[Psychological aspects of facial trauma].
The anatomic lesions resulting from facial trauma have serious psychological implications. The topic can be divided into three parts. First, the psychological trauma begins by a simple conception of the psychic structure. Secondly, an external crust protects an inner structure whose role is to maintain a vital function and a pleasure function. Thirdly, the face materializes these two functions. Facial trauma totally disrupts the external crust with staggering psychic implications, releasing the archaic process of survival. After this initial event, a second step is required where the trauma is interiorized leading to a highly variable clinical course which involves recovery, disturbed memory, and a depressive syndrome. The clinical manifestations and possibilities for preventing the post-commotional syndrome are also discussed together with the psychological disorders implied with facial traumatism: disorders linked to the perception of the face, esthetic damage, neurological and sensorial disorders. The course is basically linked to the personality of the patient.
Kosakevitch-Ricbourg
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Service de Chirurgie Maxillo-faciale et Stomatologie, Hôpital Jean Minjoz, CHU de Besançon, France. bricbourg@chu-besancon.fr
D001293:Attitude to Death; D001294:Attitude to Health; D003863:Depression / Q000209:etiology; D004954:Esthetics; D005145:Face; D005151:Facial Injuries / Q000523:psychology*; D006801:Humans; D008569:Memory Disorders / Q000209:etiology; D010292:Paresthesia / Q000209:etiology; D010468:Perceptual Disorders / Q000209:etiology; D010551:Personality; D020127:Recovery of Function; D012649:Self Concept; D013001:Somatoform Disorders / Q000209:etiology; D013313:Stress Disorders, Post-Traumatic / Q000209:etiology / Q000517:prevention & control