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Aesthetic Plastic Surgery

, Volume 32, Issue 3, pp 485–495 | Cite as

Maxwell Maltz, Psychocybernetic Plastic Surgeon, and Personal Reflections on Dysmorphopathology

  • Paolo G. Morselli
Article

Abstract

The author presents a biographic sketch of Dr. Maxwell Maltz and some personal reflections on the expectations of dysmorphopathic patients who undergo plastic surgery procedures.

Maltz who was born in New York in 1889, gained a B.S. degree in 1917, and went on to gain an M.D. degree in 1923. He decided to go to Germany to become a plastic surgeon. On his return to the United States, Maltz began a practice at Beth Israel Hospital. He wrote many articles in various medical journals on aspects of plastic surgery. In 1960 he published Psychocybernetics, of which more than 30 million copies have been sold worldwide. Maltz created the concept of not merely treating the patient’s physical, but of understanding the psychology of the patient’s needs. He said, “When you change a man’s face, you almost change a man’s person, his behaviour, and sometimes even his basic talents and abilities.” This article also contains the author’s personal reflections on dysmorphopathic patients and the importance of clinical psychomorphologic consultation before and after surgical procedures. He attempts to explain the discrepancies between a positive technical outcome and patient dissatisfaction. The author studied the way many patients were affected by dysmorphopathy in the preoperative period and found that 75% of patients presented a psychiatric diagnosis according to the Statistical Manual of Mental Disorders, 4th edition (DSM-IV) by the American Psychiatric Association. The author presents his assessment of the patient and lists the questions he uses during his semistructured interview to investigate and access the real motivation of the surgery. He presents a classification of objective and subjective somato-psycho-dysmorphopathy, which is fundamental in diagnosing an appropriate therapy that includes plastic surgical procedures and the indication for psychological support or psychotherapy. This is an intrinsic part of the surgeon’s diagnosis because a plastic surgeon must be observant of the patient’s psychological needs to avoid postoperative dissatisfaction and potential medicolegal disputes. The author presents his Expectations Test that he uses for all patients about to undergo therapy. The test is helpful for understanding unrealistic expectations and for providing an appropriate patient selection. The author presents a dysmorphopathy diagnosis and indicates the appropriate therapy after investigation of the deep motivation and realistic expectations of the patient. The surgeon then is free to select useful tools for a better informed patient consent and for reducing medicolegal disputes.

Keywords

Body dysmorphic disorder Expectation Test Medicolegal Motivation Plastic Surgery Psychocybernetics Somato-psycho-dysmorphopathy 

References

  1. 1.
    Maltz M (1953) Doctor Pygmalion: The autobiography of a plastic surgeon. Crowell: New YorkGoogle Scholar
  2. 2.
    Maltz M (1975) The time is now. Simon & Schuster: New YorkGoogle Scholar
  3. 3.
    Tagliacozzi G (1597) De Curtorum Chirurgia per insitionem. Ed. Bindoni: VeneziaGoogle Scholar
  4. 4.
    Maltz M (1939) New method of tube pedicle skin grafting. Am J Surg XLIII(2):216–222CrossRefGoogle Scholar
  5. 5.
    Maltz M (1942) The surgical treatment of recent facial wounds. The Journal of the International College of Surgeons, pp. 337–338Google Scholar
  6. 6.
    Maltz M (1944) Reconstruction of nasal tip: A new technique. Am J Surg LXIII(2):203–205CrossRefGoogle Scholar
  7. 7.
    Maltz M (1948) Studies in cellular growth. Br J Plast Surg 1(3):196–197Google Scholar
  8. 8.
    Maltz M (1936) New faces, new futures: Rebuilding character with plastic surgery. R. R. Smith: New YorkGoogle Scholar
  9. 9.
    Maltz M (1946) The evolution of plastic surgery. Froben Press: New YorkGoogle Scholar
  10. 10.
    Maltz M (1960) Psycho-Cybernetics: A new way to get more living out of life. Prentice-Hall: New York, pp. 59–63Google Scholar
  11. 11.
    Maltz M (1964) The magic power of self-image psychology: The new way to a bright, full life. Prentice-Hall: New YorkGoogle Scholar
  12. 12.
    Maltz M (1967) Creative living for New York City Today, Trident, New YorkGoogle Scholar
  13. 13.
    Maltz M (1969) The conquest of frustration. Constellation International: New YorkGoogle Scholar
  14. 14.
    Maltz M (1973) The search for self-respect. Grosset: New YorkGoogle Scholar
  15. 15.
    Maltz M (1974) Psycho-cybernetics principles for creative living. Pocket Books: New YorkGoogle Scholar
  16. 16.
    Maltz M (1975) A new way to live and be free. O’Sullivan Woodside: New YorkGoogle Scholar
  17. 17.
    Morselli E (1891) Sulla dimorfofobia e sulla tafefobia. Bollettino Accademia Medica: Genova, VI, pp. 100–119Google Scholar
  18. 18.
    Morselli PG (1993) The Minotaur syndrome: Plastic surgery of the facial skeleton. Aesth Plast Surg 17:99–102CrossRefGoogle Scholar
  19. 19.
    Morselli PG (2004) Plastic surgery and psychomorphology: A new tool for improving communication between physician and dysmorphopathic patient and for perfecting appropriate patient. Aesth Plast Surg 27:485Google Scholar
  20. 20.
    Morselli PG, Cazzola C, Tossani E, Grandi S (2004) Dysmorphopaty in plastic surgery: The importance of the mental status in the preoperative period. 53rd National Congress SICPRE: PisaGoogle Scholar
  21. 21.
    Morselli PG, Spinetta J (2004) Mieux dans sa peau: Les métamorphoses de la chirurgie esthétique causes et effects morpho-pshychologiques. Quintessence: Paris, EdtGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2007

Authors and Affiliations

  1. 1.Plastic Surgery UnitS. Orsola-Malpighi Hospital, University of BolognaBolognaItaly

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