The relationship between acne and psyche have been widely diffused in the literature, if only for the obvious somatopsychic components of this disease, this which is moreover known to every dermatologist. were studied some answers to a test by some people suffering from acne and some patients with "normal", the results showed that this condition is largely influenced by the psyche. I suffer from acne often demonstrate a lack of ego strength, revealing insecure and submissive, they are very tolerant to the frustrations of the environment. They are worried they are not sufficiently integrated into the group. There is often considerable emotional inhibition. Their super-ego (conscience) is pretty hard. Are conventional, and struggle to make a decision. Are tense and restless. Ergic tension is greatest, and this reveals the anxiety that moves from impulses of the id, in the face of a weak ego that is not always able to control impulses.
It should be remembered that in many subjects there is the presence of an authoritarian mother ("phallic mother") and that this experience is confirmed by the test. It has a clear predominance of hyperemotional-anxious subjects, a trend in many subjects, introversion, passivity, with a poor life for human contact. There is also lack of differentiation and structural stability of the ego, lack of adaptation to reality, shyness, significant inhibition. Often these patients reveal affectivity constricted, weak, poorly controlled, a formal social adaptation to normal levels, but only outwardly, a causa di chiari fenomeni di inibizione.
L'esame del cospicuo materiale raccolto, in particolare quello degli acneici in cui la malattia è comparsa per la prima volta molti anni dopo l'adolescenza, induce a ritenere che la manifestazione dell' acne sia una patologia atta ad alleviare l'ansia. Papule e pustole creano in qualche modo un alibi somatico al paziente, il quale riduce le occasioni, per lui molto ansiogene, di incontro con gli altri.
La drammatica scomparsa delle lesioni acneiche, ottenuta mediante terapia con isotretinoina, può indurre grosse difficoltà di adattamento alla nuova situazione, come si è rilevato in qualche caso. La nuova situazione di «non acne» tende a far abbandonare attending the dermatologist. The cases investigated are due to the presence of scars, which stay tends to perpetuate the 'advantages' psychological acne, and his suffering somatopsychic.
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