Stierle Christian, Fink-Lamotte Jakob
Hochschule Fresenius - Psychology School, Alte Rabenstr. 1, 20148, Hamburg, Deutschland.
Institute for Health Psychology and Paedagogy, Stradins University Riga, Riga, Litauen.
Dermatologie (Heidelb). 2025 Feb;76(2):72-75. doi: 10.1007/s00105-024-05453-1. Epub 2024 Dec 17.
Feelings of shame, self-stigmatization, and self-criticism are common among patients with chronic skin conditions. These psychological phenomena impact the course and recovery process of affected individuals in various ways. In therapeutic practice, approaches that emphasize compassion and self-compassion have proven particularly effective. Notably, compassion-focused therapy and mindful self-compassion are prominent approaches in this area. The goal is to foster a kinder, more compassionate relationship with oneself and others, while encouraging the courage and motivation needed to undertake challenging therapeutic steps. Current research indicates a range of positive effects on aspects such as depression, experiences of shame, and quality of life. Incorporating compassion-based interventions and fostering close collaboration with psychotherapy and psychosomatic medicine seem to represent important additions to dermatological care.
羞耻感、自我污名化和自我批评在慢性皮肤病患者中很常见。这些心理现象以多种方式影响受影响个体的病程和康复过程。在治疗实践中,强调同情和自我同情的方法已被证明特别有效。值得注意的是,以同情为中心的疗法和正念自我同情是这一领域的突出方法。目标是培养与自己和他人更友善、更有同情心的关系,同时鼓励采取具有挑战性的治疗步骤所需的勇气和动力。目前的研究表明,这些方法对抑郁、羞耻体验和生活质量等方面有一系列积极影响。纳入基于同情的干预措施,并促进与心理治疗和心身医学的密切合作,似乎是皮肤科护理的重要补充。