Psychocutaneous Aspects of Persistent Pruritus and Excessive Excoriation

Seitz, Philip F.

doi:10.1001/archderm.1951.01570080020003

Cited by 20 publications

(3 citation statements)

References 2 publications

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“…One study (Phillips, Siniscalchi, & McElroy, 2004) found that patients with BDD experienced higher levels of anger and hostility than normal controls. In trichotillomania and excoriation, the functional relationship of the anger is particularly interesting; anger sometimes serves as an antecedent to a hair-pulling or skin-picking behavior, and this behavior serves to reduce intense negative emotion (Diefenbach, Mouton-Odum, & Stanley, 2002; Freunsgaard, 1984; Musaph, Prakken, & Bastiaans, 1964; Obermayer, 1955; Seitz, 1951, 1953; Shusterman, Feld, Baer, & Keuthen, 2009; Waisman, 1965; Zaidens, 1964). However, in other disorders, such as OCD, the anger appears to be a consequence of the disorder and results in angry behavior that may be directed inward or outward.…”

Section: Prevalence Of Pathological Anger In Emotional Disordersmentioning

confidence: 99%

Anger: The unrecognized emotion in emotional disorders.

Cassiello-Robbins

Barlow

2016

Clinical Psychology: Science and Practice

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Anger plays a prominent definitional role in some psychological disorders currently widely scattered across DSM‐5 categories (e.g., intermittent explosive disorder, borderline personality disorder). But the presence and consequences of anger in the emotional disorders (e.g., anxiety disorders, depressive disorders) remain sparsely examined. In this review, we examine the presence of anger in the emotional disorders and find that anger is elevated across these disorders and, when it is present, is associated with negative consequences, including greater symptom severity and worse treatment response. Based on this evidence, anger appears to be an important and understudied emotion in the development, maintenance, and treatment of emotional disorders.

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Section: Prevalence Of Pathological Anger In Emotional Disordersmentioning

confidence: 99%

Anger: The unrecognized emotion in emotional disorders.

Cassiello-Robbins

Barlow

2016

Clinical Psychology: Science and Practice

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“…Furthermore, it is possible to discover a somatic or accidental initial stimulus for self-mutilating behavior only in rare cases. Indeed, some authors (e.g., Seitz, 1951) feel that the self-mutilating behavior occasionally is responsible for the somatic sensation rather than vice versa. Similarly, an explanation of the origin of self-mutilating behavior based on the fact that some people are indifferent to pain (e.g., Neil, 1958) is inadequate.…”

Section: Trichotulomania (Hair Pulling)mentioning

confidence: 99%

Self-mutilating behavior.

Lester¹

1972

Psychological Bulletin

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“…In terms of treatment, supportive psychoterapy induces a significant improvement, while performing a detailed analysis can exacerbate the symptoms [7]. Cognitive behavioral therapy has had good results in some patients, but the treatment of the underlying psychiatric disorder requires a psychotherapist's skills.…”

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confidence: 99%

Pathomimesis: psychiatric and medico-legal interference in dermatology

Popescu¹,

Diaconu²,

Vicu³

et al. 2011

RJLM

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Psychodermatology deals with the psychological causes of cutaneous disorders and the patient's psychological predisposition to suffer from skin diseases. Dermatologic disorders can be purely somatic or somatic diseases with a noticeable effect on the psyche, somatic disorders with emotional trigger factors, as well as exclusively psychological illnesses. The skin is considered a "mirror of the soul" and the connection between the skin and the nervous system has been demonstrated. Between 20-40% of the patients in the dermatology wards have some type of psychiatric problem, therefore physicians must be familiar with these disorders and with the proper ways to approach the patient, in order to establish an accurate diagnosis and treatment method.The present paper describes the most commonly encountered psychodermatological disorders, both in terms of symptoms and clinical signs, and of the psychiatric and forensic ramifications. Further progress has been made in understanding and treating these diseases situated at the interface of dermatology and psychiatry. P athomimesis refers to any dermatological illness in which psychological factors play an important part. It is estimated that effective care of at least one third of the patients in dermatology wards depends on the recognition and treatment of emotional factors [2].Even though they both originate from the ectoderm, the skin and the nervous system are linked not only by their common origin. If the skin is affected by a severe dermatological disease, it is followed by psychological sequelae, with a severe impact on self-esteem, confidence and quality of life in general.The CNS can influence the health of other systems and organs, the skin included. The psychological mechanisms of this interaction vary from the stress response mediated by neuroadrenal connections and associated changes of the immune function, to the systemic and local action of some neuropeptides and neurohormones.Between 20-40% of the patients in dermatology wards have a psychiatrical or psychological condition that determines or complicates current symptoms. A significant number of them disagree with the potential psychogenic origin of the symptoms and are often reluctant to accept any psychiatrical reference.Therefore, the dermatologist must be familiar with the most common of these diseases, their clinical manifestations (psychological and dermatological) and the basic principles of their treatment [1].

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Psychocutaneous Aspects of Persistent Pruritus and Excessive Excoriation

Cited by 20 publications

References 2 publications

Anger: The unrecognized emotion in emotional disorders.

Anger: The unrecognized emotion in emotional disorders.

Self-mutilating behavior.

Pathomimesis: psychiatric and medico-legal interference in dermatology

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