Wengle H P
Unit for Psychosocial Medicine (Psychiatric Clinic), University Hospital, Zurich, Switzerland.
Ann Plast Surg. 1986 May;16(5):435-43. doi: 10.1097/00000637-198605000-00011.
In this communication I attempt to clarify some of the important concepts in the psychology of cosmetic surgery by providing an overview of American and European literature with special emphasis on controlled studies. A brief survey of the literature is presented and critically discussed. Topics include the personal impact of a deformity, differences between subjective and objective assessment of the cosmetic defect, the patient's personality, sex differences in relation to outcome, external versus internal motivation for surgery, severity of cosmetic defect and postoperative psychological results, postoperative patient satisfaction, and psychological complications. Finally, the question is addressed as to whether surgery or psychotherapy is the more appropriate treatment modality.
在本交流中，我试图通过概述美国和欧洲的文献（特别强调对照研究）来阐明整形外科学心理学中的一些重要概念。本文呈现并批判性地讨论了文献的简要综述。主题包括畸形的个人影响、美容缺陷主观与客观评估的差异、患者的个性、与结果相关的性别差异、手术的外部与内部动机、美容缺陷的严重程度及术后心理结果、术后患者满意度以及心理并发症。最后，探讨了手术或心理治疗哪种治疗方式更合适的问题。
