This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

Its Occurrence as a Physical Sign of Impaired Parent-Child Relationships and Psychologic Developmental Arrest: Improvement Through Parent Insight and Education

Caroline S. Koblenzer, MD; Peter J. Koblenzer, MD

Arch Dermatol. 1988;124(11):1673-1677.

Abstract
• Atopic eczema of infancy and childhood responds readily and predictably to treatment; only a small percentage remains intractable. Lack of therapeutic response in a proportion of these patients can be attributed to dysfunctional parent-child relationships that lead to physical and emotional developmental arrest. Improvement in parent-child relationships following parental insight into their conflicted feelings permits acceptance of educational recommendations from the physician; it also allows normal development to be resumed and eczema to improve. Eight illustrative cases are reported in which aggressive dermatologic measures were combined with an approach that helped parents recognize conflict and provided education that permitted more appropriate behavioral limit setting. Rapid and sustained improvement in skin, emotional development, and social adjustment resulted.

(Arch Dermatol 1988;124:1673-1677)

Author Affiliations
From the Departments of Dermatology and Dermatology in Psychiatry, University of Pennsylvania (Dr C. Koblenzer); and the Department of Dermatology, Temple University and Hahneman University (Dr P. Koblenzer), Philadelphia.

Footnotes
Accepted for publication March 4, 1988.

Read in part before the 17th World Congress of Dermatology, Berlin, May 26, 1987.

Reprint requests to 1812 Delancey Pl, Philadelphia, PA 19103 (Dr C. Koblenzer).

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Psychological Stress Perturbs Epidermal Permeability Barrier Homeostasis: Implications for the Pathogenesis of Stress-Associated Skin Disorders
Garg et al.
Arch Dermatol 2001;137:53-59.
ABSTRACT | FULL TEXT  

Screening for Psychosocial Dysfunction in Pediatric Dermatology Practice
Rauch et al.
CLIN PEDIATR 1991;30:493-497.
ABSTRACT  

Intractable Atopic Eczema Suggests Major Affective Disorder: Poor Parenting is Secondary
Allen
Arch Dermatol 1989;125:567-568.
ABSTRACT