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Empowerment in Individuals with Facial Anomalies: Psychosocial Challenges and Social Work in Rare Diseases

Year 2026, Volume: 18 Issue: 2, 427 - 437
https://doi.org/10.18863/pgy.1682268

Abstract

This review study aims to examine the psychosocial challenges faced by individuals with facial anomalies in the context of rare diseases and to discuss the support mechanisms that the discipline of social work can offer within the framework of the empowerment approach. Facial anomalies are complex conditions that affect not only individuals’ physical health but also their psychological and social well-being. Factors such as aesthetic concerns, speech difficulties, stigma, and discrimination may lead to mental health problems including loss of self-esteem, social isolation, anxiety, and depression. Furthermore, structural barriers encountered in healthcare, education, and employment can limit social participation and adversely affect quality of life. The inherent uncertainties of rare diseases, delays in diagnosis and treatment, the need for chronic medical interventions, and the high costs of care increase the psychosocial burden on both individuals and their families. In this context, interventions by social workers—collaborating with mental health professionals—at personal, interpersonal, and structural levels may enhance individuals’ psychosocial resilience and support their social integration. This study evaluates the psychosocial difficulties experienced by individuals with facial anomalies in light of current literature and addresses social work interventions that may be implemented based on the empowerment approach. It emphasizes the importance of advocacy efforts to reduce stigma, psychosocial programs that enhance self-efficacy, and multidisciplinary support systems.

References

  • Ahmed S (2019) Duyguların Kültürel Politikası (3. Baskı) (Çeviri Ed. S Komut). İstanbul, Sel Yayıncılık.
  • Aslantürk H, Derin M, Arslan S (2019) Nadir hastalıkların aileler üzerindeki psiko-sosyal, fiziksel ve ekonomik etkileri. Tıbbi Sosyal Hizmet Dergisi, 14:80-94.
  • Bogart KR (2020) Socioemotional functioning with facial paralysis: Is there a congenital or acquired advantage? Health Psychol, 39:345-354.
  • Bozok N, Toksoy G (2022) Yüzünde farklı olmak ve farkın görsel temsili üzerine bir tartışma. Moment Dergi, 9:235-250.
  • Bradbury E (2012) Meeting the psychological needs of patients with facial disfigurement. Br J Oral Maxillofac Surg, 50:193-196.
  • Bull R, Rumsey N (1988) The social psychology of facial disfigurement. In The Social Psychology of Facial Appearance (Eds N Rumsey, R Bull). New York, Springer.
  • Christensen K, Juel K, Herskind AM, Murray JC (2004) Long-term follow-up study of survival associated with cleft lip and palate at birth. BMJ, 328:1405.
  • Council of the European Union (2009) Council recommendation of 8 June 2009 on an action in the field of rare diseases (2009/C151/02). Off J Eur Union, C151:7-10. https://eur-lex.europa.eu/LexUriServ.do?uri=OJ:C:2009:151:0007:0010:EN:PDF (Accessed 30 May 2025).
  • Deshpande A, Ghooi R (2017) Narrative: The fear of disfigurement in cancer patients. Indian J Palliat Care, 23:347–349.
  • Dion K, Berscheid E, Walster E (1972) What is beautiful is good. J Pers Soc Psychol, 24:285.
  • Edwards TC, Patrick DL, Topolski TD, Aspinall CL, Mouradian WE, Speltz ML (2005) Approaches to craniofacial-specific quality of life assessment in adolescents. Cleft Palate Craniofac J, 42:19-24.
  • Eagly AH, Ashmore RD, Makhijani MG, Longo LC (1991) What is beautiful is good, but…: A meta-analytic review of research on the physical attractiveness stereotype. Psychol Bull, 110:109–128.
  • Eiserman W (2001) Unique outcomes and positive contributions associated with facial difference: Expanding research and practice. Cleft Palate Craniofac J, 38:236–244.
  • Fioravanti G, Bocci Benucci S, Ceragioli G, Alfieri S, Casale S (2022) How the exposure to beauty ideals on social networking sites influences body image: A systematic review of experimental studies. Adolesc Res Rev, 7:419–458.
  • Garrino L, Picco E, Finiguerra I, Rossi D, Simone P, Roccatello D (2015) Living with and treating rare diseases: Experiences of patients and professional health care providers. Qual Health Res, 25:636-651.
  • Goffman E (1963) Embarrassment and social organization. In Personality and social systems (Eds NJ Smelser, WT Smelser):541-548. New York, Wiley.
  • Goffman E (2014) Damga: Örselenmiş Kimliğin İdare Edilişi Üzerine Notlar. (Çev. L Ünsaldı, Ş Geniş, SN Ağırnaslı). İstanbul, Heretik Yayıncılık.
  • Greenberg DM (1979) Parental reactions to an infant with a birth defect: A study of five families. Biennial Meeting of the Society for Research in Child Development, March 15–18, San Francisco, CA, USA.
  • Griffin AM, Langlois JH (2006) Stereotype directionality and attractiveness stereotyping: Is beauty good or is ugly bad? Soc Cogn, 24:187–206.
  • Gutierrez LM, Parsons RJ, Cox EO (1998) Empowerment in social work practice: A sourcebook. Pacific Grove, Brooks/Cole.
  • İlbars H, Irmak DK, Akan H (2014) Orphan drugs: R&D challenges with updates from Turkey and Middle East countries. J Clin Stud, 6:58-63.
  • Johansen H, Dammann B, Andresen IL, Fagerland MW (2013) Health-related quality of life for children with rare diagnoses, their parents’ satisfaction with life and the association between the two. Health Qual Life Outcomes, 11:152.
  • Kesselheim AS, McGraw S, Thompson L, O’Keefe K, Gagne JJ (2015) Development and use of new therapeutics for rare diseases: Views from patients, caregivers, and advocates. Patient, 8:75-84.
  • Kılıç P, Koçkaya G, Yemşen Ö, Tan C, Öztunca FH, Aksungur P et al. (2013) Orphan drug regulations in Turkey. J Pharm Health Serv Res, 4:151-153.
  • Langlois JH, Kalakanis L, Rubenstein AJ, Larson A, Hallam M, Smoot M (2000) Maxims or myths of beauty? A meta-analytic and theoretical review. Psychol Bull, 126:390-423.
  • Lanigan SW, Cotterill JA (1989) Psychological disabilities amongst patients with port wine stains. Br J Dermatol, 121:209–215.
  • Lansdown R, Polak L (1975) A study of the psychological effects of facial deformity in children. Child Care Health Dev, 1:85-91.
  • Lee JA (2001) The Empowerment Approach to Social Work Practice. New York, Columbia University Press.
  • Leonard BJ, Brust JD, Abrahams G, Sielaff B (1991) Self-concept of children and adolescents with cleft lip and/or palate. Cleft Palate Craniofac J, 28:347-353.
  • Munro M, Cook AM, Bogart KR (2022) n inductive qualitative content analysis of stigma experienced by people with rare diseases. Psychol Health, 37:948-963.
  • Nguengang Wakap S, Lambert DM, Olry A, Rodwell C, Gueydan C, Lanneau V et al. (2020) Estimating cumulative point prevalence of rare diseases: Analysis of the Orphanet database. Eur J Hum Genet, 28:165-173.
  • Nutt S, Limb L (2011) Survey of patients' and families' experiences of rare diseases reinforces calls for a rare disease strategy. Soc Care Neurodisabil, 2:195-199.
  • Oliver M (2011) Sakatlığın ideolojik inşası. In Sakatlık Çalışmaları: Sosyal Bilimlerden Bakmak (Eds D Bezmez, S Yardımcı, Y Şentürk):227-242. İstanbul, Koç Üniversitesi Yayınları.
  • Olkin R, Pledger C (2003) Can disability studies and psychology join hands? Am Psychol, 58:296-304.
  • Orphanet (2024) Prevalence and incidence of rare diseases: Bibliographic data. https://www.orpha.net/pdfs/orphacom/cahiers/docs/GB/Prevalence_of_rare_diseases_by_alphabetical_list.pdf (Accessed: 30 May 2025).
  • Orphanet J Rare Dis (2025) Facial anomaly. https://ojrd.biomedcentral.com/articles?query=facial+anomaly (Accessed: 30 May 2025).
  • Payne M (2020) How to use social work theory in practice: An essential guide. Bristol,UK, Policy Press.
  • Pertschuk MJ, Whitaker LA (1982) Social and psychological effects of craniofacial deformity and surgical reconstruction. Clin Plast Surg, 9:297-306.
  • Pope AW, Ward J (1997) Self-perceived facial appearance and psychosocial adjustment in preadolescents with craniofacial anomalies. Cleft Palate Craniofac J, 34:396-401.
  • Ramstad T, Ottem E, Shaw WC (1995) Psychosocial adjustment in Norwegian adults who had undergone standardized treatment of complete cleft lip and palate: I. Education, employment and marriage. Scand J Plast Reconstr Surg Hand Surg, 29:251-257.
  • Rankin M, Borah GL (2003) Perceived functional impact of abnormal facial appearance. Plast Reconstr Surg, 111:2140-2146.
  • Rappaport J (1987) Terms of empowerment. Am J Community Psychol, 23:121–134.
  • Rare Diseases Europe (EURORDIS) (2022) What is a rare disease? https://www.eurordis.org/information-support/what-is-a-rare-disease/ (Accessed: 30 May 2025).
  • Richman LC, Ryan SM (2003) Do the reading disabilities of children with cleft fit into current models of developmental dyslexia? Cleft Palate Craniofac J, 40:154-157.
  • Rumsey N, Bull R, Gahagan D (1982) The effect of facial disfigurement on the proxemic behavior of the general public. J Appl Soc Psychol, 12:137-150.
  • Rumsey N, Harcourt D (2004) Body image and disfigurement: issues and interventions. Body Image, 1:83-97.
  • Rumsey N, Harcourt D (2005) The Psychology of Appearance. London, McGraw-Hill Education.
  • Ryan S, Oaten M, Stevenson RJ, Case TI (2012) Facial disfigurement is treated like an infectious disease. Evol Hum Behav, 33:639-646.
  • Sağlık Bakanlığı (2023) Nadir Hastalıklar Sağlık Strateji Belgesi ve Eylem Planı. Ankara, Sağlık Bakanlığı.
  • Shanmugarajah K, Gaind S, Clarke A, Butler PE (2012) The role of disgust emotions in the observer response to facial disfigurement. Body Image, 9:455-461.
  • Shaw WC (1981) Folklore surrounding facial deformity and the origins of facial prejudice. Br J Plast Surg, 34:237-246.
  • Sheafor BW, Horejsi CR (2014) Sosyal Hizmet Uygulaması Temel Teknikler ve İlkeler (Çev. A. Bilgin et al., Ed. D. B. Çiftci). Ankara, Nika Yayınevi.
  • Solomon BB (1976) Black empowerment: Social work in oppressed communities. New York, Columbia University Press.
  • Somanadhan S, Larkin PJ (2016) Parents’ experiences of living with, and caring for children, adolescents and young adults with mucopolysaccharidosis (MPS). Orphanet J Rare Dis, 11:1-14.
  • Spillmann RC, McConkie-Rosell A, Pena L, Jiang YH, Schoch K, Walley N et al. (2017) A window into living with an undiagnosed disease: Illness narratives from the Undiagnosed Diseases Network. Orphanet J Rare Dis, 12:1-11.
  • Stone A (2021) Facial disfigurement, categorical perception, and the influence of disgust sensitivity. Vis Cogn, 29:73-90.
  • Stone A (2022) Negative perceptions of people with facial disfigurement depend on a general attitude rather than on specific concerns. Stigma Health, 7:270–279.
  • Stone A, Wright T (2012) Evaluations of people depicted with facial disfigurement compared to those with mobility impairment. Basic Appl Soc Psychol, 34:212–225.
  • Stone A, Wright T (2013) When your face doesn't fit: Employment discrimination against people with facial disfigurements. J Appl Soc Psychol, 43:515-526.
  • Swift P, Bogart K (2021) A hidden community: Facial disfigurement as a globally neglected human rights issue. J Oral Biol Craniofac Res, 11:652-657.
  • Thompson N (2016) Güç ve Güçlendirme (Çev. Ö. Cankurtaran). Ankara, Nika Yayınevi.
  • Toksoy G, Ayma D, Akoğul P, Eyigün RY (2023) Farkı yüzünde taşımak: İş yaşamı, sınırlar ve engeller. ViraVerita E-Dergi, 17:170-195.
  • Turner SR, Thomas PW, Dowell T, Rumsey N, Sandy JR (2004) Psychological outcomes amongst cleft patients and their families. Cleft Palate Craniofac J, 41:630-636.
  • TÜSEB (2022) Nadir hastalıklar raporu. https://tuhke.tuseb.gov.tr/haberler/nadir-hastaliklar-raporu-yayinlandi-20221102 (Accessed: 10.04.2025).
  • Ürek D, Karaman S (2019) Önemli bir halk sağlığı sorunu olarak nadir hastalıklar ve yetim ilaçlar. Hacettepe Sağlık İdaresi Dergisi, 22:863-878.
  • Van den Elzen ME, Versnel SL, Hovius SE, Passchier J, Duivenvoorden HJ, Mathijssen IM (2012) Adults with congenital or acquired facial disfigurement: Impact of appearance on social functioning. J Craniomaxillofac Surg, 40:777-782.
  • Versnel SL, Duivenvoorden HJ, Passchier J, Mathijssen IMJ (2010) Satisfaction with facial appearance and its determinants in adults with severe congenital facial disfigurement: A case-referent study. J Plast Reconstr Aesthet Surg, 63:1642-1649.
  • Waldboth V, Patch C, Mahrer-Imhof R, Metcalfe A (2016) Living a normal life in an extraordinary way: A systematic review investigating experiences of families of young people's transition into adulthood when affected by a genetic and chronic childhood condition. Int J Nurs Stud, 62:44-59.
  • Wolodiger ED, Pope AW (2019) Associations between parenting stress at school entry and later psychosocial adjustment: A longitudinal study of children with congenital craniofacial anomalies. Cleft Palate Craniofac J, 56:487-494.

Yüz Anomalili Bireylerde Güçlendirme: Nadir Hastalıklar Bağlamında Psikososyal Zorluklar ve Sosyal Hizmet

Year 2026, Volume: 18 Issue: 2, 427 - 437
https://doi.org/10.18863/pgy.1682268

Abstract

Bu derleme çalışması, nadir hastalıklar bağlamında yüz anomalisi olan bireylerin karşılaştığı psikososyal zorlukları ele almakta ve güçlendirme yaklaşımı çerçevesinde sosyal hizmet disiplininin sağlayabileceği destek mekanizmalarını tartışmayı amaçlamaktadır. Yüz anomalileri, bireylerin yalnızca fiziksel sağlıklarını değil, aynı zamanda psikolojik ve sosyal iyi oluşlarını da etkileyen karmaşık durumlardır. Estetik kaygılar, konuşma güçlükleri, damgalanma ve ayrımcılık gibi faktörler, özgüven kaybı, sosyal izolasyon, anksiyete ve depresyon gibi ruh sağlığı sorunlarını beraberinde getirebilmektedir. Ayrıca sağlık, eğitim ve istihdam alanlarında karşılaşılan yapısal engeller, bireylerin toplumsal katılımını sınırlayarak yaşam kalitesini olumsuz etkilemektedir. Nadir hastalıkların doğasında bulunan belirsizlikler, tanı ve tedavi süreçlerinde yaşanan gecikmeler, kronik tıbbi müdahaleler ve yüksek tedavi maliyetleri, bireyler ile ailelerinin psikososyal yükünü artırmaktadır. Bu kapsamda sosyal hizmet uzmanlarının, ruh sağlığı profesyonelleriyle iş birliği içinde kişisel, kişilerarası ve yapısal düzeylerde gerçekleştireceği müdahaleler, bireylerin psikososyal dayanıklılıklarını güçlendirerek toplumsal entegrasyonlarını destekleyebilir. Çalışmada, yüz anomalisi olan bireylerin yaşadığı psikososyal zorluklar güncel literatür ışığında değerlendirilmiş ve güçlendirme yaklaşımı temelinde uygulanabilecek sosyal hizmet müdahaleleri ele alınmıştır. Damgalamayı azaltmaya yönelik savunuculuk faaliyetleri, öz yeterliliği artıran psiko-sosyal programlar ve multidisipliner destek sistemlerinin önemi vurgulanmaktadır.

References

  • Ahmed S (2019) Duyguların Kültürel Politikası (3. Baskı) (Çeviri Ed. S Komut). İstanbul, Sel Yayıncılık.
  • Aslantürk H, Derin M, Arslan S (2019) Nadir hastalıkların aileler üzerindeki psiko-sosyal, fiziksel ve ekonomik etkileri. Tıbbi Sosyal Hizmet Dergisi, 14:80-94.
  • Bogart KR (2020) Socioemotional functioning with facial paralysis: Is there a congenital or acquired advantage? Health Psychol, 39:345-354.
  • Bozok N, Toksoy G (2022) Yüzünde farklı olmak ve farkın görsel temsili üzerine bir tartışma. Moment Dergi, 9:235-250.
  • Bradbury E (2012) Meeting the psychological needs of patients with facial disfigurement. Br J Oral Maxillofac Surg, 50:193-196.
  • Bull R, Rumsey N (1988) The social psychology of facial disfigurement. In The Social Psychology of Facial Appearance (Eds N Rumsey, R Bull). New York, Springer.
  • Christensen K, Juel K, Herskind AM, Murray JC (2004) Long-term follow-up study of survival associated with cleft lip and palate at birth. BMJ, 328:1405.
  • Council of the European Union (2009) Council recommendation of 8 June 2009 on an action in the field of rare diseases (2009/C151/02). Off J Eur Union, C151:7-10. https://eur-lex.europa.eu/LexUriServ.do?uri=OJ:C:2009:151:0007:0010:EN:PDF (Accessed 30 May 2025).
  • Deshpande A, Ghooi R (2017) Narrative: The fear of disfigurement in cancer patients. Indian J Palliat Care, 23:347–349.
  • Dion K, Berscheid E, Walster E (1972) What is beautiful is good. J Pers Soc Psychol, 24:285.
  • Edwards TC, Patrick DL, Topolski TD, Aspinall CL, Mouradian WE, Speltz ML (2005) Approaches to craniofacial-specific quality of life assessment in adolescents. Cleft Palate Craniofac J, 42:19-24.
  • Eagly AH, Ashmore RD, Makhijani MG, Longo LC (1991) What is beautiful is good, but…: A meta-analytic review of research on the physical attractiveness stereotype. Psychol Bull, 110:109–128.
  • Eiserman W (2001) Unique outcomes and positive contributions associated with facial difference: Expanding research and practice. Cleft Palate Craniofac J, 38:236–244.
  • Fioravanti G, Bocci Benucci S, Ceragioli G, Alfieri S, Casale S (2022) How the exposure to beauty ideals on social networking sites influences body image: A systematic review of experimental studies. Adolesc Res Rev, 7:419–458.
  • Garrino L, Picco E, Finiguerra I, Rossi D, Simone P, Roccatello D (2015) Living with and treating rare diseases: Experiences of patients and professional health care providers. Qual Health Res, 25:636-651.
  • Goffman E (1963) Embarrassment and social organization. In Personality and social systems (Eds NJ Smelser, WT Smelser):541-548. New York, Wiley.
  • Goffman E (2014) Damga: Örselenmiş Kimliğin İdare Edilişi Üzerine Notlar. (Çev. L Ünsaldı, Ş Geniş, SN Ağırnaslı). İstanbul, Heretik Yayıncılık.
  • Greenberg DM (1979) Parental reactions to an infant with a birth defect: A study of five families. Biennial Meeting of the Society for Research in Child Development, March 15–18, San Francisco, CA, USA.
  • Griffin AM, Langlois JH (2006) Stereotype directionality and attractiveness stereotyping: Is beauty good or is ugly bad? Soc Cogn, 24:187–206.
  • Gutierrez LM, Parsons RJ, Cox EO (1998) Empowerment in social work practice: A sourcebook. Pacific Grove, Brooks/Cole.
  • İlbars H, Irmak DK, Akan H (2014) Orphan drugs: R&D challenges with updates from Turkey and Middle East countries. J Clin Stud, 6:58-63.
  • Johansen H, Dammann B, Andresen IL, Fagerland MW (2013) Health-related quality of life for children with rare diagnoses, their parents’ satisfaction with life and the association between the two. Health Qual Life Outcomes, 11:152.
  • Kesselheim AS, McGraw S, Thompson L, O’Keefe K, Gagne JJ (2015) Development and use of new therapeutics for rare diseases: Views from patients, caregivers, and advocates. Patient, 8:75-84.
  • Kılıç P, Koçkaya G, Yemşen Ö, Tan C, Öztunca FH, Aksungur P et al. (2013) Orphan drug regulations in Turkey. J Pharm Health Serv Res, 4:151-153.
  • Langlois JH, Kalakanis L, Rubenstein AJ, Larson A, Hallam M, Smoot M (2000) Maxims or myths of beauty? A meta-analytic and theoretical review. Psychol Bull, 126:390-423.
  • Lanigan SW, Cotterill JA (1989) Psychological disabilities amongst patients with port wine stains. Br J Dermatol, 121:209–215.
  • Lansdown R, Polak L (1975) A study of the psychological effects of facial deformity in children. Child Care Health Dev, 1:85-91.
  • Lee JA (2001) The Empowerment Approach to Social Work Practice. New York, Columbia University Press.
  • Leonard BJ, Brust JD, Abrahams G, Sielaff B (1991) Self-concept of children and adolescents with cleft lip and/or palate. Cleft Palate Craniofac J, 28:347-353.
  • Munro M, Cook AM, Bogart KR (2022) n inductive qualitative content analysis of stigma experienced by people with rare diseases. Psychol Health, 37:948-963.
  • Nguengang Wakap S, Lambert DM, Olry A, Rodwell C, Gueydan C, Lanneau V et al. (2020) Estimating cumulative point prevalence of rare diseases: Analysis of the Orphanet database. Eur J Hum Genet, 28:165-173.
  • Nutt S, Limb L (2011) Survey of patients' and families' experiences of rare diseases reinforces calls for a rare disease strategy. Soc Care Neurodisabil, 2:195-199.
  • Oliver M (2011) Sakatlığın ideolojik inşası. In Sakatlık Çalışmaları: Sosyal Bilimlerden Bakmak (Eds D Bezmez, S Yardımcı, Y Şentürk):227-242. İstanbul, Koç Üniversitesi Yayınları.
  • Olkin R, Pledger C (2003) Can disability studies and psychology join hands? Am Psychol, 58:296-304.
  • Orphanet (2024) Prevalence and incidence of rare diseases: Bibliographic data. https://www.orpha.net/pdfs/orphacom/cahiers/docs/GB/Prevalence_of_rare_diseases_by_alphabetical_list.pdf (Accessed: 30 May 2025).
  • Orphanet J Rare Dis (2025) Facial anomaly. https://ojrd.biomedcentral.com/articles?query=facial+anomaly (Accessed: 30 May 2025).
  • Payne M (2020) How to use social work theory in practice: An essential guide. Bristol,UK, Policy Press.
  • Pertschuk MJ, Whitaker LA (1982) Social and psychological effects of craniofacial deformity and surgical reconstruction. Clin Plast Surg, 9:297-306.
  • Pope AW, Ward J (1997) Self-perceived facial appearance and psychosocial adjustment in preadolescents with craniofacial anomalies. Cleft Palate Craniofac J, 34:396-401.
  • Ramstad T, Ottem E, Shaw WC (1995) Psychosocial adjustment in Norwegian adults who had undergone standardized treatment of complete cleft lip and palate: I. Education, employment and marriage. Scand J Plast Reconstr Surg Hand Surg, 29:251-257.
  • Rankin M, Borah GL (2003) Perceived functional impact of abnormal facial appearance. Plast Reconstr Surg, 111:2140-2146.
  • Rappaport J (1987) Terms of empowerment. Am J Community Psychol, 23:121–134.
  • Rare Diseases Europe (EURORDIS) (2022) What is a rare disease? https://www.eurordis.org/information-support/what-is-a-rare-disease/ (Accessed: 30 May 2025).
  • Richman LC, Ryan SM (2003) Do the reading disabilities of children with cleft fit into current models of developmental dyslexia? Cleft Palate Craniofac J, 40:154-157.
  • Rumsey N, Bull R, Gahagan D (1982) The effect of facial disfigurement on the proxemic behavior of the general public. J Appl Soc Psychol, 12:137-150.
  • Rumsey N, Harcourt D (2004) Body image and disfigurement: issues and interventions. Body Image, 1:83-97.
  • Rumsey N, Harcourt D (2005) The Psychology of Appearance. London, McGraw-Hill Education.
  • Ryan S, Oaten M, Stevenson RJ, Case TI (2012) Facial disfigurement is treated like an infectious disease. Evol Hum Behav, 33:639-646.
  • Sağlık Bakanlığı (2023) Nadir Hastalıklar Sağlık Strateji Belgesi ve Eylem Planı. Ankara, Sağlık Bakanlığı.
  • Shanmugarajah K, Gaind S, Clarke A, Butler PE (2012) The role of disgust emotions in the observer response to facial disfigurement. Body Image, 9:455-461.
  • Shaw WC (1981) Folklore surrounding facial deformity and the origins of facial prejudice. Br J Plast Surg, 34:237-246.
  • Sheafor BW, Horejsi CR (2014) Sosyal Hizmet Uygulaması Temel Teknikler ve İlkeler (Çev. A. Bilgin et al., Ed. D. B. Çiftci). Ankara, Nika Yayınevi.
  • Solomon BB (1976) Black empowerment: Social work in oppressed communities. New York, Columbia University Press.
  • Somanadhan S, Larkin PJ (2016) Parents’ experiences of living with, and caring for children, adolescents and young adults with mucopolysaccharidosis (MPS). Orphanet J Rare Dis, 11:1-14.
  • Spillmann RC, McConkie-Rosell A, Pena L, Jiang YH, Schoch K, Walley N et al. (2017) A window into living with an undiagnosed disease: Illness narratives from the Undiagnosed Diseases Network. Orphanet J Rare Dis, 12:1-11.
  • Stone A (2021) Facial disfigurement, categorical perception, and the influence of disgust sensitivity. Vis Cogn, 29:73-90.
  • Stone A (2022) Negative perceptions of people with facial disfigurement depend on a general attitude rather than on specific concerns. Stigma Health, 7:270–279.
  • Stone A, Wright T (2012) Evaluations of people depicted with facial disfigurement compared to those with mobility impairment. Basic Appl Soc Psychol, 34:212–225.
  • Stone A, Wright T (2013) When your face doesn't fit: Employment discrimination against people with facial disfigurements. J Appl Soc Psychol, 43:515-526.
  • Swift P, Bogart K (2021) A hidden community: Facial disfigurement as a globally neglected human rights issue. J Oral Biol Craniofac Res, 11:652-657.
  • Thompson N (2016) Güç ve Güçlendirme (Çev. Ö. Cankurtaran). Ankara, Nika Yayınevi.
  • Toksoy G, Ayma D, Akoğul P, Eyigün RY (2023) Farkı yüzünde taşımak: İş yaşamı, sınırlar ve engeller. ViraVerita E-Dergi, 17:170-195.
  • Turner SR, Thomas PW, Dowell T, Rumsey N, Sandy JR (2004) Psychological outcomes amongst cleft patients and their families. Cleft Palate Craniofac J, 41:630-636.
  • TÜSEB (2022) Nadir hastalıklar raporu. https://tuhke.tuseb.gov.tr/haberler/nadir-hastaliklar-raporu-yayinlandi-20221102 (Accessed: 10.04.2025).
  • Ürek D, Karaman S (2019) Önemli bir halk sağlığı sorunu olarak nadir hastalıklar ve yetim ilaçlar. Hacettepe Sağlık İdaresi Dergisi, 22:863-878.
  • Van den Elzen ME, Versnel SL, Hovius SE, Passchier J, Duivenvoorden HJ, Mathijssen IM (2012) Adults with congenital or acquired facial disfigurement: Impact of appearance on social functioning. J Craniomaxillofac Surg, 40:777-782.
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There are 69 citations in total.

Details

Primary Language English
Subjects Social Psychology, Mental Health Services
Journal Section Review
Authors

Elvan Ulucan Özkan 0000-0002-9868-5743

Publication Date November 9, 2025
Submission Date April 23, 2025
Acceptance Date July 4, 2025
Published in Issue Year 2026 Volume: 18 Issue: 2

Cite

AMA Ulucan Özkan E. Empowerment in Individuals with Facial Anomalies: Psychosocial Challenges and Social Work in Rare Diseases. Psikiyatride Güncel Yaklaşımlar - Current Approaches in Psychiatry. 18(2):427-437. doi:10.18863/pgy.1682268

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