Self-Inflicted Lesions in Dermatology: A Management and TherapeuticApproach - A Position Paper From the European Society for Derma-tology and Psychiatry

TY - JOUR

T1 - Self-Inflicted Lesions in Dermatology

T2 - A Management and TherapeuticApproach - A Position Paper From the European Society for Derma-tology and Psychiatry

AU - Tomas-Aragones, Lucía

AU - Consoli, Silla M

AU - Consoli, Sylvie G

AU - Poot, Francoise

AU - Taube, Klaus-Michael

AU - Linder, M Dennis

AU - Jemec, Gregor B E

AU - Szepietowski, Jacek C

AU - de Korte, John

AU - Lvov, Andrey N

AU - Gieler, Uwe

PY - 2017/2

Y1 - 2017/2

N2 - The classification of self-inflicted skin lesions proposed by the European Society for Dermatology and Psychiatry (ESDaP) group generated questions with regard to specific treatments that could be recommended for such cases. The therapeutic guidelines in the current paper integrate new psychotherapies and psychotropic drugs without forgetting the most important relational characteristics required for dealing with people with these disorders. The management of self-inflicted skin lesions necessitates empathy and a doctor-patient relationship based on trust and confidence. Cognitive behavioural therapy and/or psychodynamic and psychoanalytic psychotherapy (alone, or combined with the careful use of psychotropic drugs) seem to achieve the best results in the most difficult cases. Relatively new therapeutic techniques, such as habit reversal and mentalization-based psychotherapy, may be beneficial in the treatment of skin picking syndromes.

AB - The classification of self-inflicted skin lesions proposed by the European Society for Dermatology and Psychiatry (ESDaP) group generated questions with regard to specific treatments that could be recommended for such cases. The therapeutic guidelines in the current paper integrate new psychotherapies and psychotropic drugs without forgetting the most important relational characteristics required for dealing with people with these disorders. The management of self-inflicted skin lesions necessitates empathy and a doctor-patient relationship based on trust and confidence. Cognitive behavioural therapy and/or psychodynamic and psychoanalytic psychotherapy (alone, or combined with the careful use of psychotropic drugs) seem to achieve the best results in the most difficult cases. Relatively new therapeutic techniques, such as habit reversal and mentalization-based psychotherapy, may be beneficial in the treatment of skin picking syndromes.

KW - Dermatology

KW - Factitious Disorders/psychology

KW - Humans

KW - Malingering/psychology

KW - Patient Care Team

KW - Physician's Role

KW - Physician-Patient Relations

KW - Psychotherapy

KW - Psychotropic Drugs/therapeutic use

KW - Self-Injurious Behavior/therapy

KW - Skin/injuries

KW - Wounds and Injuries/classification

U2 - 10.2340/00015555-2522

DO - 10.2340/00015555-2522

M3 - Journal article

C2 - 27563702

SN - 0001-5555

VL - 97

SP - 159

EP - 172

JO - Acta Dermato-Venereologica

JF - Acta Dermato-Venereologica

IS - 2

ER -