CBT for Appearance Anxiety: Psychosocial Interventions for Anxiety due to Visible Difference

摘要

In 1987, a fire origi-nated in a wooden escalator in the London Underground at the King's Cross station when a lit cigarette ignited the oily residue under the treads. The fire burned slowly until it exploded in an over-flash phenomenon known as the "trench effect," which instantly engulfed the ticket hall above, killing 31 people and burning an additional 100 people, 19 of whom were severely injured. Many of the burn patients were brought to University College Hospital, where they were treated by a team led by the plastic surgeon on duty, Michael Brough. The team that he assembled at University College Hospital eventually comprised 21 consultants from 11 different specialties to address the comprehensive ranges of problems with burn patients. Brough's advocacy for a team approach to treat severe injury would eventually lead to his establishment of the first Department of Plastic Surgery at a British university.