Abstract
It seems to be agreed generally that there is a genetic element which determines psoriasis, but usually of more importance are the factors that precipitate or trigger the condition. Treatment and even prevention of these may considerably improve the prognosis; they include infection, trauma or endocrine factors and have been described elsewhere [1]. Major psychological stress precipitates psoriasis in over 40 % of first attacks [2], and worry or stress can exacerbate pre-existing lesions in 70% of patients [1]. The treatment of this stress by psychotherapy will be detailed in this chapter [3–5]. Physical treatment is usually needed in addition, often with dithranol, and continued until no trace of the rash remains [6]. Early and complete therapy is followed by a significantly better prognosis [7].
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References
Farber EM, Nall L (1984) An appraisal of measures to prevent and control psoriasis. J Am Acad Dermatol 10:511–517
Seville RH (1977) Psoriasis and stress. Br J Dermatol 97:297–302
Coles RB (1965) The treatment of psoriasis in groups. Med World 2:1–8
Coles RB (1967) Group treatment in the skin department. Trans St John’s Hosp Dermatol Soc 53:82–85
Seville RH (1978) Psoriasis and stress II. Br J Dermatol 98:151–153
Seville RH, Martin E (1981) Dermatological nursing and therapy. Blackwell, Oxford, pp 1–38
Seville RH (1987) Dithranol based therapies (pp 185-186) and Doctor-patient relationship (pp 276-284). In: Mier PD, van der Kerkhof PCM (eds) Textbook of psoriasis. Churchill Livingstone, Edinburgh
Koblenzer CS (1983) Psychosomatic concepts in dermatology. Arch Dermatol 119:501–512
Thomas KB (1987) General practice consultations: is there any point in being positive?. Br Med J 294:1200–1202
Coles RB, Bridger H (1969) The consultant and his roles. Br J Med Psychol 42:231–241
Freeling P (1985) My doctor. J R Soc Med 78:8–17
Balint M (1964) The doctor, his patient and the illness. Pitman, London
Coles RB, Ryan TJ (1975) The psoriasis sufferer in the community. Br J Dermatol 93:111–112
Killilea M (1976) Mutual help organizations. In: Caplan G, Killilea M (eds) Support systems and mutual help. Grune and Stratton, New York, pp 37–93
Jobling RG, Coles RB (1985) Dermatol Pract 3:6–7
Jobling RG (1977) Medical encounters. Davis A, Horobin G (eds) Croom Helm, London, pp 72–86
Practitioner (1977) 834
Braun-Falco O, Plewig G, Wolff HH (1984) Dermatologie and Venerologie. Springer, Berlin Heidelberg New York
Brocq L, Jacquet L (1891) Notes pour servir à l’histoire des neurodermatites. Ann Dermatol Syphiligr 97:193
Hanifin JM, Rajka G (1980) Diagnostic features of atopic dermatitis. Acta Derm Venereol [Suppl] (Stockh) 92:44–47
Rajka G (1986) Natural history and clinical manifestations of atopic dermatitis. Clin Rev Allergy 4:3–26
Vickers CFH (1980) The natural history of atopic aczema. Acta Derm Vernerol [Suppl] (Stockh) 92:113–115
Champion RH, Parish WE (1968) Atopic dermatitis. In: Rook A, Wilkinson DS (eds) Textbook of dermatology. Blackwell, Oxford
Wütherich G (1984) Immunpathologie der atopischen Dermatitis. Monatsschr Kinderheilkd 132:426–431
Rajka G (1986) Atopic dermatitis. Correlation of environmental factors with frequency. Int J Dermatol 25:301–304
Hanifin M, Lobitz WC (1977) Newer concepts of atopic dermatitis. Arch Dermatol 113:663–670
Stüttgen G (1981) Physiologie and Pathophysiologie des Juckreizes. Münch Med Wochenschr 123:987–991
Cormia FE (1952) Experimental histamine pruritus. I. Influence of physical and psychological factors on threshold reactivity. Invest Dermatol 19:21–29
Graham DT, Wolf S (1950) Pathogenesis of urticaria. JAMA 1396–1402
Ring J (1981) Atopic dermatitis: a disease of immuno-vegetative dysregulation. In: Ring J, Burg G (eds) New trends in allergy. Springer, Berlin Heidelberg New York
Slade JD, Hepburn B (1983) Prednisone-induces alterations of circulating human lymphocyte subsets. J Lab Clin Med 101:479–487
Faulstich ME, Williamson DA, Duchman EG, Conerly SL, Brantley PJ (1985) Psychophysiological analysis of atopic dermatitis. J Psychosom Res 29:415–417
Schwendner R (1986) Psychische Belastungen und Streßreaktionen bei Neurodermitikern und Psoriatikern. Dermatologie-Kongreß, Davos
Panconesi E (1984) Stress and skin disease; psychosomatic dermatology. In: Parish LC (ed) Clinics in dermatology. Lippincott, Philadelphia
Kaschel R (1987) Verhaltensmedizinische Aspekte der atopischen Dermatitis. Eine Pilotstudie. Dipl Psychologie, Universität Tübingen
Koblenzer CS (1983) Psychosomatic concepts in dermatology. Arch Dermatol 119:501–512
Wittkower E, Russel B (1953) Emotional factors in skin disease. Cassell, London
Brown DG (1972) Stress as a precipitant of eczema. J Psychosom Res 16:321–327
McLaughlin JT, Shoemaker RJ, Guy WB (1962) Personality factors in adult atopic eczema. Arch Dermatol Syphilol 68:506–516
Rajka G (1986) Natural history and clinical manisfestations of atopic dermatitis. Clin Rev Allergy 4:3–26
Schur M (1980) Zur Metapsychologie der Somatisierung. In: Brede K (ed) Einführung in die psychosomatische Medizin. Syndikat, Autoren-und Verlagsgesellschaft, Frankfurt/M
Marty P (1980) Die allergische Objektbeziehung. In: Brede K (ed) Einführung in die psychosomatische Medizin. Syndikat, Autoren-und Verlagsgesellschaft, Frankfurt/M
Medansky RS, Handler RM (1981) Dermatopsychosomatics: classification, physiology and therapeutic approaches. J Am Acad Dermatol 5:125–136
Rechardt E (1970) An investigation in the psychosomatic aspects of prurigo Besnier. Monographs of the Psychiatric Clinic Helsinki University, Central Hospital, Helsinki
Bosse K, Fassheber P, Hünecke P, Teichmann AT, Zauner J (1976) Zur sozialen Situation des Hautkranken als Phänomen interpersoneller Wahrnehmung. Psychosom Med Psychoanal 21:3–61
Fjellner B, Arnetz BB (1985) Psychological predictors of pruritus during mental stress. Acta Derm Vernerol (Stockh) 65-504–508
Klein JM (1982) Stress und Neurodermatitis: “Atopic neurodermatosis”. A new concept. Stress 3:11–14
Böddeker KW, Böddeker M (1976) Verhaltenstherapeutische Ansätze bei der Behandlung des endogenen Ekzems unter besonderer Berücksichtigung des zwanghaften Kratzens. Z Psychosom Med Psychoanal 21:61–101
Bosse K, Hünecke P (1986) Der Juckreiz des endogenen Ekzematikers. Münch Med Wochenschr 123:1013–1016
Jordan JM, Withlock FA (1972) Emotions and the skin: the conditioning of scratch response in cases of atopic dermatitis. Br J Dermatol 86:579–585
Balint M (1964) The doctor, his patient and the illness. Pitman, London
Pines D (1980) Skin communications: early skin disorders and their effect on transferrence and countertransferrence. Int J Psychoanal 61:315–323
Spitz R (1967) Die Entstehung der ersten Objektbeziehung. Klett-Cotta, Stuttgart
Schröpl F (1984) Die Bedeutung psychischer Faktoren bei der Neurodermitis. Riedeil, Frankfurt
Bosse K, Gieler U (1987) Seelische Faktoren bei Hautkrankheiten. Huber, Bern
Haynes SN, Wilson CC, Jaffe FG, Britton BV (1979) Biofeedback treatment of atopic dermatitis: controlled case studies of eight cases. Biofeedback Self Regul 4:195–209
Neraal A (1987) Therapeutischer Umgang mit Neurodermitispatienten. Dtsche Krankenpflege 2:78–80
Klein HS (1949) Psychogenic factors in dermatitis and their treatment by group therapy. Br J Med Psychol 22:32–45
Walsh MN, Kierland RR (1947) Psychotherapy in the treatment of neurodermatitis. Proceedings of staff meeting, Mayo Clinic 22:578–583
Williams D (1951) Management of atopic dermatitis in children: control of the maternal rejection factor. Arch Dermatol Syphilol 63:545–556
Thomä H (1980) Über die Unspezifität psychosomatischer Erkrankungen am Beispiel einer Neurodermitis mit 20-jähriger Katamnese. Psyche 24:589–624
Krichhauff G (1955) Bemerkungen zu genetischen und neurosenstrukturellen Faktoren bei endogenen Ekzemen. Z Psychosom Me 2:184–192
Allen KE, Harris FR (1966) Elimination of a child’s excessive scratching by training the mother in reinforcement procedures. Behav Res Ther 4:79–84
Dobes RW (1977) Amelioration of psychosomatic dermatosis by reinforced inhibiton of scratching. J Behav Ther Exp Psychiatry 8:185–187
Melin L, Frederiksen T, Noren P, Swebilius BG (1986) Behavioral treatment of scratching in patients with atopic dermatitis. Br J Dermatol 115:467–474
Walton D (1960) The application of learning theory to the treatment of a case of neurodermatitis. In: Eysenck HJ (ed) Behaviour therapy and the neuroses Pergamon. New York
Miller R, Conger R, Dymond A (1974) Biofeedback skin conductance conditioning in dyshydrotic eczema. Arch Dermatol 109:737–738
Horan JS (1950) Management of neurodermatitis by hypnotic suggestion. Br J Med Hypnotism 2:43–49
Kline MV (1954) Psoriasis and hypnotherapy: the acceptance of resistance in the treatment of a long-standing neurodermatitis with a sensory imagery technique. J Clin Exp Hypnosis 2:313–322
Twerski AJ, Naar R (1974) Hypnotherapy in a case of refractory dermatitis. Am J Clin Hypnosis 16:202–205
Zhukow JA (1961) Hypnotherapy of dermatosis in resort treatment. In: Winn RB (ed) Psychotherapy in the Soviet Union. Philosophical Library, New York
Bremer-Schulte M, Cormane RH, van Dijk E, Write J (1985) Group therapy of psoriasis: duoformula group treatment as an example. J Am Acad Dermalol 12:61–66
Brown DG, Bettley FR (1971) Psychiatric treatment of eczema: a controlled trial. Br Med J 2:729–734
Warin RP, Champion RH (1974) Urticaria. Saunders, Philadelphia
Champion RH, Roberts SOB, Carpenter RG, Roger JH (1969) Urticaria and angioedema. A review of 554 patients. Br J Dermatol 81:588–597
Rees L (1957) An aetiological study of chronic urticaria and angioneurotic oedema. J Psychosom Res 2:172–189
Stokes JH, Kulchar GV, Pillsburg DM (1935) Effect on the skin of emotional and nervous states. Arch Dermatol Syph 31:470–499
Juhlin L (1981) Recurrent urticaria: clinical investigation of 330 patients. Br J Dermatol 104:369–381
Green GR, Koelsche GA, Kierland RR (1965) Etiology and pathogenesis of chronic urticaria. Ann Allergy 23:30–36
Cohen F (1979) Personality, stress, and the development of physical disease. In: Stone GC, Adler NE, Cohen F (eds) Health psychology. Jossey-Bass, San Francisco
Czubalski K, Rudzki E (1977) Neuropsychic factors in physical urticaria. Dermatologica 154:1–4
McCabe PM, Schneiderman N (1985) Psychophysiologic reactions to stress. In: Schneiderman N, Tapp JT (eds) Behavioral medicine: the biopsychosocial approach. Erlbaum, New York
10. Graham DT, Wolf S (1950) Pathogenesis of urticaria: experimental study of life situations, emotions and cutaneous vascular reactions. JAMA 143:1396–1402
Beall GN (1964) Urticaria: a review of laboratory and clinical observations. Medicine 43:131–151
Lembeck F (1983) Mediators of vasodilatation in the skin. Br J Dermatol 109[Suppl 25]:1–9
Kepecs JG, Robin M, Brunner M (1951) Relationship between certain emotional states and exudation into the skin. Psychosom Med 13:10–17
Mason AA, Black S (1958) Allergic skin responses abolished under treatment of asthma and hayfever by hypnosis. Lancet I:877–879
Black S (1963a) Inhibition of immediate-type hypersensitivity response by direct suggestion under hypnosis. Br Med J I:925–929
Black S (1963b) Shift in dose-response curve of Prausnitz-Küstner reaction by direct suggestion under hypnosis. Br Med J I:990–992
Black S, Humphrey JH, Niven J (1963) Inhibition of Mantoux reaction by direct suggestion under hypnosis. Br Med J I:1649–1652
Reimann JH, Meyer HJ, Wendt P (1981) Stress and histamine. In: Ring J, Burg G (eds) New trends in allergy. Springer, Berlin Heidelberg New York
Mest HJ, Zehl V, Sziegoleit W, Taube C, Förster W (1982) Influence of mental stress on plasma level of prostaglandins, throboxan B2 and on circulating platelet aggregates in man. Prostaglandins Leucotrienes Med 8:553–563
Teshima H, Inoue S, Ago Y, Ikemi Y (1974) Plasminic activity and emotional stress. Psychother Psychosom 23:218–228
Bourne HR, Lichtenstein LM, Melmon RL, Henney CS, Weinstein Y, Shearer GM (1974) Modulation of inflammation and immunity by cyclic AMP. Science 184:19–28
Shelley WB, Shelley ED(1985) Adrenergic urticaria: anewform of stress-induced hives. Lancet 2:1031–1033
Payan DG, Levine JD, Goetzl EJ (1984) Modulation of immunity and hypersensitivity by sensory neuropeptides. J Immunol 132:1601–1604
Farber EM, Nicholoff BJ, Recht B, Fraki EJ (1986) Stress, symmetry and psoriasis: possible role of neuropeptides. J Am Acad Dermatol 14:305–311
Siegel RA, Düker E-M, Fuchs E, Pahnke U, Wuttke W (1984) Responsiveness of mesolimbic, mesocortical, septal and hippocampal cholecystokinin and substance P neuronal systems to stress, in the male rat. Neurochem Int 6:783–789
Ader R (1981) Psychoneuroimmunology. Academic, New York
Alexander F (1950) Psychosomatic medicine, its principles and applications. Norton, New York
Saul LJ, Bernstein C (1941) The emotional setting of some attacks of urticaria. Psychosom Med 3:349–369
Kaywin L (1947) Emotional factors in urticaria. Psychosom Med 8:131–136
Schneider E (1954) Psychodynamics of chronic allergic eczema and chronic urticaria. J Nerv Ment Dis 120:17–21
Wittkower ED (1953) Studies of the personality of patients suffering from urticaria. Psychosom med 15:116–126
Kraft B, Blumenthal DL (1959) Psychological components in chronic urticaria. Acta Allergol 13:469–475
Shoemaker RJ (1963) A search for the affective determinants of chronic urticaria. Psychosomatics 4:125–132
Kaneko DL, Takaishi N (1963) Psychosomatic studies on chronic urticaria. Folia Psychiatr Neurol Jpn 17:16–24
Lyketsos GC, Stratigos J, Tawil G, Psaras M, Lyketsos CG (1985) Hostile personality characteristics, dysthymic states and neurotic symptoms in urticaria, psoriasis and alopecia. Psychother Pschosom 44:122–131
Anasagasti JI, Peralta V, Harto A, Chinchilla A, Ledo A (1986) Estudio de la personalidad en pacientes con urticaria chronica. Rev Clin Esp 178:177–180
Fava GA, Perini GI, Santonastaso P, Fornasa CV (1980) Life events and dermatological disorders: psoriasis, chronic urticaria and fungal infections. Br Med J 53:277–282
Russell-Davis D, Kennard DW (1964) Urticaria. J Psychosom Res 8:203–206
Selye H (1956) The stress of life. McGraw Hill, New York
Kanner AD, Coyne JC, Schaefer C, Lazarus RS (1981) Comparison of two modes of stress measurement: daily hassles and uplifts versus major life events. J Behav Med 4:1–19
Reinhold M (1960) Relationship of stress to the development of symptoms in alopecia areata and chronic urticaria. Br Med J I:846–849
Teshima H, Kubo C, Kihara H, Imada Y, Nagata S, Abo Y (1982) Psychosomatic aspects of skin diseases from the standpoint of immunology. Psychother psychosom 37:165–175
Whitlock A (1976) Psychophysiologic aspects of skin disease. Saunders, Toronto
Shertzer CI, Lookingbill DP ( 1987) Effects of relaxation therapy and hypnotizability in chronic urticaria. Arch Dermatol 123:913–916
Bowers KS, Kelley P (1978) Stress, disease, psychotherapy and hypnosis. J Abnorm Psychol 85:490–505
Rudzki E, Borkowski W, Czubalski K (1970) The suggestive effect of placebo on the intensity of chronic urticaria. Acta Allergol 25:70–73
Luthe W (ed) (1970) Autogenic therapy, vol 4: Research and therapy. Grune and Stratton, New York
Tapp JT (1985) Multisystems interventions in disease. In: Schneiderman N, Tapp JT (eds) Behavioral medicine: the biopsychosocial approach. Erlbaum, New York
Moan ER (1979) GSR biofeedback assisted relaxation training and psychosomatic hives. J Behav Ther Exp Psychiatry 10:158–159
Daniels LK (1973) Treatment of urticaria and severe headache by behavior therapy. Psychosomatics 14:347–351
Ikemi Y, Nakagawa S, Kusano T, Sugita M (1970) The application of autogenic training to “psychological desensitization” of allergic discorders. In: Luthe W (ed) Autogenic therapy, vol 4: Research and therapy. Grune and Stratton, New York
Goldfried MR, Davison GC (1976) Clinical behavior therapy. Holt, Rinehart and Winston, New York
Rogers CR (1951) Client-centered therapy. Houghton Mifflin, Boston
Davanloo H (ed) (1978) Basic principles and techniques in short-term fdynamic psychotherapy. SP Medical and Scientific Books, New York
Rechenberger I (1976) Tiefenpsychologisch ausgerichtete Diagnostik and Behandlung von Hautkrankheiten. Vandenhoek and Ruprecht, Göttingen
Van Moffaert M (1982) Psychosomatics for the practising dermatologist. Dermatologica 165:73–87
Keegan DL (1976) Chronic urticaria: clinical, psychophysiological and therapeutic aspects. Psychosomatics 17:160–163
Brodsky CM (1983) “Allergic to everything”: a medical subculture. Psychosomatics 24:731–742
Pearson DJ (1986) Pseudo food allergy. Br Med J 292:221–222
Sanger MD (1970) Psychosomatic allergy. Psychosomatics 11:473–476
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Coles, R.B., Seville, R.H., Gieler, U., Stangier, U. (1989). Disorders of the Skin. In: Psychological Managements for Psychosomatic Disorders. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-73731-2_15
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