Aggression and symptom formation in dermatology

Musaph, H.

doi:10.1016/0022-3999(69)90044-0

Cited by 25 publications

(12 citation statements)

References 22 publications

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“…Both trait anxiety and SCL-90 were significantly correlated with coping with aggressive affects (subscale 7). The results support the relation between the anxiety-aggression hypothesis suggested by Musaph [21] and Ginsburg et al [10]. Only Trait anxiety was correlated with subscales 10, 11 and 12, but subsequent analysis suggested that the body ideal dimension is better accounted for by association with the depression index of SCL-90.…”

Section: Discussionsupporting

confidence: 78%

“…Musaph [21] suggests that the aggressive impulses in AD patients usually are repressed. However, when the impulse becomes too strong or the defense too weak, the aggressive impulse may be experienced as itch.…”

Section: Atopic Dermatitis and Aggressionmentioning

confidence: 99%

“…The reinforcement of aggression and anxiety can impair the AD patient's quality of life and ability to manage the illness. The interaction between aggression, anxiety and AD is not entirely understood, and different approaches to understanding the complex interaction have been taken [2,6,10,16,17,21,29]. In general, it appears that both itch and aggression can evoke and build up tension.…”

Section: Introductionmentioning

confidence: 99%

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Anxiety, Aggression, and Body Ideal in Adult Atopic Dermatitis Patients

Linnet¹,

Jemec²

2001

Dermatol Psychosom

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Background: Aggression and body ideal hold important implications for the anxiety level associated with atopic dermatitis (AD). Most studies of aggression in AD have relied on self-evaluation measures or case descriptions. Methods: This study investigates the relationship between anxiety and management of aggression and body ideal, using the Karolinska Psychodynamic Profile (KAPP), a semi-structured interview quantifying clinical behavior. In KAPP body ideal, consists of 3 subscales: Bodily appearance (BA), bodily functioning (BF), and body image (BI). Results: Thirty-one adult AD patients were compared on KAPP, trait anxiety (STAI), the anxiety index on the SCL-90, and skin condition (SCORAD). Aggression was significantly correlated with STAI (r = 0.42, p < 0.05) and SCL-90 (r = 0.48, p < 0.01). STAI, but not SCL-90, was correlated with BA (r = 0.39, p < 0.05), BF (r = 0.51, p < 0.01) and BI (r = 0.36, p < 0.05). A post hoc analysis suggested that the SCL-90 depression index rather than anxiety is associated with BI. There was no relationship between SCORAD and KAPP or SCORAD and anxiety level. Conclusion: It is concluded that aggression and body ideal are important indicators for managing anxiety in AD, and that KAPP is a relevant inventory in the assessment of AD.

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Section: Discussionsupporting

confidence: 78%

Section: Atopic Dermatitis and Aggressionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Anxiety, Aggression, and Body Ideal in Adult Atopic Dermatitis Patients

Linnet¹,

Jemec²

2001

Dermatol Psychosom

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“…Here the physical symptoms may not bear any direct relationship, in terms of mind-body experience, to underlying feeling states, although there are exceptions even here. For example, as Musaph (1969) has pointed out, in many dermatological conditions, repressed aggesssion or auto-erotic impulses may find expression in itching and scratching; in psychotherapy, such patients need to be helped to re-experience how feeling irritated, angry or frustrated, can be ac companied by these sensations in the skin, so that they become more fully aware of the repressed feelings, before other and more appropriate outlets can be found for them. In many other structural diseases, however, including those which have a strong psychosomatic component, like peptic ulcers or ulcerative colitis, such direct links between physical symptoms and emotional states, are lacking.…”

Section: Awareness Of the Link Between Life Stresses And Illnessmentioning

confidence: 99%

Psychotherapy: Its Place in Psychosomatic Management

Wolff¹

1973

Psychother Psychosom

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In defining psychotherapy, the central importance of person-related understanding and of the therapist–patient relationship are emphasized. When psychotherapeutic methods are applied in psychosomatic medicine, the therapist needs to be patient- and situation-oriented, rather than illness-oriented; his efforts need to be directed towards personal growth by restoring unity between psychic and somatic experience and by increasing awareness of the relation between life events and disease. In such work, Winnicott’s concepts of the early infant-mother relationship and of transitional phenomena are particularly valuable. The treatment setting needs to be flexible and a psychodynamic psychotherapeutic approach can be combined with other psychological treatment methods like hypnosis, autogenic training and behaviour therapy.

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“…In my opinion, symptom formation occurs when an aggressive impuls is warded off and the energy is discharged into a pathway of organic functions (Musaph, 1969).…”

Section: The Function O F the Anniversary Diseasementioning

confidence: 99%

Anniversary Disease

Musaph¹

1973

Psychother Psychosom

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It appears that in some people, falling ill has the function of commemorating, e.g. the death of a beloved person or their own wedding anniversary or that of one of their children. One of the main roots of Anniversary Disease is an unsolved emotional conflict situation in the aggressive sphere. One has to atone through the illness for the aggressive, mostly unconscious drives towards a key figure. The illness can relieve the conflict by pathocure, without awareness of existing feelings of grief and mourning, connected with separation and loss. Anniversary Disease is a non-specific reaction, which in the described material lasted no more than a week or ten days.

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Aggression and symptom formation in dermatology

Cited by 25 publications

References 22 publications

Anxiety, Aggression, and Body Ideal in Adult Atopic Dermatitis Patients

Anxiety, Aggression, and Body Ideal in Adult Atopic Dermatitis Patients

Psychotherapy: Its Place in Psychosomatic Management

Anniversary Disease

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