1. Self-Inflicted Lesions in Dermatology: Terminology and Classification -- A Position Paper from the European Society for Dermatology and Psychiatry (ESDaP).
- Author
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GIELER, Uwe, CONSOLI, Sylvie G., TOMAS-ARAGONES, Lucía, LINDER, Dennis M., JEMEC, Gregor B. E., POOT, Françoise, SZEPIETOWSKI, Jacek C., DE KORTE, John, TAUBE, Klaus-Michael, LVOV, Andrey, and CONSOLI, Silla M.
- Subjects
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SELF-mutilation , *SKIN injuries , *SKIN inflammation , *COMPULSIVE skin picking , *IMPULSE control disorders , *OBSESSIVE-compulsive disorder - Abstract
The terminology, classification, diagnosis and treatment of self-inflicted dermatological lesions are subjects of open debate. The present study is the result of various meetings of a task force of dermatologists, psychiatrists and psychologists, all active in the field of psychodermatology, aimed at clarifying the terminology related to these disorders. A flow chart and glossary of terms and definitions are presented to facilitate the classification and management of self-inflicted skin lesions. Several terms are critically discussed, including: malingering; factitious disorders; Miinchausen's syndrome; simulation; pathomimicry; skin picking syndrome and related skin damaging disorders; compulsive and impulsive skin picking; impulse control disorders; obsessive compulsive spectrum disorders; trichotillomania; dermatitis artefacta; factitial dermatitis; acne excoriée; and neurotic and psychogenic excoriations. Self-inflicted skin lesions are often correlated with mental disorders and/or pathological behaviours, thus it is important for dermatologists to become as familiar as possible with the psychiatric and psychological aspects underlying these lesions. [ABSTRACT FROM AUTHOR]
- Published
- 2013
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