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The provision of specialist psychosocial support for people with visible differences: A European survey

Harcourt, Diana; Hamlet, Claire; Feragen, Kristin Billaud; Garcia-Lopez, Luis Joaquin; Masnari, Ornella; Mendes, Jose; Nobile, Francesca; Okkerse, Jolanda; Pittermann, Anna; Spillekom-van Koulil, Saskia; Stock, Nicola Marie; Williamson, Heidi


Claire Hamlet
Occasional Associate Lecturer - HAS HSS

Kristin Billaud Feragen

Luis Joaquin Garcia-Lopez

Ornella Masnari

Jose Mendes

Francesca Nobile

Jolanda Okkerse

Anna Pittermann

Saskia Spillekom-van Koulil

Nicola Stock
Occasional Associate Lecturer - HAS - HSS

Heidi Williamson
Associate Professor in Applied Health Research


© 2018 A substantial body of research has demonstrated the challenges commonly facing people with visible differences (disfigurements) and explored the potential benefits offered by specialist psychosocial support and intervention for those who are negatively affected. However, little is known about the availability of such support in Europe for people whose appearance is in any way different to ‘the norm’. This survey of 116 psychosocial specialists from 15 European countries, working with a range of patient groups, has shown a tendency for specialists to prioritise Cognitive-behavioural-based approaches, amongst a wide range of other approaches and interventional techniques. It indicates variations in the availability of support, and a perceived need for improved access to interventions, additional training, and greater awareness of the psychosocial issues associated with visible differences.


Harcourt, D., Hamlet, C., Feragen, K. B., Garcia-Lopez, L. J., Masnari, O., Mendes, J., …Williamson, H. (2018). The provision of specialist psychosocial support for people with visible differences: A European survey. Body Image, 25, 35-39.

Journal Article Type Article
Acceptance Date Feb 5, 2018
Online Publication Date Feb 16, 2018
Publication Date Jun 1, 2018
Deposit Date Feb 6, 2018
Journal Body Image
Print ISSN 1740-1445
Publisher Elsevier
Peer Reviewed Peer Reviewed
Volume 25
Pages 35-39
Keywords Europe, visible difference, disfigurement, psychosocial support, survey, intervention
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