title: Self-Inflicted Lesions in Dermatology: A Management and TherapeuticApproach - A Position Paper From the European Society for Derma-tology and Psychiatry.
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.
authors: Department of Psychology, University of Zaragoza, Calle Pedro Cerbuna 12, ES-50009 Zaragoza, Spain. luciatomas@cop.es, luciaservando@gmail.com.
authors: Lucía
authors: L
authors: Tomas-Aragones
authors: Silla M
authors: SM
authors: Consoli
authors: Sylvie G
authors: SG
authors: Consoli
authors: Francoise
authors: F
authors: Poot
authors: Klaus-Michael
authors: KM
authors: Taube
authors: M Dennis
authors: MD
authors: Linder
authors: Gregor B E
authors: GB
authors: Jemec
authors: Jacek C
authors: JC
authors: Szepietowski
authors: John
authors: J
authors: de Korte
authors: Andrey N
authors: AN
authors: Lvov
authors: Uwe
authors: U
authors: Gieler
mesh_terms: D003880:Dermatology; D005162:Factitious Disorders / Q000523:psychology / Q000628:therapy*; D006801:Humans; D008306:Malingering / Q000523:psychology / Q000628:therapy; D010348:Patient Care Team; D010819:Physician's Role; D010817:Physician-Patient Relations; D011613:Psychotherapy; D011619:Psychotropic Drugs / Q000627:therapeutic use; D016728:Self-Injurious Behavior / Q000628:therapy*; D012867:Skin / Q000293:injuries*; D014947:Wounds and Injuries / Q000145:classification / Q000523:psychology / Q000628:therapy
chemical_list: D011619:Psychotropic Drugs