The epiderm (CF2 + CF3) is the most superficial and most innervated layer of the skin. The conflict is separation, loss of contact. The first phase often passes unnoticed but includes a decrease in sensitivity, in circulation and in flexibility as well as ulceration. The second phase includes a large part of "dermatological diseases": irritation, inflammation, redness, swelling, hypersensitivity, proliferation, etc… phenomena leading to diagnoses of eczema, urticaria, exanthema, dermitis, warts, etc… The localisation is where the loss of contact is experienced. Hair loss (in the first phase) is the loss of contact experienced at that level. Let us not forget that the conflict may always be in association: e.g. one may not caress one’s animal any more. Depigmentation (vitiligo) is also a first phase manifestation: separation of a brutal or ugly nature.

The underlying derm (CF1) is thicker and less innervated. It assumes a protective role and the conflict is the affection of integrity i.e. attack, vexation, contamination, mutilation, etc… experiences. As always, all shades in the personal colouring of the conflict reflect on the appearance of the lesions in both phases. Considering this diversity, let us cite some examples.

 

If the classical abscess is the second phase of a small conflict, zona responds to a more important contamination; and, in both cases, the affection of the epiderm is a mechanical consequence: the opening by tearing in order to allow the discharge own to the microbial cleaning. The difference between a small beauty spot and a melanoma resides in the intensity of the arrow that hurt us. Metastases or cutaneous tumour relapses or surgical cicatrices express the mutilation at that spot. As far as the so-called vicious cicatrices (cheloids) are concerned, they follow a conflict of the original wound that, if it were not there, would repair more normally. The greasy cysts or lipoma (CF2) correspond to a devalorisation conflict of an esthetical kind.

Let us end by introducing a new notion: the lesions resting on two conflicts. It is the case of psoriasis where two separation conflicts are found, in two different phases, one of which is active (desquamation) and the other one is solved (redness). These lesions are often more "chronic" since their complete recovery necessitates a definitive solution (i.e. without a relapse of any of them) of both conflict. We will take up the double conflicts when discussing asthma and mental disorders.