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E-book Childhood Abuse, Body Shame, and Addictive Plastic Surgery : The Face of Trauma

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Penilaian

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At that time I had just published research indicating that the overwhelming majority of patients who had undergone multiple surgeries on noses that the patients already knew were normal had a 90% likelihood of childhood abuse or neglect, and that the chance of making those patients happy in one operation was only 3%.1 , 2 These are the desperate people that the literature calls “body dys­morphic” and whose seemingly unaccountable, insatiable addiction for surgical perfection fascinates the popular media.And so at this woman’s consultation I had said, “Many patients who have had multiple operations on normal noses have had rough childhoods.” Suddenly her mascara blurred and tears trickled down her cheeks. She told me her story. I explained what I understood about the effects of childhood trauma on body shame, perfectionism, and the drive to plastic surgery, which at the time was limited. She agreed to have trauma therapy after surgery. Her husband had patted her hand. But her nose was disfigured and blocked. I knew that I could repair the surgical problem. My questions to myself weren’t, will this patient be easy to manage, but rather, can I get her successfully through an operation despite her childhood—and will she be happy? It was a Hobson’s choice: either I did some­thing to help her or I turned her away. We discussed the reconstruction in detail. I showed the patient and her hus­band examples of others with similar deformities that had good, mediocre, and even suboptimal results that needed revisions. No, go ahead, she told me. I have to have it fixed. And so I operated. Now it was nine days later. As of this writing, I have been in practice 40 years; most of my surgeries are now revision rhinoplasties. Despite everything I have learned and taught over the last two decades about my unhappy patients and all the heartfelt stories I have heard from surgeons about their experiences, I still have occasional incidents like this one. Why do they occur? Why are patients unhappy with surgical results that are successful, even very good?3 Why can’t I reason with them? And why does their anger seem so irrational and personal—so seemingly out of context? Instead of asking, am I still swollen, this intelligent, productive, successful woman was asking, why did you betray me?

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Ketersediaan

Informasi Detail

Judul Seri

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No. Panggil

617.95 CON c

Penerbit

New York : Taylor & Francis., 2019

Deskripsi Fisik

343 hlm

Bahasa

English

ISBN/ISSN

9781315657721

Klasifikasi

617.95

Tipe Isi

text

Tipe Media

computer

Tipe Pembawa

online resource

Edisi

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Subjek

Plastic Surgery and Transplantation of Organs

Info Detail Spesifik

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Pernyataan Tanggungjawab

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Versi lain/terkait

Lampiran Berkas

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