Harth: Clinical Management in Psychodermatology






Every doctor and certainly every dermatologist knows that chronic skin diseases located on visible areas of the skin may lead to considerable emotional and psychosocial stress in the affected patients, especially if the course is disfiguring or tends to heal with scars. In the same way, as we know, emotional or psychovegetative disorders may trigger skin events.
Emotional or sociocultural factors of influence have dramatically changed the morbidity, pathogenetic understanding of causality, and therapy concepts in dermatology over the past decades; the relationship between the skin and the psyche or between the psyche and the skin is being given increasing attention.
There is a circular and complementary relationship between the skin and the psyche that becomes more evident during mental or skin disease. Not only is the skin part of the perception, but it is also a relational organ. The understanding of this multilevel relationship will help physicians understand the psychic and skin changes during disease.
This book is dedicated to such relationships. The picture atlas offers the morphologically trained dermatologist a summarizing presentation of diseases in psychosomatic dermatology for the first time.
The objective of this publication is to depict the relationships between skin diseases and psychiatric disorders  to make the diagnostic vantage point for such disorders more clear. This affects, for example, the systematization of body dysmorphic changes, factitious disorder patients, little-known borderline disorders, and special psychosomatic dermatoses that have received little attention to date. Patients with skin or hair diseases that are rather insignificant from an objective point of view, such as diffuse effluvium, can endure great subjective suffering.
The present clinical atlas should help physicians recognize masked emotional disorders more quickly in patients with skin diseases and thus initiate adequate therapies promptly. This informative textbook has been admirably written by authors with much experience in the area of psychosomatic disorders in dermatology and venereology, and it provides many insights and aids from a psychosomatic perspective that, for various reasons, were not infrequently all but ignored.
This publication can be recommended to all doctors working in the areas of practical dermatology and psychosomatics, since it deals not only with the diseased skin but takes into account the suffering human in his or her physical and emotional entirety.

Contents 
Part I General
  • Introduction
  • Prevalence of Somatic and Emotional Disorders
Part II Specific Patterns of Disease
1 Primarily Psychogenic Dermatoses
  • Self-Inflicted Dermatitis: Factitious Disorders
  • Dermatitis Artefacta Syndrome (DAS)
  • Dermatitis Paraartefacta Syndrome (DPS)
  • Skin-Picking Syndrome (Neurotic Excoriations)
  • Acne Excoriée (Special Form)
  • Morsicatio Buccarum
  • Cheilitis Factitia
  • Pseudoknuckle Pads
  • Onychophagia, Onychotillomania, Onychotemnomania
  • Trichotillomania, Trichotemnomania, Trichoteiromania
  • Malingering
  • Therapy
  • Special Forms
  • Gardner–Diamond Syndrome
  • Münchhausen’s Syndrome
  • Münchhausen-by-Proxy Syndrome
  • Dermatoses as a Result of Delusional Illnesses and Hallucinations
  • Delusion of Parasitosis
  • Body Odor Delusion (Bromhidrosis)
  • Hypochondriacal Delusions
  • Body Dysmorphic Delusions
  • Special Form: Folie à Deux
  • Somatoform Disorders
  • Somatization Disorders
  • Environmentally Related Physical Complaints
  • Ecosyndrome, “Ecological Illness,” “Total Allergy Syndrome”
  • Multiple Chemical Sensitivity Syndrome
  • Sick-Building Syndrome
  • Gulf War Syndrome
  • Special Forms
  • Electrical Hypersensitivity
  • Amalgam-Related Complaint Syndrome
  • ”Detergent Allergy”
  • Chronic Fatigue Syndrome
  • Fibromyalgia Syndrome
  • Hypochondriacal Disorders
  • Cutaneous Hypochondrias
  • Body Dysmorphic Disorders (Dysmorphophobia)
  • Whole-Body Disorders
  • Dorian Gray syndrome
  • Hypertrichosis
  • Hyperhidrosis
  • Muscle Mass
  • Special Form: Eating Disorders
  • Partial Body Disorders
  • Psychogenic Effluvium, Telogen Effluvium, Androgenic Alopecia
  • Geographic Tongue
  • Buccal Sebaceous Gland Hypertrophy
  • Breast
  • Genitals
  • Cellulite
  • Special Form: Botulinophilia in Dermatology
  • Somatoform Autonomic Disorders (Functional Disorders)
  • Facial Erythema (Blushing)
  • Erythrophobia
  • Goose Bumps (Cutis Anserina)
  • Hyperhidrosis
  • Persistent Somatoform Pain Disorders (Cutaneous Dysesthesias)
  • Dermatodynia
  • Glossodynia
  • Trichodynia/Scalp Dysesthesia
  • Urogenital and Rectal Pain Syndromes
  • Phallodynia/Orchiodynia/ Prostatodynia
  • Anodynia/Proctalgia Fugax
  • Vulvodynia
  • Special Forms
  • Erythromelalgia
  • Posthepetic Neuralgias
  • Trigeminal Neuralgia
  • Notalgia Paresthetica
  • Dissociative Sensitivity and Sensory Disorders (F44.6)
  • Other Undifferentiated Somatoform Disorders (Cutaneous Sensory Disorders)
  • Somatoform Itching
  • Somatoform Burning, Stabbing, Biting, Tingling
  • Dermatoses as a Result of Compulsive Disorders
  • Compulsive Washing
  • Primary Lichen Simplex Chronicus
  • Multifactor ial Cutaneous Diseases
  • Atopic Dermatitis
  • Acne Vulgaris
  • Psoriasis Vulgaris
  • Alopecia Areata
  • Perianal Dermatitis (Anal Eczema)
  • Dyshidrosiform Hand Eczema (Dyshidrosis)
  • Herpes Genitalis/Herpes Labialis
  • Hyperhidrosis
2 Special Forms
  • Hypertrichosis
  • Lichen Planus
  • Lupus Erythematodes
  • Malignant Melanoma
  • Perioral Dermatitis
  • Progressive Systemic Scleroderma
  • Prurigo
  • Rosacea
  • Seborrheic Dermatitis
  • Ulcers of the Leg (Venous Stasis)
  • Urticaria
  • Vitiligo
3 Secondary Emotional Disorders and Comorbidities
  • Congenital Disfiguring Dermatoses and Their Sequelae (Genodermatoses)
  • Acquired Disfiguring Dermatoses and Their Sequelae
  • Infections, Autoimmune Dermatosis, Trauma Neoplasias
  • Comorbidities
  • Depressive Disorders
  • Persistent Affective Disorders
  • Dysthymia
  • Special Form: Season-Dependent Depression
  • Mixed Disorders/New Syndromes (Sisi Syndrome)
  • Anxiety Disorders
  • Social Phobias
  • Special Forms
  • Iatrogenic Fear
  • Compulsive Disorders
  • Stress and Adjustment Disorders
  • Dissociative Disorders
  • Personality Disorders
  • Emotionally Unstable Personality Disorders (Borderline Disorders)
Part III Special Focal Points in Dermatology
4 Allergology
  • Immediate Reactions, Type I Allergy
  • Undifferentiated Somatoform Idiopathic Anaphylaxis
  • Pseudo-Sperm Allergy/Sperm Allergy
  • Food Intolerances
  • Late Reactions
  • Contact Dermatitis
5 Andrology
  • Premature Ejaculation
  • Lack of Desire
  • Failure of Genitale Response
  • Stress and Fertility
  • Special Case: Somatoform Disorders in Andrology
  • Venereology
  • Skin Diseases and Sexuality
6 Cosmetic Medicine
  • Psychosomatic Disturbances and Cosmetic Surgery
  • Possible Psychosomatic/Mental Disorders
  • Comorbidity
  • Indication for Cosmetic Surgery and Psychosomatic Disturbances
  • Management of Psychosomatic
  • Patients Requesting Cosmetic Surgery
  • Lifestyle Medicine in Dermatology
7 Psychosomatic Dermatology in Emergency Medicine
8 Surgical and Oncological Dermatology
  • Indication in Aesthetic Dermatology
  • Fear of Operation
  • Polysurgical Addiction
  • Oncology
9 Photodermatology
10 Suicide in Dermatology
11 Traumatization:Sexual Abuse
12 Special Psychosomatic Concepts in Dermatology
  • Psychosomatic Theories
  • Stress
  • Central Nervous System – Skin Interactions: Role of Psychoneuroimmunology and Stress
  • Psoriasis
  • Atopic Dermatitis
  • Urticaria
  • Infections
  • Cancer
  • Central Nervous System – Skin Interactions: Role of Neuropeptides and Neurogenic Inflammation
  • Coping
  • Quality of Life
  • Sociocultural Influence Factors and Culture-Dependent Syndromes
Part IV From the Practice for the Practice 13 Psychosomatic Psychodermatologic Primary Care and Psychosomatic Diagnostic
13 Establishing the Level of Functioning
  • Using Preliminary Information
  • Using Systematic Clinical Tools
  • Using the Findings
  • Other Therapeutic Implementations
  • Supportive Procedures and Crisis Intervention
  • Deep-Psychological Focal Therapy/Short-Term Therapy
  • Tips and Tricks for Psychosomatic Dermatology in Clinical Practice
  • Psychoeducation
  • Training
  • Auxiliary Tools for Psychodermatological Evaluation Diagnosis and Treatment
  • Psychological Test Diagnostics Questionnaires for Practical Use in Dermatology
  • Complaint Diary
  • Visual Analog Scale (VAS)
14 Psychotherapy
  • Indication For and Phases of Psychotherapy
  • Limitations of Psychotherapy
  • Psychotherapy Procedures
  • Behavior Therapies
  • Deep-Psychological Psychotherapies
  • Relaxation Therapies
15 Psychopharmacological Therapy in Dermatology
  • Main Indications and Primary Target Symptoms of the Medications
  • Dermatologic Conditions with Underlying Psychotic/Confusional Functioning
  • Atypical Neuroleptics
  • Depressive Disorders
  • Selective Serotonin Reuptake Inhibitors
  • Non-SSRIs
  • Other Non-SSRI Antidepressants
  • Tricyclic Antidepressants
  • Other Tricyclic Antidepressants (Amitriptyline, Imipramine, Desipramine Group)
  • Compulsive Disorders
  • Anxiety and Panic Disorders
  • Benzodiazepines
  • Nonbenzodiazepines
  • Alternatives
  • Special Group: Beta Blockers
  • Hypnotics
  • Antihistamines with Central Effect 
16 SAD Light Therapy, Vagal Stimulation, and Magnetic Stimulation
  • Light Treatment of Seasonal Affective Depression
  • Treating Depression with Vagus Nerve Stimulation
  • Transcranial Magnetic Stimulation
17 The Difficult or Impossible-To-Treat Problem Patient
  • Expert Killers and Doctor Shopping
  • Avoidable Medical Treatment Errors
  • Compliance
  • The Helpless Dermatologist
18 The Dermatologist’s Personal Challenges Within the Institutional Framework: Developing the Psychodermatologic Practice
19 Liaison Consultancy
20 New Management in Psychosomatic Dermatology
  • Outpatient Practice Models
  • Inhospital Psychosomatic Therapy Concepts
  • Psychosomatic Day Clinic
21 A Look into the Future
Part V Appendix
  • A 1 Books on Psychosomatic Dermatology
  • A 2 Contact Links
  • A 3 ICD-10 Classification
  • A 4 Glossary
Subject Index 


Book Details

  • Hardcover: 312 pages
  • Publisher: Springer; 1 edition 
  • Language: English
  • ISBN-10: 3540347186
  • ISBN-13: 978-3540347187
  • Product Dimensions: 10.2 x 7.7 x 0.8 inches
List Price: $149.00
 

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