LEADER 04899nam 22006615 450 001 9910913785303321 005 20241129115312.0 010 $a9783031702969 010 $a3031702964 024 7 $a10.1007/978-3-031-70296-9 035 $a(CKB)36702081100041 035 $a(MiAaPQ)EBC31806928 035 $a(Au-PeEL)EBL31806928 035 $a(DE-He213)978-3-031-70296-9 035 $a(EXLCZ)9936702081100041 100 $a20241129d2024 u| 0 101 0 $aeng 135 $aur||||||||||| 181 $ctxt$2rdacontent 182 $cc$2rdamedia 183 $acr$2rdacarrier 200 10$aPsychocutaneous Diseases $eA Clinical Dermatological Approach /$fedited by Gianni Angelini, Domenico Bonamonte, Anna Belloni Fortina, Iria Neri, Luca Stingeni 205 $a1st ed. 2024. 210 1$aCham :$cSpringer Nature Switzerland :$cImprint: Springer,$d2024. 215 $a1 online resource (220 pages) 311 08$a9783031702952 311 08$a3031702956 327 $a1. Psychodermatology: When Psyche And Skin Interact -- 2. Psychocutaneous Diseases -- 3. Self-Inflicted Skin Disorders: Diagnosis And Management -- 4. Factitious Skin Disorders Without External Incentives -- 5. Factitious Skin Disorders With External Incentives -- 6. Psychocutaneous diseases in children: a clinical dermatological approach -- 7. Compulsive skin disorders -- 8. Cutaneous diseases precipitated or perpetuated by emotional factors -- 9. Group and mass population disorders -- 10. Medicolegal implications in the management of psychocutaneous diseases. 330 $aThe terminology, classification, diagnosis and treatment of dermatological factitious disorders, falling within the broad scope of self-induced dermatological diseases, are the subject of open debate. The complexity of the topic is also linked to the involvement of different health professions who often refer to different classifications, whereas patients with these conditions need a consistent multidisciplinary approach. The purpose of this work, resulting in decades of field experience and of the joint efforts of both dermatologists and psychiatrists, is to clarify the terminology of these disorders and, above all, to analyze their clinical characteristics in detail, the first and pivotal sign of suspicion and diagnosis. Artificial dermatitis are self-induced diseases caused by various means and for diverse purposes. Illness can be mimicked with unlawful purposes, or to take advantage of professional situations (obtaining extension of illness, recognition of the condition as an occupational disease, reaching a higher class of invalidity). In these cases, the simulators are aware of their own action and its purposes. Conversely, there are cases of self-induced dermatitis dictated by psychiatric problems, such as psychosis, intellectual disability and personality disorders. Intrinsic motivation of such lesions is different: patient intends to draw attention, reacts to difficult environmental situations by involuntary somatization of the skin. Skin artifacts of illicit intent are true "simulations", while the lesions caused unconsciously by subjects with psychological disorders are "pathomimies". In addition to the groups of true simulation and ?pathomimia?, another group of self-provoked dermatoses is due to coercive habits (excoriations, tics) in conscious subjects who recognize the urgency of a self-harming action. Psychocutaneous Diseases leaves room to the clinic features and motivations of artifacts, both perpetuated on oneself and on other people ("by proxy" factitious disorders). The topic is completed by the addition of chapters by psychiatric specialists, in order to address pathogenetic problems and therapeutic guidelines, as well as contributions that integrate the approach with medico-legal expertise. This work will support diagnosis by dermatologists, but also psychiatrists, psychologists, internists, forensic doctors and general practitioners. . 606 $aDermatology 606 $aPediatrics 606 $aPsychiatry 606 $aFamily medicine 606 $aDermatology 606 $aPediatrics 606 $aPsychiatry 606 $aGeneral Practice and Family Medicine 615 0$aDermatology. 615 0$aPediatrics. 615 0$aPsychiatry. 615 0$aFamily medicine. 615 14$aDermatology. 615 24$aPediatrics. 615 24$aPsychiatry. 615 24$aGeneral Practice and Family Medicine. 676 $a616.5 700 $aAngelini$b Gianni$0480381 701 $aBonamonte$b Domenico$01777366 701 $aBelloni Fortina$b Anna$01434865 701 $aNeri$b Iria$01777367 701 $aStingeni$b Luca$01777368 801 0$bMiAaPQ 801 1$bMiAaPQ 801 2$bMiAaPQ 906 $aBOOK 912 $a9910913785303321 996 $aPsychocutaneous Diseases$94298176 997 $aUNINA