Mühlbauer W, Holm C, Wood D L
Department of Plastic Surgery, Klinikum Bogenhausen, Technical University Munich, Germany.
Plast Reconstr Surg. 2001 Feb;107(2):319-26. doi: 10.1097/00006534-200102000-00003.
Body dysmorphic disorder describes the preoccupation with an imagined defect of appearance. A subgroup of patients suffer from the so-called Thersites complex, in which a minimal physical deformity causes excessive psychological disturbances and distress. Patients with body dysmorphic disorder tend primarily to visit a plastic surgeon for relief with distinct plans for surgical correction of their "deformity." Psychotherapy is generally refused or ineffective. The plastic surgeon should be familiar with this mental disorder and recognize these patients during consultation. Most of these patients should be excluded from surgery; however, patients of the Thersites complex category might be candidates for plastic surgical correction after careful selection. Only the experienced plastic surgeon should make the decision to operate in this situation. A successful treatment can relieve the patient from his or her distress and improve the quality of life substantially. A surgical result that is not accepted by the patient can end in a tragedy for either the patient or the doctor.
躯体变形障碍表现为过度关注想象中的外貌缺陷。有一部分患者患有所谓的忒耳西忒斯情结，即极小的身体畸形却导致过度的心理困扰和痛苦。患有躯体变形障碍的患者主要倾向于找整形外科医生寻求缓解，他们对矫正自身“畸形”有着明确的手术计划。心理治疗通常被拒绝或无效。整形外科医生应熟悉这种精神障碍，并在会诊时识别出这些患者。这些患者中的大多数应被排除在手术之外；然而，忒耳西忒斯情结类别的患者经过仔细挑选后可能是整形外科矫正的候选对象。只有经验丰富的整形外科医生才能在这种情况下做出手术决定。成功的治疗可以使患者摆脱痛苦，并显著提高生活质量。患者不接受的手术结果可能会给患者或医生带来悲剧。
