dismembered bodies

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Forensic Science, Medicine and Pathology (2023) 19:281–287 283

Incidence well-known example is the French frigate Méduse that sank


off Mauritania in 1816. Of the 147 passengers and crew who
It has been suggested based on animal studies that the trans- were on a raft, only 15 survived. The Donner party of settlers
mission of pathogens from victims to consumers may account trying to cross the Sierra Nevada mountains in the 1840s are
for the rarity of cannibalism in human populations [14]; how- another example of cannibalism in extremis [9].
ever, ethnographic and sociological factors are probably of The fate of the members of the Franklin expedition trying
more importance. The presence of certain genetic polymor- to discover the North-West passage in 1845 has been argued,
phisms in human populations has been proposed as evidence with a number of proposed theories ranging from lead poi-
of an evolutionary protective mechanism against kuru-type soning from soldered tins of preserved food to botulism and
diseases associated with cannibalism (see below) possibly scurvy [17]. There appears no doubt, however, that the men
indicating that cannibalism may have been more common engaged in nutritional cannibalism in the face of dwindling
during earlier stages of human evolution [15, 16]. food supplies with recovered bones showing cuts and ‘pot
polishing’ [13] (Figs. 3 and 4).
Classifications Nutritional cannibalism by necessity may progress to can-
nibalism by choice as was demonstrated by the nineteenth-
While the existence of cannibalism has been disputed, par- century convict, Alexander Pearce who was imprisoned on
ticularly in tribal societies, there appears no doubt from mul- Sarah Island on the west coast of the colony of Van Die-
tiple historical records that there have been many reliably men’s Land. He survived during his escape with a group of
reported cases. Cannibalism occurs for a wide variety of fellow convicts in 1821 by resorting to killing and eating the
reasons and may be separated into two broad categories of others. Following his return to the island, he again escaped
exo- and endocannibalism [9]. With exocannibalism, the vic- and murdered and consumed parts of his fellow escapee
tim is selected from outside the social group or community prior to recapture, putting him into the rare category of a
that is engaging in anthrophagy. The reasons for this may serial opportunistic cannibal [18].
simply be nutritional in that outsiders are being hunted as
a source of food, or tribal in that cannibalistic rituals form Medicinal cannibalism
part of victory celebrations in warfare. The purpose of the
latter is often to demonstrate complete dominance over a On occasion, the consumption of human tissues and blood
fallen foe and also to subjugate or incorporate their spirit has been promoted for medical purposes. In Europe, particu-
into self [9]. Endocannibalism refers to cases where victims larly in the sixteenth and seventeenth centuries, remedies
derive from the same social group and may be subclassified were dispensed that contained human, blood, fat and bones
as ‘aggressive’ when the victim is an enemy or ‘affection- derived from recent graves or from Egyptian mummies [19].
ate’ when family or friends are involved. Again, the motive The ‘Kings Drops’ taken by Charles II contained human
may be simply nutritional or ritual with domination and/or skull bones in alcohol, and moss growing over a buried skull
incorporation of the victim into the perpetrators [1]. was used to treat epilepsy and nosebleeds. Paracelsus con-
A more functional classification is based on motivations for sidered that drinking blood was therapeutic [20].
consuming human tissues and has the following subgroups:
(1) nutritional or gastronomic, (2) ritual and (3) pathological
[1]. Nutritional cannibalism has a long history and it has been
hypothesized that early hominids engaged in cannibalism as
fellow group members were readily available for consumption
[5] and also that it served to dispose of corpses thus decreas-
ing the attention of animal predators around camps. The basis
of nutritional cannibalism is simply the use of human tissues
or organs for their calorific value. It most often occurs in situ-
ations of acute starvation when groups are deprived of food or
become isolated from their usual food resources.

Historical examples

Historical examples of nutritional cannibalism have included


survivors of shipwrecks who either fed on the bodies of
those who had died, so-called necro-cannibalism, or who Fig. 3  The departure of the “Erebus” and “Terror” in 1845 on the ill-fated
killed other survivors for food (homicidal cannibalism). A Franklin Arctic Expedition (Illustrated London News -Public domain)

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284 Forensic Science, Medicine and Pathology (2023) 19:281–287

Fig. 5  Traditional cannibal forks, or bulutoko, that were used by


priests and chieftains in Fiji for eating human flesh so that they did not
have to touch it

the nineteenth century [24]. So-called cannibal forks, or


bulutoko, were used by priests and chieftains in Fiji for eat-
ing human flesh (Fig. 5).
Certainly, a well-documented culture of endocannibal-
ism occurred amongst the South Fore people of the East-
ern Highlands of Papua New Guinea which resulted in the
spread of Kuru a prion-based spongiform encephalopathy
which led to fatal dementia [16, 25]. Between 1957 and
1961, there were approximately 1000 kuru-related deaths
Fig. 4  Skulls of sailors from the Franklin expedition found on King in the area [26].
William Island (Library and Archives Canada)

Recent examples
The Encyclopaedia Brittannica of 1797 specified that ‘We
have two different fubftances preferved for medicinal ufe The crash of Uruguayan Air Force flight 571 in the Andes
under the name of mummy. . . The one is the dried and prefer- in 1972 left a group of passengers including members of a
ved flefh of human bodies, embalmed with myrrh and fpices; school football team stranded at high altitude without food.
the other is the liquor running from fuch mummies’ [21]. They were rescued after 72 days but had only been able to
survive by resorting to feeding on the dead. The story has
Ethnographic examples been the subject of a book, film and documentary [22, 27].

Although cannibalism was documented amongst a wide Famine‑induced cannibalism


range of tribal groups such as the Hurons and Iroquois of
North America, the Ashanti of West Africa and the Maori Although sometimes disputed, a number of major famines in
of New Zealand [22], it was suggested by Arens in 1979 the twentieth century have been associated with cannibalism
that this was based on misrepresentations by early Western including Russia from 1921 to 1922 (Fig. 6) and in Ukraine
observers who consisted of biased missionaries and explor- after Stalin’s collectivisation from 1929 to 1933 (22) where
ers striving to marginalize conquered peoples and assert over 2000 people were subsequently sentenced for engaging
cultural superiority [23]. This position has, however, been in the practice. German prisoners of war resorted to can-
criticized with examples from Fiji used to refute it. Specifi- nibalism after the fall of Stalingrad in World War II, where
cally, human skeletal remains from Viti Levu in Fiji have human tissue was referred to as ‘camel meat’ [28], and it
shown characteristic features of burning and crushing with was documented to have occurred in German concentration
cut marks. These findings were also corroborated by direct camps [29]. Japanese troops after World War II were found
observations documenting this activity in the early part of guilty of eating both prisoners of war and civilians [30].

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Forensic Science, Medicine and Pathology (2023) 19:281–287 285

[9, 31]. A slightly different case was that of Armin Meiwes


in Germany who advertised on the internet for a victim to
kill and consume [32]. Although unproven, the possibility
of cannibalism occurring in the setting of the sadistic Snow-
town murders would not, therefore, be surprising [33, 34].
Individuals who engage in such practices are usually
either severely mentally ill or suffering from a significant
paraphilia [35, 36]. The same applies to those who suffer
from clinical vampirism where they drink human blood,
usually from a deceased or dying victim [37]. A review of
cannibalistic homicides showed that the offenders were older
and the victims younger than in other homicides, that deaths
were inflicted manually (beating, strangling and stabbing)
rather than by gunshots and that kin-avoidance occurred
with more victims being strangers. When family members
were victims, the perpetrators were usually suffering from
more serious psychiatric illnesses [38].

Self cannibalism (autosarcophagy)

While cases of self-consumption are very rare and are asso-


ciated with psychosis [39], it has been documented in the
absence of severe psychiatric disease and substance abuse
[40–42]. As the placenta is actually part of the infant, pla-
centophagy (postpartum eating of the placenta) [43] is more
correctly classified as cannibalism and not autosarcophagy.
Fig. 6  Cannibals with portions of their victims in the Samara prov- This is a practice that is becoming increasingly common
ince of the Volga region during the Russian famine of 1921–1922
(Public domain)
particularly in the USA where placentas may be eaten raw or
roasted, dehydrated or consumed in smoothies [43].

There was evidence of cannibalism in records from famines Medicolegal issues


in Moldova in the 1940s and in China during the Great Leap
Forward of 1959–1961 [30]. The identification of cannibal activity from contemporary
skeletonized remains relies upon finding similar features to
Ritual cannibalism those found in archaeological sites of cuts to the bone and
trauma to long bones, in addition to signs of cooking such
Ritual cannibalism occurs in tribal groups where belief sys- as pot polishing. Soft tissue defects such as the one identi-
tems or religions may require the sacrifice and ingestion fied in the reported Snowtown case may be more difficult to
of a victim, or the consumption of the already dead. While assess if there has been putrefaction and decomposition with
the early Spanish accounts of Aztec sacrifices followed by loss of tissue morphology. In cases such as Jeffrey Dahmer,
cannibalism have been criticized for ethnocentric bias, it the preservation of organs for consumption in a freezer may
appears clear that human sacrifice with distribution of flesh simplify the evaluation [9]. In cases where corpse dismem-
for eating occurred. In fact, these activities involved a spe- berment has occurred, it may be again difficult to determine
cial group of old men who were called Quaquaquilti [9]. the precise fate of the missing/limbs/organs.
A legal issue may be whether cannibalism occurred after
Serial killers and pathological cannibalism death (necrocannibalism) or whether instead the victim
was killed prior to consumption (homicidal cannibalism).
Consumption of their victims by killers is a recognised, Removal of tissues or limbs prior to death may be associated
although rare, occurrence with one of the most widely pub- with bruising and hemorrhage. Harvesting flesh from pris-
licized being Jeffery Dahmer a serial killer in the USA who oners while they were alive by Japanese soldiers in World
committed 17 murders between 1978 and 1991. He was War II led to convictions in trials after the war [44].
found to have engaged in necrophilia, consuming parts of The ‘rule of the sea’ was sometimes evoked to excuse
his victims and keeping skulls and body parts as souvenirs shipwrecked sailors who had decided to sacrifice victims

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286 Forensic Science, Medicine and Pathology (2023) 19:281–287

and resort to cannibalism. In 1884 when the yacht Mignon- 10. McGarry A. Snowtown murders. Sydney; Australian Broadcasting
ette sank off the Cape of Good Hope, two of the four sur- Corporation. 2005, p. 363.
11. https://​www.​theage.​com.​au/​natio​nal/​detail-​of-​canni​bal-​killi​ngs-​
vivors in a life raft decided to kill a cabin boy [45]. After revea​led-​20050​920-​ge0wgd.​html. (Accessed 18 Feb 2023).
rescue, they were charged with murder with the conclusion 12. Turner CG. Cannibalism in Chaco canyon: the charnel pit exca-
of the court being that ‘necessity is no defence to a charge vated in 1926 at Small House ruin by Frank HH Roberts Jr. Am J
of murder at law even where the murder was committed to Phys Anthro. 1993;91:421–39.
13. Mays S, Beattie O. Evidence for end stage cannibalism in Sir John
enable the survival of others’ [46]. Franklin’s last expedition to the Arctic, 1845. Int J Osteoarch.
2016;26:778–86.
14. Pfennig DW, Ho SG, Hoffman EA. Pathogen transmission as a
selective force against cannibalism. Anim Behav. 1998;55:1255–61.
Conclusion 15. Mead S, Stumpf MPH, Whitfield J, Beck JA, Poulter M,
Campbell T, et al. Balancing selection at the prion protein
Thus, although cannibalism is now rare in most Western gene consistent with prehistoric kurulike epidemics. Science.
2003;300:640–3.
societies, it has had an extensive history occurring in many 16. Lindenbaum S. Cannibalism, kuru and anthropology. Flia Neuro-
communities and cultures over millennia. Its association with pathol. 2009;47:138–44.
sexual serial murders [32], however, means that it may be 17. Byard RW. Death in the Arctic – the tragic fate of the Franklin
something to consider if ritualistic, serial and/or sadistic hom- expedition (1845). Forensic Sci Med Pathol. 2021;17:161–6.
18. Byard RW, Maxwell-Stewart H. Cannibalism amongst peniten-
icides are encountered, particularly if body parts are missing. tiary escapees from Sarah Island in nineteenth century Van Die-
men’s land. Forensic Sci Med Pathol. 2018;14:410–5.
Funding Open Access funding enabled and organized by CAUL and 19. Sugg R. Mummies, cannibals and vampires: the history of Corpse
its Member Institutions. Medicine from the Renaissance to the Victorians. London; New
York: Routledge; 2011.
Open Access This article is licensed under a Creative Commons Attri- 20. Dolan M. The gruesome history of eating corpses as medicine.
bution 4.0 International License, which permits use, sharing, adapta- Smithsonian Magazine. 2012.
tion, distribution and reproduction in any medium or format, as long 21. Encyclopaedia. Brittanica or A Dictionary of Arts, Sciences
as you give appropriate credit to the original author(s) and the source, and Miscellaneous Literature Constructed on a Plan. Vol XII,
provide a link to the Creative Commons licence, and indicate if changes Edinburgh:A Bell and C Macfarquar. p.444.
were made. The images or other third party material in this article are 22. Tannahill R. Flesh and blood. A history of the cannibal complex.
included in the article's Creative Commons licence, unless indicated New York; Dorset Press; 1975.
otherwise in a credit line to the material. If material is not included in 23. Arens W. The man-eating myth: Anthropology and
the article's Creative Commons licence and your intended use is not Anthropophagy. New York: Oxford University Press; 1980.
permitted by statutory regulation or exceeds the permitted use, you will 24. DeGusta D. Fijian cannibalism: osteological evidence from Nav-
need to obtain permission directly from the copyright holder. To view a atu. Am J Phys Anthro. 1999;110:215–41.
copy of this licence, visit http://​creat​iveco​mmons.​org/​licen​ses/​by/4.​0/. 25. Byard RW. Death by food. Forensic Sci Med Pathol. https://​doi.​
org/​10.​1007/​s12024-​017-​9899-9.
26. Alpers MP. The epidemiology of kuru: monitoring the epi-
demic from its peak to its end. Phil Trans R Soc B Biol Sci.
References 2008;363:3707–13.
27. http://​www.​daily​mail.​co.​uk/​news/​artic​le-​34555​68/​Die-​break-​ultim​ate-​
1. Fernández-Jalvo Y, Díez JC, Bermúdez de Castro JM, Carbonell taboo-​Survi​vor-s-​moving-​accou​nt-​Andes-​plane-​crash-​victi​ms-​forced-​
E, Arsuaga JL. Evidence of early cannibalism. Science. 1996; eat-​frien​ds-​bodies-​story-​haunts-​world-​40-​years-​on.​html. (Accessed 18
271:277–8. Feb 2023).
2. Fox LR. Cannibalism in natural populations. Ann Rev Ecol Syst. 28. Beevor A. Stalingrad. The fateful siege: 1942–1943. Viking: New
1975;6:87–106. York; 1998.
3. Fernández-Jalvo Y, Diez JC, Cáceres I, Rosell J. Human canni- 29. Mauthausen Concentration Camp. http://​www.​holoc​austr​esear​ch
balism in the early pleistocene of Europe (Gran Dolina, Sierra de pro​ject.​org/​other​camps/​mauth​ausen.​html.
Atapuerca, Burgos, Spain). J Hum Evol. 1999;37:591–622. 30. Ó Gráda C. Eating people is wrong - and other essays on fam-
4. Defleur A, White T, Valensi P, Slimak L, Crégut-Bonnoure É. ine, its past, and its future. Princeton: Princeton University Press;
Neanderthal cannibalism at Moula-Guercy. Ardèche France Sci- 2015.
ence. 1999;286:128–31. 31. Dahmer J. Crime Museum. https://w ​ ww.c​ rimem ​ useum.o​ rg/c​ rime-​
5. Rodríguez J, Zorilla-Revilla G, Ana M. Does optimal foraging libra​ry/​serial-​kille​rs/​jeffr​ey-​dahmer/. (Accessed 18 Feb 2023).
theory explain the behaviour of the oldest human cannibals? J 32. Pfäfflin F. Good enough to eat. Arch Sex Behav. 2008;37:286–93.
Hum Evol. 2019;131:228–39. 33. Morton RJ. Serial murder. In: Payne-James J, Byard RW, editors.
6. Stringer CB. The hominid remains from Gough’s Cave. Proc Univ Encyclopedia of forensic and legal medicine. Volume 4, 2nd ed.
Bristol Spelaeol Soc. 1985;17:145–52. Oxford: Academic Press; 2016. pp. 232–8.
7. Cáceres I, Lozano M. Saladié. Evidence for bronze age cannibal- 34. Perlmutter D. Investigating religious terrorism and ritualistic
ism in El Mirador Cave (Sierra de Atapuerca, Burgos, Spain). Am crimes. Boca Raton: CRC Press; 2004.
J Phys Anthro. 2007;133:899–917. 35. Medina Ortiz O, Contreras Galvis D, Sánchez-Mora N. Arango
8. Rubenstein J. Cannibals and crusaders. Fr Hist Stud. 2008;31: López C. Cannibalism in paranoid schizophrenia: a case report.
525–52. Actas Esp Psiquiatr. 2006;34:136–9.
9. Korn D, Radice M, Hawes C. Cannibal. The history of people 36. McClain JL, Jordan FB, Blakeney R. Human cannibalism: a case
eaters. London: Channel 4 Books; 2001. report. Am J Forensic Med Pathol. 1986;7:172–3.

13
Forensic Science, Medicine and Pathology (2023) 19:281–287 287

37. Jaffé PD, DiCataldo F. Clinical vampirism: blending myth and 44. Russell EFL. The Knights of Bushido: a short history of japanese
reality. Bull Am Acad Psychiatry Law. 1994;22:533–44. War crimes. London: Greenhill Books; 2002.
38. Oostland M, Brecht M. Kin-avoidance in cannibalistic homicide. 45. Duhaime L. Cannibalism on the high seas – the Common Law’s
Front Psychol. 2020;11;2161. perfect storm. http://w ​ ww.d​ uhaim​ e.o​ rg/L
​ awMag/L​ awArt​ icle-​1320/​
39. Libbon R, Hamalian G, Yager J. Self-cannibalism (autosarcophagy) Canni​balism-​on-​the-​High-​Seas-​the-​Common-​Laws-​Perfec​ t-S ​ torm.​
in psychosis. A case report. J Nerv Ment Dis. 2015;203:152–3. aspx. (Accessed 18 Feb 2023).
40. Mark B. First report of nonpsychotic self-cannibalism 46. R v Dudley and Stephens. (1884) 14 QBD 273. https://​www.​johnw​iley.​
(autophagy), tongue splitting, and scar patterns (scarification) as com.​au/​highe​red/​blaw/​conte​nt110/​case_​summa​ries/r_​vs_​dudley_​and_​
an extreme form of cultural body modification in a western civi- steph​ens.​pdf. (Accessed 18 Feb 2023).
lization. Am J Forensic Med Pathol. 1999;20:281–5.
41. Monasterio E, Prince C. Self-cannibalism in the absence of psy- Publisher’s Note Springer Nature remains neutral with regard to
chosis and substance abuse. Aust Psychiatry. 2011;19:170–2. jurisdictional claims in published maps and institutional affiliations.
42. Aras N. A case of self-cannibalism: an extremely rare type of
self-mutilation with multiple risk factors. J Nerv Ment Dis.
2021;209:237–9.
43. Farr A, Chervenak FA, McCullough LB, Baergen RN, Grünebaum
A. Human placentophagy: a review. Am J Obstet Gynecol. 2018;
218:401–10.

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