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Maxillofacial Surgery

Psychological Ramifications of Facial Deformities

Built from Facial Aesthetics — Concepts and Clinical Diagnosis

The first 25 slides of Psychological Ramifications of Facial Deformities
The first 25 slides, exactly as they appear. The full deck has 110 content slides.

What’s inside

10 sections · 110 slides

  1. 01

    Overview

    • What this topic covers

    1 slide

  2. 02

    The face and identity

    The most individual feature we have, and the one we cannot hide

    • The face as the seat of identity
    • Why the face matters so much
    • Three reasons a clinician needs to understand the mind
    • Health is more than the absence of disease
    • Health-related quality of life
    • How facial function and appearance feed quality of life
    • What the diagram is telling you
    • Three labels for facial surgery
    • What the surgery is really aiming at

    9 slides

  3. 03

    Self-image

    What the patient believes they look like

    • “
    • Children give everything a face
    • Reading a child's body image from a drawing
    • How the drawing test is run
    • A child's self-drawing before and after facial surgery
    • What to notice in those two drawings
    • People differ enormously in how they cope

    7 slides

  4. 04

    How other people react

    Where most of the damage actually happens

    • From a visible difference to unhappiness
    • The difficulty is social, not just physical
    • Facial deformity as a social disability
    • The surprise: milder can hurt more
    • Why unpredictability is so corrosive
    • How a visible difference shapes an encounter
    • Blaming every reaction on the face
    • The Dartmouth scar experiment: the question
    • The Dartmouth scar experiment: the set-up
    • The Dartmouth scar experiment: the trick
    • The Dartmouth scar experiment: what was measured
    • The Dartmouth scar experiment: what they found
    • Two routes, one outcome
    • What this means in clinic

    14 slides

  5. 05

    Teasing and bullying

    Words that leave scars

    • “
    • Teasing at school
    • The same patient ten months apart
    • What those two photographs show
    • When the trouble peaks
    • 'Sticks and stones' is bad advice
    • “

    7 slides

  6. 06

    To treat or not to treat

    A long-standing and unresolved debate

    • The contentious question
    • The two camps
    • Both sides can be right
    • Public attitudes are changing
    • The media and the 'perfect' face
    • Withholding treatment is not the answer

    6 slides

  7. 07

    Body dysmorphic disorder

    The delusion of deformity

    • A woman seeing a distorted reflection
    • Why start with a painting
    • The woman and her reflection do not match
    • What she sees in the mirror
    • Her mind has deformed her face
    • The patient you will meet
    • Naming the condition
    • The psychiatrist who named dysmorphophobia
    • The leading modern authority on the disorder
    • Who defined the modern picture
    • One old term, split into two
    • What body dysmorphic disorder is
    • Which parts of the body
    • The four DSM-5 criteria
    • Read the full criteria on the next slides
    • Criteria required to make a diagnosis of body dysmorphic disorder
    • Criteria required to make a diagnosis of body dysmorphic disorder (continued)
    • You cannot argue them out of it
    • When BDD starts and how it runs
    • What travels with BDD
    • A dental clue to an eating disorder
    • What the disorder does to a life
    • 0.7-5%
    • Reading those numbers with care
    • Why the diagnosis matters to you
    • How the diagnosis is actually made
    • Red flags in the history
    • Two questions worth asking every time
    • The signals in the table that follows
    • Signals indicative of potential body dysmorphic disorder in the consultation and patient interview (Modified from Naini, 2017 37 /Oxford University Press.)
    • Signals indicative of potential body dysmorphic disorder in the consultation and patient interview (Modified from Naini, 2017 37 /Oxford University Press.) (continued)
    • Signals indicative of potential body dysmorphic disorder in the consultation and patient interview (Modified from Naini, 2017 37 /Oxford University Press.) (continued)
    • Signals indicative of potential body dysmorphic disorder in the consultation and patient interview (Modified from Naini, 2017 37 /Oxford University Press.) (continued)
    • Why patients stay silent
    • Where to ask about it
    • Telling the patient

    36 slides

  8. 08

    Managing body dysmorphic disorder

    Why the knife is the wrong instrument

    • Surgery is not the treatment
    • The management pathway
    • Talking therapy that works
    • The two proven CBT methods
    • Medication
    • The challenge for clinicians

    6 slides

  9. 09

    The neurotic-dysmorphic patient

    A real deformity, and a mind in trouble

    • “
    • The hardest patient of all
    • Similar to BDD, but not BDD
    • Two ways this presents
    • If the red flags show before treatment
    • If the trouble appears afterwards
    • Holding the line
    • Prevention beats cure

    8 slides

  10. 10

    Conclusion

    The scholar who made disfigurement a disability

    • “
    • The social scientist who studied facial disfigurement
    • Who she was
    • How the work began
    • What her work changed
    • “
    • Key takeaways: the psychology
    • Key takeaways: the practice
    • References
    • References (continued)
    • References (continued)
    • References (continued)
    • References (continued)
    • References (continued)
    • Further reading
    • Facial Aesthetics: Concepts and Clinical Diagnosis, 2nd Edition

    16 slides