Haustein U F, Seikowski K
Klinik und Poliklinik für Hautkrankheiten, Bereichs Medizin, Universität Leipzig.
Dermatol Monatsschr. 1990;176(12):725-33.
An appreciative cooperation among dermatology, clinical psychology and psychology and psychiatry is necessary and useful. By selected facts interactions between central and autonomous nervous system on one side and the immune system on the other side were described. As far as the neutrocutaneous interrelations are concerned the cutaneous stimulation appears to be an important factor for the physical and physiologic development. In addition, the skin communicates to the environment and other people. Therefore, it plays a role in the social integration. Psychiatric diseases can affect the skin (e.g. delusions of parasitosis in schizophrenia). On the other hand primary skin diseases such as psoriasis, atopic dermatitis, acune vulgaris, chronic idiopathic urticaria and alopecia areata may induce psychologic features. The characteristics of the personalities of dermatological patients are discussed. The psychodiagnostics (personal interview, questionaires) is followed by psychotherapeutic procedures such as personal consultations, treatment in groups, hypnosis and autogenous training. Our experiences in the psychodiagnostics and treatment are briefly reported. Finally, psychotropic drugs-antipsychotic, anti-depressant, antianxiety, and hypnotic agents - may be useful as an adjunct in the management of dermatologic disorders, if applied under precautious indications.
皮肤科、临床心理学以及心理学与精神病学之间开展相互欣赏的合作是必要且有益的。通过一些特定事实，阐述了中枢神经系统和自主神经系统与免疫系统之间的相互作用。就神经皮肤的相互关系而言，皮肤刺激似乎是身体和生理发育的一个重要因素。此外，皮肤与环境及他人进行交流。因此，它在社会融合中发挥着作用。精神疾病会影响皮肤（如精神分裂症中的寄生虫妄想症）。另一方面，诸如银屑病、特应性皮炎、寻常痤疮、慢性特发性荨麻疹和斑秃等原发性皮肤病可能会引发心理问题。文中讨论了皮肤科患者的性格特点。在进行心理诊断（个人访谈、问卷调查）之后，会采用心理治疗方法，如个人咨询、团体治疗、催眠和自我训练。简要报告了我们在心理诊断和治疗方面的经验。最后，如果在谨慎的适应症下应用，精神药物——抗精神病药、抗抑郁药、抗焦虑药和催眠药——可能有助于辅助治疗皮肤病。
