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	Since this article does not have an abstract, we have provided the first 133 words of the full text and any section headings.

We applaud the work of Warthan and colleagues.¹ Their effort to apply an addiction model to sunbathing behavior illustrates the benefits of an integrated approach to dermatology that seeks to find links between the psyche and the soma. However, we wonder if other models that look at psychological conflict and the impact of body image, development, and self-esteem would also be useful in helping us to understand those who continue to act in self-destructive ways.

However, regardless of which path we choose as our focus of research, any attempts to understand the minds of our patients is sure to lead to more effective treatment interventions.

AUTHOR INFORMATION
Correspondence: Dr Silvan, Psychocutaneous Medicine Clinic, Department of Dermatology, St Luke's-Roosevelt Hospital Center, 1090 Amsterdam Ave, 11th Floor, New York, NY 10025 (mes57@columbia.edu).

Financial Disclosure: None.

Matthew Silvan, PhD; Vincent A. DeLeo, MD

1. Warthan MM, Uchida T, Wagner RF. UV light tanning as a type of substance-related disorder. Arch Dermatol. 2005;141:963-966. FREE FULL TEXT

Arch Dermatol. 2006;142:245.

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