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

Lucía Tomas-Aragones; Silla M Consoli; Sylvie G Consoli; Francoise Poot; Klaus-Michael Taube; M Dennis Linder; Gregor B E Jemec; Jacek C Szepietowski; John de Korte; Andrey N Lvov; Uwe Gieler

doi:10.2340/00015555-2522

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

Lucía Tomas-Aragones, Silla M Consoli, Sylvie G Consoli, Francoise Poot, Klaus-Michael Taube, M Dennis Linder, Gregor B E Jemec, Jacek C Szepietowski, John de Korte, Andrey N Lvov, Uwe Gieler

Department of Clinical Medicine

21 Citations (Scopus)

103 Downloads (Pure)

Abstract

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.

Original language	English
Journal	Acta Dermatovenereologica
Volume	97
Issue number	2
Pages (from-to)	159-172
ISSN	0001-5555
DOIs	https://doi.org/10.2340/00015555-2522
Publication status	Published - Feb 2017

Keywords

Dermatology
Factitious Disorders/psychology
Humans
Malingering/psychology
Patient Care Team
Physician's Role
Physician-Patient Relations
Psychotherapy
Psychotropic Drugs/therapeutic use
Self-Injurious Behavior/therapy
Skin/injuries
Wounds and Injuries/classification

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4806Licence: CC BY-NC

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Tomas-Aragones, L., Consoli, S. M., Consoli, S. G., Poot, F., Taube, K-M., Linder, M. D., Jemec, G. B. E., Szepietowski, J. C., de Korte, J., Lvov, A. N., & Gieler, U. (2017). Self-Inflicted Lesions in Dermatology: A Management and TherapeuticApproach - A Position Paper From the European Society for Derma-tology and Psychiatry. Acta Dermatovenereologica, 97(2), 159-172. https://doi.org/10.2340/00015555-2522

Self-Inflicted Lesions in Dermatology : A Management and TherapeuticApproach - A Position Paper From the European Society for Derma-tology and Psychiatry. / Tomas-Aragones, Lucía; Consoli, Silla M; Consoli, Sylvie G et al.

In: Acta Dermatovenereologica, Vol. 97, No. 2, 02.2017, p. 159-172.

Research output: Contribution to journal › Journal article › Research › peer-review

Tomas-Aragones, L, Consoli, SM, Consoli, SG, Poot, F, Taube, K-M, Linder, MD, Jemec, GBE, Szepietowski, JC, de Korte, J, Lvov, AN & Gieler, U 2017, 'Self-Inflicted Lesions in Dermatology: A Management and TherapeuticApproach - A Position Paper From the European Society for Derma-tology and Psychiatry', Acta Dermatovenereologica, vol. 97, no. 2, pp. 159-172. https://doi.org/10.2340/00015555-2522

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abstract = "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.",

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KW - Psychotropic Drugs/therapeutic use

KW - Self-Injurious Behavior/therapy

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KW - Wounds and Injuries/classification

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

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Keywords

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