title: Delusions and parasitosis: psychotherapeutic engagement.
abstract: As with many psychiatric syndromes, there are multiple etiological factors which seem to play a role in the development of delusions of parasitosis. Our case report suggests that a psychotherapeutic approach may prove valuable in treatment. Acaraphobic and other monosymptomatic hypochondriacal patients, despite an extreme defensive stance, will adhere to and cooperate with a therapeutic process which enables them to voice psychic pain without challenging the validity of a somatic complaint. In finally sharing feelings of deprivation and hurt, the patient can, with some additional rather "concrete" advice, proceed to a point where he no longer must prove the legitimacy of his complaint. By the very nature of this freedom, he can then work with the therapist in a meaningful, rather than stalemated, psychotherapeutic process.
mesh_terms: D000328:Adult; D003702:Delusions / Q000209:etiology / Q000523:psychology / Q000628:therapy*; D005190:Family; D005260:Female; D006801:Humans; D010272:Parasitic Diseases; D010817:Physician-Patient Relations; D011613:Psychotherapy / Q000379:methods*