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Psychiatric Aspects of Cosmetic Nasal Operations

Published online by Cambridge University Press:  29 January 2018

G. G. Hay
G. G. Hay*
Affiliation:
Bolton District General Hospital, Farnworth, Bolton, Lancs
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Extract

Patients not uncommonly attend psychiatric clinics with the primary complaint of a cos metic defect in their appearance, e.g. that their nose is big or somehow conspicuous, or that their chin is protuberant or receding. Of the various features concerned, complaints about the nose are by far the most frequent. Such patients also consult plastic surgeons requesting the operation of cosmetic rhinoplasty and it is not unusual for the surgeon to seek a psychiatric opinion about some of the cases he sees, as it has been thought that the motivation of such requests is sometimes complex and the desire for operation may be indicative of psychological disturbance. The surgeons would appear to refer those cases where the defect is minimal or, of course, where severe psychological disturbance is obvious even quite superficially.

Type
Research Article
Information
The British Journal of Psychiatry , Volume 116 , Issue 530 , January 1970 , pp. 85 - 97
Copyright
Copyright © Royal College of Psychiatrists, 1970 

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References

Barsky, A. J. (1944). ‘Psychology of the patient undergoing plastic surgery.’ Amer. J. Surg., 65, 238.CrossRefGoogle Scholar
Caine, T. M., and Hawkins, L. G. (1963). ‘Questionnaire measure of the hysteroid/obsessoid component of personality. The H.O.Q.’ J. cons. Psychol., 27, 206–9.Google Scholar
Clarkson, P., and Stafford-Clark, D. (1960). ‘Role of plastic surgeon and psychiatrist in the surgery of appearance.’ Brit. med. J., ii, 1768.CrossRefGoogle Scholar
Dietrich, H. (1962). ‘Über Dysmorphophobie.’ Arch. Psychiat. Nervenkr., 203/5 511–18.Google Scholar
Foulds, G. A. (1965). Personality and Personal Illness. London: Tavistock Publications.Google Scholar
Foulds, G. A., Caine, T. M., and Creasey, M. A. (1960). ‘Aspects of extrapunitive and intro-punitiveness in mental illness.’ J. ment. Sci., 106, 599–610.CrossRefGoogle Scholar
Gillies, H. (1958). ‘The clinical diagnosis of early schizophrenia.’ in Topics in Psychiatry (ed. Mowbray Rodger and Roy) p. 47–56. London: Cassell.Google Scholar
Hill, G., and Silver, A. G. (1950). ‘Psychodynamic and aesthetic motivations for plastic surgery.’ Psychosom. Med., 12, 345.Google Scholar
Hollender, M. H. (1956). ‘Observations on nasal symptoms.’ Psychiat. Quart., 30, 375–85.Google Scholar
Jacobson, W. E., Edgerton, M. T., Meyer, E., Canter, A., and Slaughter, R. (1960). ‘Psychiatric evaluation of male patients seeking cosmetic surgery.’ Plast, reconstr. Surg. 26, 356.Google Scholar
Janet, P. (1908). ‘Obsession de la honte du corps.’ In Les Obsessions et la Psychasthénie. Chapter 5. 2nd ed. Paris.Google Scholar
Ju, D. (1963). ‘The psychological effects of protruding ears.’ Plast. reconstr. Surg., 31/5, 424–7.Google Scholar
Klabunde, E. H., and Falces, E. (1964). ‘Incidence of complications in cosmetic rhinoplasties.’ Plast. reconstr. Surg., 34/2, 192–6.Google Scholar
Kraepelin, E. (1915). Psychiatrie. 8th. ed. Vol. 4. Leipzig: Barth.Google Scholar
MacGregor, F. C., Abel, T. M., Bryt, A., Laver, E., and Weissman, S. (1953). Facial Deformities and Plastic Surgery. A Psychosocial Study. Charles C. Thomas, Springfield, III. Google Scholar
MacGregor, F. C. and Schaffner, B. (1950). ‘Screening patients for nasal plastic operations.’ Psychosom. Med. 12, 277.CrossRefGoogle ScholarPubMed
Meerloo, J. (1956). ‘The fate of one's face.’ Psychiat. Quart., 30, 31.CrossRefGoogle ScholarPubMed
Meyer, E., Jacobson, W. E., Edgerton, M. T., and Canter, A. (1960). ‘Motivational patterns in patients seeking plastic surgery.’ Psychosom. Med. 22/3, 193–203.Google Scholar
Saul, L. J. (1948). ‘The feminine significance of the nose.’ Psychoanal. Quart., 17, 51.Google Scholar
Schilder, P. (1935). The Image and Appearance of the Human Body. Psyche Monographs. No. 4. Kegan Paul, London.Google Scholar
Schneider, K. (1958). Psychopathic Personalities. Cassell. London.Google Scholar
Schneider, K. (1959). Clinical Psychopathology. Grune & Stratton, New York, London.Google Scholar
Stekel, W. (1950). Compulsion and Doubt. Vol. II. London: Peter Nevill.Google Scholar
Stratth, C. L., and de Kleine, E. H. (1938). ‘Plastic surgery in children-the medical and psychologic aspects of deformity.’ J. Amer. med. Ass., III, 2364.Google Scholar
Straker, M. (1951). ‘Surgical procedure and neurotic illness.’ Med. App. J., 65, 128.Google Scholar
Updegraff, H. L., and Menninger, K. A. (1934). ‘Some psychoanalytic aspects of plastic surgery.’ Amer. J. Surg., 25, 554.CrossRefGoogle Scholar
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