Adolescents and plastic surgery - RePub, Erasmus University ...

Adolescents and plastic surgery

Psychosocial and medical-ethical t? s s u e s

Kunigonde Johanna Simis

L'ethique, c'est !'esthetique du dedans. (P. Reverdy, Le livre demon bord, 1948)

ISBN 90-77017-19-4

Printed by Optima Grafische Communicatie

The study reported in this thesis was performed at the Department of Child and Adolescent Psychiatry, University Hospital Rotterdam-Sophia/ Erasmus University Rotterdam, the Department of Plastic and Reconstructive surgery, University Hospital Rotterdam-Dijkzigt/ Erasmus University Rotterdam, and the Department of Medical Ethics, Erasmus University Rotterdam, The Netherlands, and was financially supported by the Sophia Scientific Foundation grant# 181.

Drawing and cover design: Kuni Sirois

Copyright:

? 2001, Kuni Sirois

All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, mechanically, by photocopy, by recording or otherwise, without permission ofthe author.

Adolescents and plastic surgery

Psychosocial and medical-ethical issues

Adolescenten en plastische chirurgie

Psychosociale en medisch-ethische aspecten

Proefschrift

ter verkrijging van de graad van doctor aan de Erasmus Universiteit Rotterdam

op gezag van de Rector Magnificus

Prof.dr.ir. J.H. van Bemmel

en volgens besluit van het College voor Promoties. De openbare verdediging zal plaatsvinden op woensdag 17 oktober 2001 om 11:45 uur door

Kunigonde Johanna Simis geboren te Amstelveen

Promotiecommissie:

Promotoren:

Prof.dr. J.M. Koot Prof.dr. I.D. De Beaufort

Overige leden:

Prof.dr. M. Kon Prof.dr. J. Passchier Prof.dr. F.C. Verhulst

Paranimfen:

Marlous van der Jagt Nina Scherpenzeel

Contents Page

Chapter 1 Introduction

7

Chapter 2 What is beautiful is good, but . . . The concepts of 19 'normalcy' and beauty in a historical perspective, illustrated by plastic surgery. In: In the Eye of the Beholder; Ethics and Medical Change ofAppearance. I. D. de Beaufort, M. Hilhorst, and S. Holm (Eds.). Copenhagen, Scandinavian University Press.

Chapter 3 Assessing adolescents and young adults for plastic 39 surgical intervention: Pre-surgical appearance ratings and appearance-related burdens as reported by adolescents and young adults, parents, and surgeons. British Journal ofPlastic Surgery 53(7): 593-600.

Chapter 4 Body image, psychosocial functioning, and personality: 59 How different are adolescents and young adults applying for plastic surgery? Journal of Child Psychology and Psychiatry 42(5): 669-678.

Chapter 5 After plastic surgery: Adolescent-reported appearance 85 ratings and appearance-related burdens in patient and general population groups. Plastic and Reconstructive Surgery; accepted for publication.

Chapter 6 Postsurgical body image, psychosocial functioning, and 105 personality: Does plastic surgery help adolescents to overcome appearance-related problems? Submittedfor publication.

Chapter 7 The adolescent and the plastic surgeon. The moral 125 unease and the facts about appearance-related surgery on adolescents. Submittedfor publication.

Contents

Chapter 8 General discussion References Samenvatting (Dutch summary) Curriculum vitae Dan.t.;woord (Acknowledgements) Appendix (Questionnaires)

Checklist Interview

Page

145 157 173 181 185 189 191 193

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