Understanding Skin Problems Acne, Eczema, Psoriasis and Related Conditions LINDA PAPADOPOULOS AND CARL WALKER LondonMetropolitanUniversity,UK Understanding Skin Problems Understanding Illness and Health Manyhealthproblemsandworriesarestronglyinfluencedbyourthoughtsand feelings.Theseexcitingnewbooks,writtenbyexpertsinthepsychologyofhealth, areessentialreadingforsufferers,theirfamiliesandfriends. Eachbookpresentsobjective,easilyunderstoodinformationandadviceabout what theproblem is, thetreatments available and, most importantly, howyour stateofmindcanhelporhinderthewayyoucope.Youwilldiscoverhowtohavea positive,hopefuloutlook,whichwillhelpyouchoosethemosteffectivetreatment foryouandyourparticularlifestyle,withconfidence. The series is edited by JANE OGDEN, Reader in Health Psychology, Guy’s, King’sandStThomas’SchoolofMedicine,King’sCollegeLondon,UK Titlesintheseries KAREN BALLARD UnderstandingMenopause SIMON DARNLEY & BARBARA MILLAR UnderstandingIrritableBowelSyndrome LINDA PAPADOPOULOS & CARL WALKER UnderstandingSkinProblems PENNY TITMAN UnderstandingChildhoodEczema Understanding Skin Problems Acne, Eczema, Psoriasis and Related Conditions LINDA PAPADOPOULOS AND CARL WALKER LondonMetropolitanUniversity,UK Copyright2003 JohnWiley&SonsLtd,TheAtrium,SouthernGate,Chichester, WestSussexPO198SQ,England Telephone(+44)1243779777 Email(forordersandcustomerserviceenquiries):[email protected] VisitourHomePageonwww.wileyeurope.comorwww.wiley.com AllRightsReserved.Nopartofthispublicationmaybereproduced,storedinaretrievalsystemor transmittedinanyformorbyanymeans,electronic,mechanical,photocopying,recording,scanningor otherwise,exceptunderthetermsoftheCopyright,DesignsandPatentsAct1988orunderthetermsof alicenceissuedbytheCopyrightLicensingAgencyLtd,90TottenhamCourtRoad,LondonW1T4LP, UK,withoutthepermissioninwritingofthePublisher.RequeststothePublishershouldbeaddressedto thePermissionsDepartment,JohnWiley&SonsLtd,TheAtrium,SouthernGate,Chichester,West SussexPO198SQ,England,[email protected],orfaxedto(+44)1243770620. Thispublicationisdesignedtoprovideaccurateandauthoritativeinformationinregardtothesubject mattercovered.ItissoldontheunderstandingthatthePublisherisnotengagedinrendering professionalservices.Ifprofessionaladviceorotherexpertassistanceisrequired,theservicesofa competentprofessionalshouldbesought. OtherWileyEditorialOffices JohnWiley&SonsInc.,111RiverStreet,Hoboken,NJ07030,USA Jossey-Bass,989MarketStreet,SanFrancisco,CA94103-1741,USA Wiley-VCHVerlagGmbH,Boschstr.12,D-69469Weinheim,Germany JohnWiley&SonsAustraliaLtd,33ParkRoad,Milton,Queensland4064,Australia JohnWiley&Sons(Asia)PteLtd,2ClementiLoop#02-01,JinXingDistripark,Singapore129809 JohnWiley&SonsCanadaLtd,22WorcesterRoad,Etobicoke,Ontario,CanadaM9W1L1 Wileyalsopublishesitsbooksinavarietyofelectronicformats.Somecontentthatappears inprintmaynotbeavailableinelectronicbooks. LibraryofCongressCataloging-in-PublicationData Papadopoulos,Linda. Understandingskinproblems:acne,eczema,psoriasis,andrelated conditions/LindaPapadopoulosandCarlWalker. p.;cm.–(Understandingillness&health) Includesbibliographicalreferencesandindex. ISBN0-470-84518-X(pbk.:alk.paper) 1.Skin–Diseases–Psychologicalaspects. [DNLM:1.SkinDiseases–psychology–PopularWorks.WR140P213u 2003]I.Walker,Carl.II.Title.III.Series. RL72.P262003 616.5(cid:1)01(cid:1)9–dc21 2002153122 BritishLibraryCataloguinginPublicationData AcataloguerecordforthisbookisavailablefromtheBritishLibrary ISBN0-470-84518-X Typesetin9.5/13ptPhotinabyLaserwordsPrivateLimited,Chennai,India PrintedandboundinGreatBritainbyTJInternational,Padstow,Cornwall Thisbookisprintedonacid-freepaperresponsiblymanufacturedfromsustainableforestry inwhichatleasttwotreesareplantedforeachoneusedforpaperproduction. Contents Abouttheauthor vii 1 Introduction 1 2 Mythsaboutskindisease,themediaandstigma 5 3 Factsaboutskindisease:causesandprevalence 19 4 Socialcoping 27 5 Theimpactofskindiseaseonrelationships 35 6 Childrenandskindisease 43 7 Treatment1:Thepeople(healthprofessionals,skincamouflage andsupportgroups) 55 8 Treatment2:Psychologyandskindisease 63 9 HowdoI...? 77 Usefuladdresses 89 Referencesandsuggestedfurtherreading 91 Index 93 v About the authors DR LINDA PAPADOPOULOS is a Reader in Psychology at London Metropolitan Universitywithspecificresearchinterestsinthefieldofpsychodermatology,and shehasconsistentlypublishedinthisfield.DrPapadopoulosisacharteredhealth and counselling psychologist who has worked in primary care settings as well asmaintainingherresearchgroup.Shealsohasextensivemediacommitments, appearingregularlyontelevisionandwritinghermonthlycolumninCosmopolitan magazine. CARL WALKER is a Research Psychologist at London Metropolitan University where he is currently finishing a PhD in psychodermatology. He graduated in biologyfromRoyalHollowayandBedfordNewCollege,UniversityofLondon.His research focuses on body image and disfigurement and the use of psychological therapyinmedicalcontexts.Withinthisfield,hehasaparticularinterestinthe psychologicalaspectsofchildskindiseaseandthefamily. vii
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