LITERATURE STUDY 

2.8 SUPPORT SYSTEMS  

Although a lot of research has been done on the negative social impact of acne (cf. 2.6), very little information can be found about the role that specific support structures like teachers, parents or friends play in the lives of adolescents suffering from acne (cf. 1.2.2.1).  

A section of a study conducted by Murray and Rhodes (2005:194) particularly deals with acne patients' relationship to their family and friends. This study involved eleven acne sufferers and although some claimed that their families tried to be supportive, there were some marked exceptions.  

The most damaging remarks made by family members were those that perpetuated common acne myths, for example that acne is caused by uncleanliness or by eating too much greasy foods or chocolate. Although such remarks were often intended as practical advice, participants found it particularly hurtful as it suggested that they were somehow to blame for their condition.  

One participant strongly resented his parents for delaying to act and not taking him to a dermatologist before he developed severe cystic acne and scars. Another participant's mother made her feel even worse by taking her to a beauty salon every time her acne flared up. Some parents and friends would make jokes about acne, while others would simply ignore it and pretend that it did not exist. Overall most of the parents involved in the study simply did not know how to best support their children in this regard. (Murray & Rhodes 2005:195).  

2.9 CONCLUSION 

This literature study highlights certain important issues related to adolescent acne. The causes of acne are quite complex and several related factors all play a role in the development thereof. The severity of the condition also varies greatly and can be classified into four distinct categories, each one progressively more serious than the last. Several popular misconceptions about acne still persist in everyday society. This includes myths about diet, exercise, make-up, tanning and skin cleansing routines.  

Psychologically adolescent acne has far-reaching implications. It negatively impacts upon teenagers' self-esteem and identity formation and it has also been linked to the development of psychiatric conditions such as depression and anxiety. Acne also adversely affects the adolescent's social development and prevents them from forming or maintaining romantic and other social relationships.  

Various treatments for acne are available, each with its own benefits and side-effects. It is extremely important to get access to the right kind of treatment before permanent scarring occurs. Acne sufferers seem to be quite isolated in their plight, despite the best efforts of relatives to support them. Although literature about this issue is limited it seems that parents are unsure of how best to assist and support adolescents suffering from acne. 

In the following chapter the proposed qualitative research design will be discussed in depth.