The self-inflicted dermatoses: A critical review
The self-inflicted dermatoses, namely dermatitis artefacta, neurotic excoriations, and trichotillomania, have been reported to be associated with various degrees of psychopathology in the dermatologic literature, but have received surprisingly little emphasis in the psychiatric literature. This prob...
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Veröffentlicht in: | General hospital psychiatry 1987, Vol.9 (1), p.45-52 |
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description | The self-inflicted dermatoses, namely dermatitis artefacta, neurotic excoriations, and trichotillomania, have been reported to be associated with various degrees of psychopathology in the dermatologic literature, but have received surprisingly little emphasis in the psychiatric literature. This probably reflects, firstly the fact that most of these patients initially deny any psychologic problems and hence may not receive psychiatric interventions, and secondly a lack of adequate collaboration between the psychiatrist and dermatologist. These disorders may be associated with serious sequelae, such as suicide and repeated major surgical procedures. Their treatment is also primarily psychiatric. This article critically reviews the literature and comments upon the salient clinical features and treatments for these disorders, which are relevant for the psychiatrist doing consultation-liaison work. Knowledge of these disorders is important in the evaluation of any psychiatric patient, as these disorders are essentially a cutaneous sign of psychopathology. |
doi_str_mv | 10.1016/0163-8343(87)90101-0 |
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This probably reflects, firstly the fact that most of these patients initially deny any psychologic problems and hence may not receive psychiatric interventions, and secondly a lack of adequate collaboration between the psychiatrist and dermatologist. These disorders may be associated with serious sequelae, such as suicide and repeated major surgical procedures. Their treatment is also primarily psychiatric. This article critically reviews the literature and comments upon the salient clinical features and treatments for these disorders, which are relevant for the psychiatrist doing consultation-liaison work. 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This probably reflects, firstly the fact that most of these patients initially deny any psychologic problems and hence may not receive psychiatric interventions, and secondly a lack of adequate collaboration between the psychiatrist and dermatologist. These disorders may be associated with serious sequelae, such as suicide and repeated major surgical procedures. Their treatment is also primarily psychiatric. This article critically reviews the literature and comments upon the salient clinical features and treatments for these disorders, which are relevant for the psychiatrist doing consultation-liaison work. Knowledge of these disorders is important in the evaluation of any psychiatric patient, as these disorders are essentially a cutaneous sign of psychopathology.</description><subject>Adult and adolescent clinical studies</subject><subject>Biological and medical sciences</subject><subject>Dermatitis - psychology</subject><subject>Diagnosis, Differential</subject><subject>Factitious Disorders - psychology</subject><subject>Humans</subject><subject>Malingering - psychology</subject><subject>Medical sciences</subject><subject>Miscellaneous</subject><subject>Munchausen Syndrome - psychology</subject><subject>Neurodermatitis - psychology</subject><subject>Prognosis</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychopathology. Psychiatry</subject><subject>Referral and Consultation</subject><subject>Self Mutilation - psychology</subject><subject>Skin - injuries</subject><subject>Trichotillomania - psychology</subject><issn>0163-8343</issn><issn>1873-7714</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1987</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kEtLxDAQgIMo67r6DxR6ENFDdZK0TepBWBZfsOBlPYc0nWCkD026iv_erFv26CETmPlmmPkIOaVwTYEWN_HxVPKMX0pxVULMpbBHplQKngpBs30y3SGH5CiEdwDIWc4nZMIlFVkBUwKrN0wCNjZ1nW2cGbBOavStHvqA4TaZJ8a7wRndJB6_HH4fkwOrm4An4z8jrw_3q8VTunx5fF7Ml6nJOBtiBJBVATanNUgOtrRClBXLc8q0llYjy1hZ24qLmjHKBUQEC10WEDfTks_IxXbuh-8_1xgG1bpgsGl0h_06KCF4yaTMIphtQeP7EDxa9eFdq_2PoqA2otTGgtpYUFKoP1EKYtvZOH9dtVjvmkYzsX4-1nWI11uvO-PCDpMslyXjEbvbYhhdRD9eBeOwM1g7j2ZQde_-3-MXVCeBeA</recordid><startdate>1987</startdate><enddate>1987</enddate><creator>Gupta, Madhulika A.</creator><creator>Gupta, Aditya K.</creator><creator>Haberman, Herbert F.</creator><general>Elsevier Inc</general><general>Elsevier Science</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>1987</creationdate><title>The self-inflicted dermatoses: A critical review</title><author>Gupta, Madhulika A. ; Gupta, Aditya K. ; Haberman, Herbert F.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c432t-c4008b60f51d0830f9f779b25512aa8fae2429dfb37d2213700f9e6a960174a83</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1987</creationdate><topic>Adult and adolescent clinical studies</topic><topic>Biological and medical sciences</topic><topic>Dermatitis - psychology</topic><topic>Diagnosis, Differential</topic><topic>Factitious Disorders - psychology</topic><topic>Humans</topic><topic>Malingering - psychology</topic><topic>Medical sciences</topic><topic>Miscellaneous</topic><topic>Munchausen Syndrome - psychology</topic><topic>Neurodermatitis - psychology</topic><topic>Prognosis</topic><topic>Psychology. Psychoanalysis. Psychiatry</topic><topic>Psychopathology. Psychiatry</topic><topic>Referral and Consultation</topic><topic>Self Mutilation - psychology</topic><topic>Skin - injuries</topic><topic>Trichotillomania - psychology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Gupta, Madhulika A.</creatorcontrib><creatorcontrib>Gupta, Aditya K.</creatorcontrib><creatorcontrib>Haberman, Herbert F.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>General hospital psychiatry</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Gupta, Madhulika A.</au><au>Gupta, Aditya K.</au><au>Haberman, Herbert F.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The self-inflicted dermatoses: A critical review</atitle><jtitle>General hospital psychiatry</jtitle><addtitle>Gen Hosp Psychiatry</addtitle><date>1987</date><risdate>1987</risdate><volume>9</volume><issue>1</issue><spage>45</spage><epage>52</epage><pages>45-52</pages><issn>0163-8343</issn><eissn>1873-7714</eissn><coden>GHPSDB</coden><abstract>The self-inflicted dermatoses, namely dermatitis artefacta, neurotic excoriations, and trichotillomania, have been reported to be associated with various degrees of psychopathology in the dermatologic literature, but have received surprisingly little emphasis in the psychiatric literature. This probably reflects, firstly the fact that most of these patients initially deny any psychologic problems and hence may not receive psychiatric interventions, and secondly a lack of adequate collaboration between the psychiatrist and dermatologist. These disorders may be associated with serious sequelae, such as suicide and repeated major surgical procedures. Their treatment is also primarily psychiatric. This article critically reviews the literature and comments upon the salient clinical features and treatments for these disorders, which are relevant for the psychiatrist doing consultation-liaison work. Knowledge of these disorders is important in the evaluation of any psychiatric patient, as these disorders are essentially a cutaneous sign of psychopathology.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>3817460</pmid><doi>10.1016/0163-8343(87)90101-0</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Adult and adolescent clinical studies Biological and medical sciences Dermatitis - psychology Diagnosis, Differential Factitious Disorders - psychology Humans Malingering - psychology Medical sciences Miscellaneous Munchausen Syndrome - psychology Neurodermatitis - psychology Prognosis Psychology. Psychoanalysis. Psychiatry Psychopathology. Psychiatry Referral and Consultation Self Mutilation - psychology Skin - injuries Trichotillomania - psychology |
title | The self-inflicted dermatoses: A critical review |
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