Essential psychiatry for the aesthetic practitioner / edited by Evan A. Rieder, Richard Fried.

Contributor(s): Rieder, Evan A [editor.] | Fried, Richard G [editor.]
Language: English Publisher: Hoboken, NJ : Wiley Blackwell 2021Description: 1 online resourceContent type: text Media type: computer Carrier type: online resourceISBN: 9781119680123; 9781119680062; 9781119680130Subject(s): Cosmetic Techniques -- psychology | Skin | Patients -- psychology | Body Image -- psychology | Stress, Psychological -- complications | Physician-Patient RelationsGenre/Form: Electronic books.DDC classification: 617.9/520651 LOC classification: RD119Online resources: Full text is available at Wiley Online Library Click here to view
Contents:
TABLE OF CONTENTS List of Contributors xi Preface xv Part I The Basics 1 1 Stress, Skin, and Beauty: The Basic Science Base 3 Mary D. Sun and Evan A. Rieder Basic Science Principles 3 Clinical Correlates 5 Conclusions 9 References 9 2 The Science and Psychology of Beauty 22 Vanessa J. Cutler Evolutionary Explanations for Beauty 22 Beauty as a Function of Health 23 Weight and Attractiveness 23 Facial Proportions 24 Age and Youth 26 Enhancing Beauty 26 Beauty and the Media 27 Conclusions 28 References 28 3 The Use of Cosmetic Products to Improve Self Esteem & Quality of Life 34 Zoe Diana Draelos Introduction 34 Human Perceptions of Physical Beauty 34 Topical Cosmetic Products for the Patient with Facial Scarring 36 Cosmetic Camouflage Application 37 Conducting a Cosmetic Product Consultation 39 Conclusions 40 References 40 4 An Approach to Cosmeceuticals 42 Emily C. Milam and Evan A. Rieder Introduction 42 Case Study 42 Active Ingredients and Indications 44 Approaching the Evidence 44 The Evidence Base is Limited 45 Psychology, Skin Care, and Self-Care 45 Practical Solutions for Patient Consultation 46 Conclusions 46 References 47 Part II Assessment 49 5 Aesthetic Assessment and Theories of Beauty 51 Michael Abrouk, Leslie Harris, Evan A. Rieder, and Jill S. Waibel Introduction 51 Beauty in our World 52 The Link between Beauty and Mathematics: From Phi to the Golden Triangle 53 Neoclassical Canons and Aesthetics 54 Scales of Aesthetic Assessment 55 How to Approach the Face 57 Case Studies 58 Conclusions 61 References 62 6 The Cosmetic Consultation: Anatomy and Psychology – The Female Patient 64 Eagan Zettlemoyer and Noëlle S. Sherber Introduction 64 Female Facial Anatomy 64 Structuring the Consult 70 Case Studies 73 Conclusions 75 References 76 7 The Cosmetic Consultation: Anatomy and Psychology – The Male Patient 79 Kalee Shah, Nathaniel Lampley III, and Anthony Rossi Introduction 79 Male Facial Anatomy 80 Structuring the Consult, Considering Patient Motivations and Psychology 85 Case Studies 87 Conclusions 90 References 91 8 The Cosmetic Consultation: Anatomy and Psychology – The Transgender Patient 94 Brian Ginsberg Introduction 94 Anatomy 94 Structuring the Consult 95 Setting Expectations 99 Treating Minors 99 Case Studies 99 Conclusions 101 References 101 Part III Perception 105 9 Aesthetic Interventions and the Perception of the Self: Quality of Life and Patient Reported Outcomes 107 Danielle Weitzer and Richard G. Fried Introduction 107 Perception of Self 108 Perception by Others 109 Outcome Studies 109 Case Study 110 Consequences and Ethical Concerns 112 Conclusions 112 References 113 10 Aesthetic Interventions and the Perception of Others: Observer Reported Outcomes 115 Payal Shah and Evan A. Rieder Case Studies 115 Observer Reported Outcomes as a Novel Evaluation Tool for Cosmetic Procedures 118 Conclusions 120 References 121 11 Botulinum Toxins: Beauty, Psychology, and Mood in the Cosmetic Patient 125 Catherine Pisano, Jason Reichenberg, and Michelle Magid Introduction 125 Case Study 125 Pathogenesis 126 Treatment 126 Clinical Relevance and Implications 128 Conclusions 129 References 129 Part IV Psychological Challenges in Aesthetics 131 12 Boundaries 133 Evan A. Rieder and Jacob Sacks Introduction 133 Case Studies 133 Conclusions 140 References 140 13 Difficult Personalities and Personality Disorders in the Cosmetic Clinic 141 Mio Nakamura and John Koo Introduction 141 Difficult Personalities vs. Personality Disorders 141 Personality Disorders 142 Case Studies 144 Conclusions 148 References 149 14 Normative Discontent and Social Dysmorphia in the Cosmetic Patient 151 Susruthi Rajanala and Neelam A. Vashi Introduction 151 Body Image and Body Image Dissatisfaction 151 Social Dysmorphia 152 Case Study 154 Conclusions 154 References 155 15 Obsessive Compulsive Disorder and Body Dysmorphic Disorder in the Cosmetic Patient 157 Mary D. Sun and Evan A. Rieder Introduction 157 Case Studies 159 Screening for BDD in Aesthetic Medicine 161 Guide to the Clinical Interview for BDD 162 Clinical Approaches to BDD in Aesthetic Medicine 164 Conclusions 164 References 165 16 Protecting Your Patients: When Enough Is Enough – Saying No and Satisfying the Dissatisfied Patient 168 Jacqueline Watchmaker, Prasanthi Kandula, and Michael S. Kaminer Introduction 168 The LEAP Technique for a Successful Cosmetic Consult 168 Case Study 170 The BLAST Technique for Dealing with Unhappy Patients 170 Case Study 172 Conclusions 173 References 173 17 Protecting Yourself: Legal Issues in Aesthetic Medicine – Informed Consent, Discharge, and Lawsuits 175 Brian P. Hibler and Mathew M. Avram Introduction 175 Key Legal Terms 175 Case Studies 177 Conclusions 186 References 186 Part V Psychological Tools to Assist Your Practice 189 18 Psychological Tools to Assist Your Practice: Progressive Muscle Relaxation, Deep Abdominal Breathing, Mindfulness, and Guided Imagery 191 Nicholas Brownstone, Bridget Myers, and Josie Howard Introduction 191 Case Studies 191 Conclusions 196 References 197 19 Hypnotic Techniques for the Aesthetic Practitioner 200 Philip D. Shenefelt Introduction 200 Informal Hypnotic Techniques 200 Hypnotizability 201 Formal Hypnotic Techniques 201 Case Studies 202 For Additional Information 204 Conclusions 204 References 205 20 Acceptance and Commitment Therapy in the Aesthetic Setting 206 Vanessa J. Cutler Introduction 206 Understanding Acceptance and Commitment Therapy 206 Incorporating ACT into an Esthetics Practice 208 Case Study 211 Special Populations to Note 212 Conclusions 212 References 213 21 Behavioral Modification for Acne Excoriée and Skin Picking 216 Karen M. Ong, Mary D. Sun, and Evan A. Rieder Introduction 216 Case Study 216 Behavioral Modification 219 Conclusions 220 References 221 22 Motivational Interviewing for Identification and Triage of the Cosmetic Addict 223 Richard G. Fried and Evan A. Rieder Introduction 223 Case Study 223 Using Elements of Motivational Interviewing to Identify and Redirect Inappropriate Cosmetic Patients 225 What Is Motivational Interviewing? 225 Specific Techniques 225 Exploration 227 Change Talk 228 Reflection 228 Breaking Barriers 228 Committing to Change 229 Conclusions 229 References 229 23 Beauty Through the Life Continuum 230 Doris Day Introduction 230 Communication 230 Trust 231 Case Study 233 Developing a Long-Term Healthy Relationship with Beauty 234 Conclusions 235 References 236 Index 237
Summary: ESSENTIAL PSYCHIATRY FOR THE AESTHETIC PRACTITIONER Aesthetic practice requires an understanding of human psychology, yet professionals across cosmetic medicine and related fields receive no formal training in identifying and managing psychological conditions. Essential Psychiatry for the Aesthetic Practitioner provides concise yet comprehensive guidance on approaching patient assessment, identifying common psychiatric diseases, and managing challenging situations in cosmetic practice. This much-needed guide brings together contributions by dermatologists, plastic surgeons, psychiatrists, psychologists, and other experts to help practitioners understand the role of psychology in cosmetic practice and improve interpersonal relations with their patients. Assuming no previous background knowledge in psychiatry, the text provides cosmetic practitioners of all training and experience levels with clear guidance, real-world advice, and effective psychological tools to assist their practice. Through common clinical scenarios, readers learn to determine if a patient is a good candidate for a cosmetic procedure, enhance the patient experience, deal with difficult personalities in the cosmetic clinic, recognize obsessive compulsive and body dysmorphic disorders, and more.
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ABOUT THE AUTHOR
Dr. Evan Rieder is one of only three American physicians to be dual board-certified in dermatology and psychiatry. He is a graduate of Dartmouth College, the University of Pennsylvania School of Medicine, as well as residency programs in psychiatry and dermatology at the New York University School of Medicine. Dr. Rieder is a full-time faculty member of the New York University Department of Dermatology, where he practices cosmetic and medical dermatology. He is a regular contributor to the peer reviewed medical literature and is frequently called upon to educate his peers on the confluence of psychiatry and dermatology, particularly with respect to patient assessment, management, and diagnosis in a cosmetic setting and the psychology of beauty.

Includes bibliographical references and index.

TABLE OF CONTENTS
List of Contributors xi

Preface xv

Part I The Basics 1

1 Stress, Skin, and Beauty: The Basic Science Base 3
Mary D. Sun and Evan A. Rieder

Basic Science Principles 3

Clinical Correlates 5

Conclusions 9

References 9

2 The Science and Psychology of Beauty 22
Vanessa J. Cutler

Evolutionary Explanations for Beauty 22

Beauty as a Function of Health 23

Weight and Attractiveness 23

Facial Proportions 24

Age and Youth 26

Enhancing Beauty 26

Beauty and the Media 27

Conclusions 28

References 28

3 The Use of Cosmetic Products to Improve Self Esteem & Quality of Life 34
Zoe Diana Draelos

Introduction 34

Human Perceptions of Physical Beauty 34

Topical Cosmetic Products for the Patient with Facial Scarring 36

Cosmetic Camouflage Application 37

Conducting a Cosmetic Product Consultation 39

Conclusions 40

References 40

4 An Approach to Cosmeceuticals 42
Emily C. Milam and Evan A. Rieder

Introduction 42

Case Study 42

Active Ingredients and Indications 44

Approaching the Evidence 44

The Evidence Base is Limited 45

Psychology, Skin Care, and Self-Care 45

Practical Solutions for Patient Consultation 46

Conclusions 46

References 47

Part II Assessment 49

5 Aesthetic Assessment and Theories of Beauty 51
Michael Abrouk, Leslie Harris, Evan A. Rieder, and Jill S. Waibel

Introduction 51

Beauty in our World 52

The Link between Beauty and Mathematics: From Phi to the Golden Triangle 53

Neoclassical Canons and Aesthetics 54

Scales of Aesthetic Assessment 55

How to Approach the Face 57

Case Studies 58

Conclusions 61

References 62

6 The Cosmetic Consultation: Anatomy and Psychology – The Female Patient 64
Eagan Zettlemoyer and Noëlle S. Sherber

Introduction 64

Female Facial Anatomy 64

Structuring the Consult 70

Case Studies 73

Conclusions 75

References 76

7 The Cosmetic Consultation: Anatomy and Psychology – The Male Patient 79
Kalee Shah, Nathaniel Lampley III, and Anthony Rossi

Introduction 79

Male Facial Anatomy 80

Structuring the Consult, Considering Patient Motivations and Psychology 85

Case Studies 87

Conclusions 90

References 91

8 The Cosmetic Consultation: Anatomy and Psychology – The Transgender Patient 94
Brian Ginsberg

Introduction 94

Anatomy 94

Structuring the Consult 95

Setting Expectations 99

Treating Minors 99

Case Studies 99

Conclusions 101

References 101

Part III Perception 105

9 Aesthetic Interventions and the Perception of the Self: Quality of Life and Patient Reported Outcomes 107
Danielle Weitzer and Richard G. Fried

Introduction 107

Perception of Self 108

Perception by Others 109

Outcome Studies 109

Case Study 110

Consequences and Ethical Concerns 112

Conclusions 112

References 113

10 Aesthetic Interventions and the Perception of Others: Observer Reported Outcomes 115
Payal Shah and Evan A. Rieder

Case Studies 115

Observer Reported Outcomes as a Novel Evaluation Tool for Cosmetic Procedures 118

Conclusions 120

References 121

11 Botulinum Toxins: Beauty, Psychology, and Mood in the Cosmetic Patient 125
Catherine Pisano, Jason Reichenberg, and Michelle Magid

Introduction 125

Case Study 125

Pathogenesis 126

Treatment 126

Clinical Relevance and Implications 128

Conclusions 129

References 129

Part IV Psychological Challenges in Aesthetics 131

12 Boundaries 133
Evan A. Rieder and Jacob Sacks

Introduction 133

Case Studies 133

Conclusions 140

References 140

13 Difficult Personalities and Personality Disorders in the Cosmetic Clinic 141
Mio Nakamura and John Koo

Introduction 141

Difficult Personalities vs. Personality Disorders 141

Personality Disorders 142

Case Studies 144

Conclusions 148

References 149

14 Normative Discontent and Social Dysmorphia in the Cosmetic Patient 151
Susruthi Rajanala and Neelam A. Vashi

Introduction 151

Body Image and Body Image Dissatisfaction 151

Social Dysmorphia 152

Case Study 154

Conclusions 154

References 155

15 Obsessive Compulsive Disorder and Body Dysmorphic Disorder in the Cosmetic Patient 157
Mary D. Sun and Evan A. Rieder

Introduction 157

Case Studies 159

Screening for BDD in Aesthetic Medicine 161

Guide to the Clinical Interview for BDD 162

Clinical Approaches to BDD in Aesthetic Medicine 164

Conclusions 164

References 165

16 Protecting Your Patients: When Enough Is Enough – Saying No and Satisfying the Dissatisfied Patient 168
Jacqueline Watchmaker, Prasanthi Kandula, and Michael S. Kaminer

Introduction 168

The LEAP Technique for a Successful Cosmetic Consult 168

Case Study 170

The BLAST Technique for Dealing with Unhappy Patients 170

Case Study 172

Conclusions 173

References 173

17 Protecting Yourself: Legal Issues in Aesthetic Medicine – Informed Consent, Discharge, and Lawsuits 175
Brian P. Hibler and Mathew M. Avram

Introduction 175

Key Legal Terms 175

Case Studies 177

Conclusions 186

References 186

Part V Psychological Tools to Assist Your Practice 189

18 Psychological Tools to Assist Your Practice: Progressive Muscle Relaxation, Deep Abdominal Breathing, Mindfulness, and Guided Imagery 191
Nicholas Brownstone, Bridget Myers, and Josie Howard

Introduction 191

Case Studies 191

Conclusions 196

References 197

19 Hypnotic Techniques for the Aesthetic Practitioner 200
Philip D. Shenefelt

Introduction 200

Informal Hypnotic Techniques 200

Hypnotizability 201

Formal Hypnotic Techniques 201

Case Studies 202

For Additional Information 204

Conclusions 204

References 205

20 Acceptance and Commitment Therapy in the Aesthetic Setting 206
Vanessa J. Cutler

Introduction 206

Understanding Acceptance and Commitment Therapy 206

Incorporating ACT into an Esthetics Practice 208

Case Study 211

Special Populations to Note 212

Conclusions 212

References 213

21 Behavioral Modification for Acne Excoriée and Skin Picking 216
Karen M. Ong, Mary D. Sun, and Evan A. Rieder

Introduction 216

Case Study 216

Behavioral Modification 219

Conclusions 220

References 221

22 Motivational Interviewing for Identification and Triage of the Cosmetic Addict 223
Richard G. Fried and Evan A. Rieder

Introduction 223

Case Study 223

Using Elements of Motivational Interviewing to Identify and Redirect Inappropriate Cosmetic Patients 225

What Is Motivational Interviewing? 225

Specific Techniques 225

Exploration 227

Change Talk 228

Reflection 228

Breaking Barriers 228

Committing to Change 229

Conclusions 229

References 229

23 Beauty Through the Life Continuum 230
Doris Day

Introduction 230

Communication 230

Trust 231

Case Study 233

Developing a Long-Term Healthy Relationship with Beauty 234

Conclusions 235

References 236

Index 237

ESSENTIAL PSYCHIATRY FOR THE AESTHETIC PRACTITIONER
Aesthetic practice requires an understanding of human psychology, yet professionals across cosmetic medicine and related fields receive no formal training in identifying and managing psychological conditions. Essential Psychiatry for the Aesthetic Practitioner provides concise yet comprehensive guidance on approaching patient assessment, identifying common psychiatric diseases, and managing challenging situations in cosmetic practice. This much-needed guide brings together contributions by dermatologists, plastic surgeons, psychiatrists, psychologists, and other experts to help practitioners understand the role of psychology in cosmetic practice and improve interpersonal relations with their patients.

Assuming no previous background knowledge in psychiatry, the text provides cosmetic practitioners of all training and experience levels with clear guidance, real-world advice, and effective psychological tools to assist their practice. Through common clinical scenarios, readers learn to determine if a patient is a good candidate for a cosmetic procedure, enhance the patient experience, deal with difficult personalities in the cosmetic clinic, recognize obsessive compulsive and body dysmorphic disorders, and more.

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