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[Confronting the artefact patient with manipulative behavior].

H Thölking1, K Bosse

  • 1Universitäts-Hautklinik Göttingen, Abt. Dermato-Venerologie II.

Zeitschrift Fur Hautkrankheiten
|May 1, 1990
PubMed
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This study guides practitioners on managing patients with self-inflicted skin disorders. Differentiating patient awareness of their actions is key for effective, sensitive therapeutic interventions.

Area of Science:

  • Dermatology
  • Psychiatry

Background:

  • Self-inflicted skin disorders present a complex clinical challenge.
  • Artefactual skin diseases encompass a heterogeneous patient population requiring tailored management strategies.

Observation:

  • Patients' awareness of their manipulative behaviors varies significantly.
  • The physician-patient relationship's confidentiality is crucial for therapeutic success.

Findings:

  • Differentiating patients based on their level of insight into self-inflicted skin damage is essential.
  • Therapeutic approaches should be guided by the patient's degree of awareness.

Implications:

  • Understanding patient awareness facilitates sensitive confrontation and effective treatment planning.

Related Experiment Videos

  • Establishing a trusting physician-patient dynamic is paramount for managing artefactual skin diseases.