Thölking H, Bosse K
Universitäts-Hautklinik Göttingen, Abt. Dermato-Venerologie II.
Z Hautkr. 1990 May;65(5):450-3.
Patients with self-inflicted skin disorders form a rather heterogeneous group. Our paper is intended to provide the practitioner with some orientation concerning interaction and therapeutic procedure in patients with artefactual skin diseases. Basically, these patients should be differentiated according to what extent they are aware of their manipulations. This degree of awareness should then be the guideline for a well-dosed and sensitive confrontation with their manipulative behavior. In any case, a positive result of the confrontation largely depends on the confidential relationship between physician and patient.
患有自身造成的皮肤疾病的患者构成了一个相当多样化的群体。我们的论文旨在为从业者提供一些有关人工性皮肤病患者的互动和治疗程序的指导。基本上，这些患者应根据他们对自己的操作的知晓程度来区分。然后，这种知晓程度应成为与他们的操纵行为进行适度且敏感对抗的指导原则。在任何情况下，对抗的积极结果很大程度上取决于医生与患者之间的信任关系。
