Pitfalls in child dermatology

The doctor–parent–child interaction is usually dominated by the adult participants and parents, who, regardless of the child’s age, tend to interfere with the doctor–child communication, and who largely advocate a passive role for the child. However, building a trusting relationship with a child and adolescent improves information transfer and induces better socialization toward an active autonomous patient role with health literacy. It improves the health status of the child through selfdetermination and selfefficacy, which in turn has a positive affect of health.