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PSYCHOCUTANEOUS ASPECTS OF PERSISTENT PRURITUS AND EXCESSIVE EXCORIATION

PSYCHOCUTANEOUS ASPECTS OF PERSISTENT PRURITUS AND EXCESSIVE EXCORIATION Abstract THE PURPOSE of this report is to present certain clinical impressions which have been formulated as a result of psychiatric study and treatment of 120 patients with persistent pruritus and excessive excoriation. Several diagnostic categories were represented in this group: lichen simplex chronicus, pruritus ani et vulvae, disseminated neurodermatitis, and so-called "neurotic excoriations." The differences between these various disorders will not be dealt with in this report. Attention will be directed instead to the features of similarity, viz., the psychocutaneous aspects of persistent pruritus and excessive excoriation. THE SURFACE ASPECTS OF COMPOSURE One of the earliest impressions gained in this study had to do with the appearance and behavior of these patients. When first seen in a clinical setting patients with persistent pruritus and excessive excoriation do not appear to be tense or "nervous." They usually exhibit a surface appearance of composure. This emotionally undemonstrative behavior is maintained throughout the initial interviews, giving a deceptive impression of equanimity. The References 1. Miller, M.: A Psychological Study of a Case of Eczema and a Case of Neurodermatitis , Psychosom. Med. 4:82 ( (Jan.) ) 1942Crossref 2. Psychodynamic Mechanisms in a Case of Neurodermatitis , Miller Psychosom. Med. 10:309 ( (Nov.) -Dec.) 1948.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png A.M.A. Archives of Dermatology & Syphilology American Medical Association

PSYCHOCUTANEOUS ASPECTS OF PERSISTENT PRURITUS AND EXCESSIVE EXCORIATION

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Publisher
American Medical Association
Copyright
Copyright © 1951 American Medical Association. All Rights Reserved.
ISSN
0096-5979
DOI
10.1001/archderm.1951.01570080020003
Publisher site
See Article on Publisher Site

Abstract

Abstract THE PURPOSE of this report is to present certain clinical impressions which have been formulated as a result of psychiatric study and treatment of 120 patients with persistent pruritus and excessive excoriation. Several diagnostic categories were represented in this group: lichen simplex chronicus, pruritus ani et vulvae, disseminated neurodermatitis, and so-called "neurotic excoriations." The differences between these various disorders will not be dealt with in this report. Attention will be directed instead to the features of similarity, viz., the psychocutaneous aspects of persistent pruritus and excessive excoriation. THE SURFACE ASPECTS OF COMPOSURE One of the earliest impressions gained in this study had to do with the appearance and behavior of these patients. When first seen in a clinical setting patients with persistent pruritus and excessive excoriation do not appear to be tense or "nervous." They usually exhibit a surface appearance of composure. This emotionally undemonstrative behavior is maintained throughout the initial interviews, giving a deceptive impression of equanimity. The References 1. Miller, M.: A Psychological Study of a Case of Eczema and a Case of Neurodermatitis , Psychosom. Med. 4:82 ( (Jan.) ) 1942Crossref 2. Psychodynamic Mechanisms in a Case of Neurodermatitis , Miller Psychosom. Med. 10:309 ( (Nov.) -Dec.) 1948.Crossref

Journal

A.M.A. Archives of Dermatology & SyphilologyAmerican Medical Association

Published: Aug 1, 1951

References