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A study of facial dysmorphophobia

Published online by Cambridge University Press:  02 January 2018

Christopher S. Thomas*
Affiliation:
Withington Hospital, Manchester M20 8LR
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Abstract

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The psychopathology of 20 subjects who presented to psychiatrists with facial dysmorphophobia was examined. Seven had body dysmorphic disorder and 13 had dysmorphophobic symptoms secondary to an underlying psychiatric disorder (usually depression). The body dysmorphic group had a younger age of onset and overvalued ideas about their appearance. In both groups there was a high proportion of associated personality disorder, usually of the anxious (avoidant) type.

Type
Original Papers
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
Copyright © Royal College of Psychiatrists, 1995

References

American Psychiatric Association (1987) Diagnostic and Statistical Manual of Mental Disorders (3rd edn. revised) (DSM–III–R). Washington, DC: APA.Google Scholar
Andreasen, N. & Bardach, J. (1977) Dysmorphophobia: symptom or disease? American Journal of Psychiatry, 134, 673676.Google ScholarPubMed
Cutting, J., Cowen, P. J., Mann, A. H., et al (1986) Personality and psychosis: use of the standardized assessment of personality. Acta Psychiatrica Scandinavica, 73, 8792.CrossRefGoogle ScholarPubMed
Goin, J. M. & Goin, M. K. (1981) Changing the Body. Psychological Effects of Plastic Surgery. Baltimore: Williams & Wilkins.Google Scholar
Hardy, G. E. & Cotterill, J. A. (1982) A study of depression and obsessionality in dysmorphophobic and psoriatic patients. British Journal of Psychiatry, 140, 1922.CrossRefGoogle ScholarPubMed
Hay, G. G. (1970a) Dysmorphophobia. British Journal of Psychiatry, 116, 399406.CrossRefGoogle ScholarPubMed
Hay, G. G. (1970b) Psychiatric aspects of cosmetic nasal operations. British Journal of Psychiatry, 116, 8597.CrossRefGoogle ScholarPubMed
Jaspers, K. (1946) Delusion and awareness of reality. In General Psychopathology, 7th edn. Translated 1963 by Hoenig, S. and Hamilton, M. Manchester: Manchester University Press.Google Scholar
Mann, A. H., Jenkins, R., Cutting, J. C., et al (1981) Preliminary communication. The development and use of a standardised assessment of abnormal personality. Psychological Medicine, 11, 839847.CrossRefGoogle Scholar
MacDonald Hull, S., Cunliffe, W. J. & Hughes, B. R. (1991) Treatment of the depressed and dysmorphophobic acne patient. Clinical and Experimental Dermatology, 16, 210211.CrossRefGoogle Scholar
Munro, A. (1980) Monosymptomatic hypochondriacal psychosis. British Journal of Hospital Medicine, 24, 3438.Google ScholarPubMed
Neziroglu, F. & Yaryura-Tobias, J. A. (1993) Exposure, response prevention and cognitive psychotherapy in the treatment of body dysmorphic disorder. Behavior Therapy, 24, 431438.CrossRefGoogle Scholar
Olley, P. C. (1974) Psychiatric aspects of referral. British Medical Journal 3, 248249.CrossRefGoogle ScholarPubMed
Phillips, K. A. (1991) Body dysmorphic disorder the distress of imagined ugliness. American Journal of Psychiatry, 148, 11381149.Google ScholarPubMed
Phillips, K. A., McElroy, S. L., Keck, P. E., et al (1993) Body dysmorphic disorder: thirty cases of imagined ugliness. American Journal of Psychiatry, 180, 302308.Google Scholar
Phillips, K. A., McElroy, S. L., Keck, P. E., et al (1993) Insight, overvalued ideation, and delusional thinking in body dysmorphic disorder: theoretical and treatment implications. Journal of Nervous and Mental Disorders, 181, 699702.CrossRefGoogle ScholarPubMed
Rich, N., Rosen, J. C., Orasan, P. G., et al (1992) Prevalence of Body Dysmorphic Disorder in Non-clinical Populations. Presentation at Association for Advancement of Behaviour Therapy, Boston, USA.Google Scholar
Thomas, C. S. (1984) Dysmorphophobia: a question of definition. British Journal of Psychiatry, 144, 513516.CrossRefGoogle ScholarPubMed
World Health Organization (1978) Mental Disorders: Glossary and Guide to their Classification in Accordance with the Ninth Revision of the International Classification of Diseases (ICD–9). Geneva: WHO.Google Scholar
World Health Organization (1992) The Tenth Revision of the International Classification of Diseases and Related Health Problems (ICD–10). Geneva: WHO.Google Scholar
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