Predictors of Negative Self-Attitude in Patients Who Tolerated a Surgical Repair

Faustova A.G.
PhD in Psychology, Head of the Chair of Clinical Psychology, Ryazan State Medical University, Ryazan, Russia
ORCID: https://orcid.org/0000-0001-8264-3592
e-mail: anne.faustova@gmail.com

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One of the main reasons for seeking a medical aid of a plastic surgeon is the negative attitude toward physical appearance and personality overall in patients with acquired defects of appearance. Correction of physical defects of a face and a body involuntarily associates with subsequent “automatic” growth in self-confidence and self-acceptance in those affected. The attempt undertaken to identify and evaluate factors that determine a level of the negative self-attitude on different stages of reconstructive-restorative treatment. The sample consisted of 58 respondents (mean age – 38,8 + 10,7 years), 27 persons (20 female, 7 male) were with visible differences on a face and a head, 31 persons (28 female, 3 male) were with defects of appearance located on a body. Respondents were interviewed one week before the treatment began, 2 weeks and 6-10 weeks after correcting physical defects. The mathematical analysis carried out using non-parametric tests as well as multiple regression analysis techniques. There was a statistically significant decrease in the levels of self-accusation and internal conflict (χ2emp. from 9,270 to 15,876; p<0,01). The regression equations are constructed and predictors of the negative self-attitude selected, which provides with valid information for creating a program of psychological support for such patients.

Keywords: self-attitude, defect of appearance, visible difference, self-accusation, internal conflict, dynamics, predictor

Column: Empirical research

DOI: https://doi.org/10.17759/cpse.2018070407

For Reference

Faustova A.G. Predictors of Negative Self-Attitude in Patients Who Tolerated a Surgical Repair [Elektronnyi resurs]. Klinicheskaia i spetsial'naia psikhologiia = Clinical Psychology and Special Education, 2018. Vol. 7, no. 4, pp. 117–130. doi:10.17759/cpse.2018070407. (In Russ., аbstr. in Engl.)

Aleksandrov A.A., Bagnenko E.S. Psihologicheskie harakteristiki zhenshhin s kosmeticheskimi defektami kozhi lica [Psychological characteristics of women with cosmetic defects of skin on the face]. Vestnik psihoterapii [Herald of Psychotherapy], 2012, vol. 46, no. 41, pp. 52–66. (In Russ.).
Gerasimov P.E. Psihologo-pedagogicheskie aspekty formirovanija u studentov pozitivnogo samootnoshenija [Psychological and pedagogical aspects of the formation of a positive self-attitude in students]. Vestnik KGU im. N.A. Nekrasova. Serija: Pedagogika. Psihologija. Social'naja rabota. Juvenologija. Sociokinetika [Vestnik of Kostroma State University. Series: Pedagogy. Psychology. Social work. Juvenology. Socio-kinetics], 2010,
vol. 16, no. 4, pp. 50–53. (In Russ.).
Kochetkova T.N. Smyslozhiznennye orientacii lic s raznym samootnosheniem [Life-meaning orientations in people with different self-attitude]. Vestnik TGPU [Tomsk State Pedagogical University Bulletin], 2010, vol. 92, no. 2, pp. 118–123. (In Russ.).
Labunskaja V.A. Samoprezentacija lichnosti i otnoshenie k vneshnemu Ja [Personality self-presentation and relation to the external Self]. In P.N. Ermakov,
V.A. Labunskaja (eds.) Psihologija lichnosti: ucheb. posobie dlja studentov vuzov, obuchajushhihsja po napravleniju i special'nosti «Psihologija» [Personality Psychology: the textbook for university students studying in the field and specialty “Psychology”]. Moscow: Jeksmo, 2007, Ch. 3.3, pp. 265–296. (In Russ.).
Labunskaja V.A. Samoocenka vneshnego oblika na razlichnyh jetapah zhiznennogo puti [Self-evaluation of the external appearance at various stages of the life path]. In A.L. Zhuravlev, V.A. Kol'cova (eds.) Razvitie psihologii v sisteme kompleksnogo chelovekoznanija. Materialy Vserossijskoj nauchnoj konferencii, posvjashhennoj 40-letiju Instituta psihologii i 85-letiju ego osnovatelja B. F. Lomova: v 2 chastjah. [Development of psychology in the system of complex human science. Proceedings of the All-Russian Scientific Conference, dedicated to the 40th anniversary of the Institute of Psychology and the 85th anniversary of its founder B.F. Lomov: in 2 parts]. Moscow: Publ. of Institute of Psychology RAS, 2012, pp. 331–338. (In Russ.).
Ljubimova O.M. Negativnoe samootnoshenie v kontekste riska vosproizvodstva social'nyh deviacij: po materialam mezhregional'nyh issledovanij [Negative self-attitude in the context of the reproduction of social deviations: on materials of interregional research]. Izvestija Altajskogo gosudarstvennogo universiteta [Izvestiya of Altai State University], 2011, vol. 2, no. 2, pp. 52–54. (In Russ.).
Pantileev S.R. Samootnoshenie kak jemocional'no-ocenochnaja Sistema [Self-attitude as the emotional-evaluative system]. Moscow: Publ. of MSU, 1991. 108 p. (In Russ.).
Slastenina V.V. Social'no-psihologicheskie harakteristiki zhenshhin, pribegajushhih k uslugam jesteticheskoj hirurgii [Social and psychological characteristics of women who use the services of aesthetic surgery]. Vestnik Tomskogo gosudarstvennogo universiteta [Tomsk State University Journal], 2007, no. 303, pp. 205–208. (In Russ.).
Sokolova E.T., Baranskaja L.T. Kliniko-psihologicheskie osnovanija jeffektivnosti jesteticheskoj hirurgii [Clinical-psychological basis of efficacy of aesthetic surgery]. Social'naja i klinicheskaja psihiatrija [Social and Clinical Psychiatry], 2007, vol. 17, no. 3,
pp. 26–33. (In Russ.).
Undusk E.N. Negativnoe samootnoshenie i perezhivanie problem asocial'nyh podrostkov [Negative self-attitude and experiencing of problems in anti-social adolescents]. Vestnik Cheljabinskogo gosudarstvennogo universiteta [Vestnik of Chelyabinsk State University], 2013, vol. 317, no. 26, pp. 151–154. (In Russ.).
Iaremenko A., Isaeva E., Kolegova T., Sitkina E., Vasilieva Yu. Satisfaction with Quality of Life in Patients with Minimum Cicatricial Damage of the Face and Neck [Elektronnyi resurs]. Klinicheskaia i spetsial'naia psikhologiia [Clinical Psychology and Special Education], 2018, vol. 7, no. 1, pp. 75–90. doi:10.17759/cpse.2018070106. (In Russ., аbstr. in Engl.). URL: https://psyjournals.ru/psyclin/2018/n1/Yaremenko_et_al.shtml. [Accessed: 13.11.2018].
Bernstein N. Emotional Care of the Facially Burned and Disfigured. Boston, МА: Little, Brown, 1976. 243 p.
Brill S.E., Clarke A., Veale D.M., Butler P.E.M. Psychological Management and Body Image Issues in Facial Transplantation. Body Image, 2006, vol. 3, no. 1, pp. 1–15. doi: 10.1016/j.bodyim.2005.12.002.
Clarke A., Thompson A.R., Jenkinson E., Rumsey N., Newell, R. CBT for Appearance Anxiety. Psychosocial Interventions for Anxiety due to Visible Difference. Chichester: John Wiley & Sons, Ltd., 2014. 300 p.
Crocker J., Quinn D.M. Social Stigma and The Self: Meanings, Situations, and Self-Esteem. In T.F. Heatherton, R.E. Kleck, M.R. Hebl, J.G. Hull (eds.), The Social Psychology of Stigma. New York: Guilford Press, 2000. pp. 153–183.
Rumsey N., Harcourt D. Body image & disfigurement: issues and interventions. Body Image, 2004, vol. 1, no. 1, pp. 83–97. doi: 10.1016/S1740-1445(03)00005-6.
Talley H.L. Saving face: disfigurement and the politics of appearance. New York: New York University Press, 2014. 256 p.
Thombs B.D., Notes L.D., Lawrence J.W., Magyar-Russell G., Bresnick M.G., Fauerbach J.A. From survival to socialization: A longitudinal study of body image in survivors of severe burn injury. Journal of Psychosomatic Research, 2008, vol. 64, no. 2,
pp. 205–212. doi: 10.1016/j.jpsychores.2007.09.003.
Thompson A., Kent G. Adjusting to disfigurement: processes involved in dealing with being visibly different. Clinical Psychology Review, 2001, vol. 21, no. 5, pp. 663–682.

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