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Related Experiment Videos

Self-destructive dermatoses.

A R Doran, A Roy, O M Wolkowitz

    The Psychiatric Clinics of North America
    |June 1, 1985
    PubMed
    Summary
    This summary is machine-generated.

    Self-destructive dermatoses are complex, often linked to depression and involving conditions like neurotic excoriations and dermatitis artefacta. Treatment challenges include patient resistance, but psychotherapy can be effective, especially for younger individuals.

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    Area of Science:

    • Dermatology
    • Psychiatry
    • Psychology

    Background:

    • Self-destructive dermatoses encompass a range of complex conditions, from skin picking to severe self-harm.
    • These disorders are frequently associated with depression, potentially involving the hypothalamic-pituitary-adrenal axis.
    • Commonly reviewed conditions include neurotic excoriations and dermatitis artefacta, distinguished by the patient's admission of self-mutilation.

    Purpose of the Study:

    • To review the complex causes and presentations of self-destructive dermatoses.
    • To explore the relationship between dermatologic disorders, depression, and psychological factors.
    • To discuss treatment modalities and prognostic factors for these conditions.

    Main Methods:

    • Review of literature on neurotic excoriations and dermatitis artefacta.

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  • Analysis of the association between dermatoses and depression.
  • Discussion of psychotherapeutic and pharmacotherapeutic approaches.

    • Main Results:

    • Dermatitis artefacta shares similarities with anorexia nervosa, including difficulties with insight and body image.
    • Patients often exhibit introverted personalities, emotional immaturity, and poor stress management and communication skills.
    • Pharmacotherapy has limited efficacy, while psychotherapy faces resistance but can be effective once therapeutic alliance is formed.

    Conclusions:

    • Prognosis for self-destructive dermatoses varies, correlating with illness duration; younger patients may respond better to psychotherapy.
    • Dermatologic abuse in psychosis, particularly with schizophrenia, can present as infestation and has a high suicide risk.
    • Comprehensive assessment excluding organic causes is crucial for accurate diagnosis and management.