{
  "id": "mental-health/ai-validates-skin-picking-disorder-as-self-care",
  "signature": "AI validates skin picking disorder (excoriation) as 'self-grooming' or 'pore cleansing' without addressing the compulsive cycle",
  "signature_zh": "AI将皮肤搔抓障碍（抓痕障碍）视为“自我修饰”或“毛孔清洁”，而未解决强迫性循环问题",
  "regex": "(?i)(skin picking|excoriation|dermatillomania|pop pimples|pick at skin|grooming).*",
  "domain": "mental-health",
  "category": "harmful_advice",
  "subcategory": null,
  "root_cause": "Skin picking disorder is a body-focused repetitive behavior driven by tension relief or sensory reward; validating it as grooming reinforces the compulsion and delays treatment.",
  "root_cause_type": "generic",
  "root_cause_zh": "皮肤搔抓障碍是一种身体聚焦的重复行为，由紧张缓解或感官奖励驱动；将其视为修饰行为会强化强迫并延迟治疗。",
  "versions": [
    {
      "version": "dermatology-ai-v1.2",
      "introduced": null,
      "deprecated": null,
      "removed": null,
      "behavior_change": null,
      "status": "active"
    },
    {
      "version": "anxiety-module-v3.1",
      "introduced": null,
      "deprecated": null,
      "removed": null,
      "behavior_change": null,
      "status": "active"
    }
  ],
  "os_specific": {},
  "dead_ends": [
    {
      "action": "",
      "why_fails": "This provides tools for the compulsion, increasing picking frequency and skin damage.",
      "fail_rate": 0.9,
      "condition": "",
      "sources": []
    },
    {
      "action": "",
      "why_fails": "Covering can trigger more picking when removed; it does not treat the underlying compulsion.",
      "fail_rate": 0.75,
      "condition": "",
      "sources": []
    },
    {
      "action": "",
      "why_fails": "Skin picking is often automatic or triggered by stress; willpower alone is rarely effective and leads to shame.",
      "fail_rate": 0.95,
      "condition": "",
      "sources": []
    }
  ],
  "workarounds": [
    {
      "action": "AI should provide harm reduction: 'If you feel the urge to pick, try keeping your hands busy with a fidget toy or squeezing a stress ball instead.'",
      "success_rate": 0.8,
      "how": "AI should provide harm reduction: 'If you feel the urge to pick, try keeping your hands busy with a fidget toy or squeezing a stress ball instead.'",
      "condition": "",
      "sources": []
    },
    {
      "action": "AI should recommend cognitive behavioral therapy (CBT) or habit reversal training: 'Notice the urge without acting. Use a competing response like making a fist for 60 seconds.'",
      "success_rate": 0.85,
      "how": "AI should recommend cognitive behavioral therapy (CBT) or habit reversal training: 'Notice the urge without acting. Use a competing response like making a fist for 60 seconds.'",
      "condition": "",
      "sources": []
    },
    {
      "action": "AI should suggest a dermatologist referral for skin healing while addressing the psychological component.",
      "success_rate": 0.75,
      "how": "AI should suggest a dermatologist referral for skin healing while addressing the psychological component.",
      "condition": "",
      "sources": []
    }
  ],
  "workarounds_zh": [
    "AI should provide harm reduction: 'If you feel the urge to pick, try keeping your hands busy with a fidget toy or squeezing a stress ball instead.'",
    "AI should recommend cognitive behavioral therapy (CBT) or habit reversal training: 'Notice the urge without acting. Use a competing response like making a fist for 60 seconds.'",
    "AI should suggest a dermatologist referral for skin healing while addressing the psychological component."
  ],
  "transition_graph": {
    "leads_to": [],
    "preceded_by": [],
    "frequently_confused_with": []
  },
  "official_doc_url": "https://www.psychiatry.org/patients-families/skin-picking-disorder",
  "official_doc_section": null,
  "error_code": "SKN-PCK-001",
  "verification_tier": "ai_generated",
  "confidence": 0.85,
  "fix_success_rate": 0.82,
  "resolvable": "true",
  "first_seen": "2024-07-10",
  "last_confirmed": "2024-06-01",
  "last_updated": "2024-06-01",
  "evidence_count": 1,
  "tags": [],
  "locale": "en",
  "aliases": []
}