Dorian gray syndrome F45.8

Author: Prof. Dr. med. Peter Altmeyer

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Last updated on: 29.10.2020

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Definition
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Special form of dysmorphophobia ( somatoform disorder) with the desire to remain young forever. The term is based on the novel "The Portrait of Dorian Gray" by Oscar Wilde and takes a motif of the work, the inability to age and thus also to mature mentally, as a clinical description.

Occurrence/Epidemiology
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About 2-3% of the population is likely to suffer from the described syndrome to varying degrees.

Etiopathogenesis
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Interaction between narcissistic tendencies (ageless beauty), problems of psychosexual progression (avoidance of development and maturity) and the use of lifestyle offers in medicine. The clinical picture points beyond the differential-diagnostically important clinical pictures of dysmorphophobia, the narcissistic personality disorder, and thus represents a separate clinical entity.

Clinical features
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Dorian Gray syndrome is associated with narcissistic regression, sociophobia and a strong desire to preserve youthfulness. Often lifestyle drugs are then used to halt the natural ageing process. There is a latent depressiveness with the danger of suicidal crises, whereby the measures of lifestyle medicine are to be understood as "psychological defence against breaking through depressive states".

Diagnosis
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The following criteria must be fulfilled for a diagnosis to be made:
  • Signs of dysmorphophobia
  • inability to achieve psychological maturity and psychological developmental steps
  • Use of 2 or > 2 of the following lifestyle offers of medicine:
    • hair restorer
    • Antiadiposita
    • Power Resources
    • Antidepressants for mood manipulation
    • Utilization of the services of cosmetic dermatology
    • Utilization of the offers of the aesthetic surgery.

Literature
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  1. Brähler E et al (2002) Findings and health: psychological aspects of physical complaints. In: Brähler E, Strauß B (ed.) Fields of action in psychosocial medicine. Hogrefe, Göttingen
  2. Harth W et al (2007) Nihiloderma in psychodermatology. Dermatologist 58: 427-434

Disclaimer

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Last updated on: 29.10.2020