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Dysmorphophobia – A Centenary Discussion

Published online by Cambridge University Press:  05 October 2018

S. A. Birtchnell
S. A. Birtchnell*
Affiliation:
Department of Psychiatry, St George's Hospital, Blackshaw Road, London SW17 10QT, UK
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Extract

The term ‘dysmorphophobia’ was first defined by Morselli (1886) who wrote of it as “a subjective feeling of ugliness or physical defect which the patient feels is noticeable to others, although his appearance is within normal limits”. A century later there is continuing debate as to its status as symptom, syndrome or discrete psychiatric illness. Misleadingly, it is not a phobia and there is no fear of physical abnormality per se – the ugliness of others is tolerated, although the patient may well be apprehensive regarding the response he anticipates his appearance will provoke in others. As a symptom the feeling may be expressed as a preoccupation with appearance, an obsession, overvalued idea or frank delusion. The accompanying self-consciousness may similarly range to full-blown delusions of reference. To some extent the failure of some authors, reporting on dysmorphophobic patients, to specify clearly the level at which the belief is held, has confounded clarification of the phenomenon.

Type
Research Article
Information
The British Journal of Psychiatry , Volume 153 , Issue S2: The Psychopathology of Body Image , 1988 , pp. 41 - 43
Copyright
Copyright © 1988 The Royal College of Psychiatrists 

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References

Andreasen, N. (1977) Dr Andreasen replies. American Journal of Psychiatry, 134, 1313.Google Scholar
Andreasen, N. Bardach, J. (1977) Dysmorphophobia: Symptom or disease? American Journal of Psychiatry, 134, 673–676.Google Scholar
Beary, M. & Cobb, J. (1981) Solitary psychosis – three cases of alimentary stench treated with behavioural psychotherapy. British Journal of Psychiatry, 138, 64–66.Google Scholar
Birtchnell, S. (1984) Psychiatric aspects of cosmetic plastic surgery. Psychiatry in Practice, 3 (No. 28), 15–19.Google Scholar
Birtchnell, S. (1985) Social and psychological factors motivating the request for cosmetic rhinoplasty. , University of London.Google Scholar
Birtchnell, S. & Lacey, J. H. (1988) Augmentation and reduction mammoplasty: demographic and obstetric differences in women attending an N. H. S. clinic. Postgraduate Medical Journal (in press).Google Scholar
Braddock, L. (1982) Dysmorphophobia in adolescence: A case report. British Journal of Psychiatry, 140, 199–201.Google Scholar
British Medical Journal (1978) Dysmorphophobia. ii, 588.Google Scholar
Bychowski, G. (1943) Disorders of the body image in the clinical pictures of the psychoses. Journal of Nervous and Mental Disorders, 97, 310–334.Google Scholar
Clarkson, P. & Stafford-Clark, D. (1960) The role of the plastic surgeon & psychiatrist in the surgery of appearance. British Medical Journal, ii, 1768.Google Scholar
Connolly, F. & Gipson, M. (1978) Dysmorphophobia. A long term study. British Journal of Psychiatry, 132, 458–570.Google Scholar
Crisp, A. (1981) Dysmorphophobia and the search for cosmetic surgery. British Medical Journal, 282, 1099–1100.Google Scholar
Dietrich, H. (1962) Uber Dysmorphophobie. Arch Psychiat Nervenkr, 2035, 511–518.Google Scholar
Dion, K., Berscheid, E. & Walster, E. (1972) What is beautiful is good. Journal of Personal and Social Psychology, 24, 285.Google Scholar
Druss, R., Symonds, F. & Crikelair, G. (1971) The problem of somatic delusions in patients seeking cosmetic surgery. Plastic and Reconstructive Surgery, 48, 246–250.Google Scholar
Edgerton, M., Jacobsen, W. & Meyer, E. (1960) Surgical/psychiatric study of patients seeking plastic (cosmetic) surgery: 98 consecutive patients with minimal deformity. British Journal of Plastic Surgery, 13, 136–145.Google Scholar
Hardy, G. & Cotterill, J. (1982) A study of depression and of obsessionality in dysmorphophobic and psoriatic patients. British Journal of Psychiatry, 140, 19–22.Google Scholar
Harris, D. (1982a) Cosmetic surgery – where does it begin? British Journal of Plastic Surgery, 35, 281–286.Google Scholar
Harris, D. (1982b) The symptomatology of abnormal appearance: An anecdotal survey. British Journal of Plastic Surgery, 35, 312–323.Google Scholar
Hay, G. (1970a) Dysmorphophobia. British Journal of Psychiatry, 116, 399–406.Google Scholar
Hay, G. (1970b) Psychiatric aspect of cosmetic nasal operations. British Journal of Psychiatry, 116, 85–87.Google Scholar
Hay, G. (1973) Changes in psychometric test results following cosmetic nasal operations. British Journal of Psychiatry, 122, 89–90.Google Scholar
Hay, G. (1983) Paranoia and dysmorphophobia. British Journal of Psychiatry, 142, 309.Google Scholar
Hill, G. & Silver, G. (1950) Psychodynamics and esthetic motivations for plastic surgery. Psychosomatic Medicine, 12, 345–355.Google Scholar
Jacobsen, W., Edgerton, M., Meyer, E., Canter, A. & Slaughter, R. (1960) Psychiatric evaluation of male patients seeking cosmetic surgery. Plastic and Reconstructive Surgery, 16, (4), 356–372.Google Scholar
Janet, P. (1908) Obsession de la honte du corps. In Les obsessions et la psychasthenic (2nd edn), Ch. 5. Paris.Google Scholar
Jenike, M. (1984) A case report of successful treatment of dysmorphophobia with Tranylcypromine. American Journal of Psychiatry, 141, 1463–1464.Google Scholar
Lacey, J. H. & Birtchnell, S. (1986) Body image and its disturbances. Journal of Psychosomatic Research 30(6), 623–631.Google Scholar
Linn, L. & Goldman, I. (1949) Psychiatric observations concerning rhinoplasty. Psychosomatic Medicine, 11, 307–309.Google Scholar
MacGregor, F. (1981) The place of the patient in society. Aesthetic Plastic Surgery, 5, 85–93.Google Scholar
Meyer, E., Jacobsen, W., Edgerton, M. & Canter, A. (1960) Motivational patterns in patients seeking elective plastic surgery (women who seek rhinoplasty). Psychosomatic Medicine, 22, 193–199.Google Scholar
Morselli, E. (1886) Sulla Dismorfofobia e sulla tafefobia. Bolletino Accademia delle Scienze Mediche di Genova, VI, 100–119.Google Scholar
Munro, A. (1980) Monosymptomatic hypochondriacal psychosis. British Journal of Hospital Medicine, 24, 34–38.Google Scholar
Riding, J. & Munro, A. (1975) Pimozide in the treatment of monosymptomatic hypochondriacal psychosis. Acta Psychiatrica Scandinavica, 52, 23–30.Google Scholar
Schachter, M. (1971) Dysmorphic neurosis (ugliness complexes) and delusions or delusional conviction of ugliness. Annals of Medical Psychology, 129, 723–745.Google Scholar
Thomas, C. (1984) Dysmorphophobia: A question of definition. British Journal of Psychiatry, 144, 513–516.Google Scholar
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