Sticher M, Abramovits W, Newcomer V D
Cutis. 1980 Jul;26(1):90, 97-101.
The cause of hair plucking is purely psychological. The extent of the hair plucking and the area from which the hair is plucked seem to have no direct correlation with the patient's underlying psychopathologic behavior. Hair plucking that begins in childhood and extends into adolescence and adulthood may represent a more complex psychopathologic condition. Therapy can consist of confronting the patient with his behavior and helping him cope with the triggering stressful external causes. Psychiatric consultation is suggested if this is not helpful. Trichotillomania by definition implies psychosis. Since this behavior is seldom associated with psychosis, we suggest the term hair plucking be used to describe this syndrome. Herein, we present two cases of trichotillomania (hair plucking), review of the relevant literature dealing with the psychopathologic nature of this disorder, and suggest methods for managing these patients.
拔毛的原因纯粹是心理性的。拔毛的程度以及拔毛的部位似乎与患者潜在的精神病理行为没有直接关联。始于童年并延续至青少年期及成年期的拔毛行为可能代表一种更为复杂的精神病理状况。治疗可包括让患者面对自己的行为，并帮助他应对引发压力的外部原因。如果这种方法无效，则建议进行精神科会诊。从定义上讲，拔毛癖意味着精神病。由于这种行为很少与精神病相关联，我们建议用“拔毛”一词来描述这种综合征。在此，我们呈现两例拔毛癖（拔毛）病例，回顾有关该疾病精神病理性质的相关文献，并提出管理这些患者的方法。
