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
Hauptverfasser: Gupta, Madhulika A., Gupta, Aditya K., Haberman, Herbert F.
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container_title General hospital psychiatry
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creator Gupta, Madhulika A.
Gupta, Aditya K.
Haberman, Herbert F.
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.
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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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