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December 1983

Changing the Body: Psychological Effects of Plastic Surgery

Arch Otolaryngol. 1983;109(12):838. doi:10.1001/archotol.1983.00800260060016

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This book, written by a plastic surgeon and a psychiatrist, gives the reader a psychiatric background that can be clinically applied to the patient undergoing plastic surgery. The book is divided into two parts; part 1 is a psychiatric primer and part 2 explains the use of the material presented in part 1.

The introduction of part 1 grasps the reader's attention by discussing the murder of a plastic surgeon, Dr Vasquez Anon, by a dissatisfied paranoid patient. It then proceeds to discuss patient selection, psychiatric diagnoses, and patient analysis. The section on patient selection offers helpful advice on how to interview a patient by using open-ended questions and how to make psychiatric referrals. The sections on value systems, life-cycle stages, personality patterns, coping mechanisms, and psychiatric diagnoses are rather lengthy and ladened with psychiatric terminology from the Diagnostic and Statistical Manual of Mental Disorders III. We suspect that most

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