Psychodermatology
Disorders at the border between psychiatry and dermatology, such as trichotillomania, skin picking disorder, dermatitis artefacta and body-focused repetitive behaviours.
Research · Publications · Academic Leadership · Global Collaboration
MD, MSc, PhD
Psychiatrist · Researcher · Professor
I work at the border between psychiatry and the rest of medicine, mostly on what happens to mental health when you look at it through the skin, through public health or through the political context people live in. I am Head of the Medical Psychology Department at the School of Medical Sciences, National University of Asunción, and Professor of Psychiatry at the same institution.
Research lines
Five lines of work, fairly connected to one another.
Disorders at the border between psychiatry and dermatology, such as trichotillomania, skin picking disorder, dermatitis artefacta and body-focused repetitive behaviours.
Social and structural determinants of mental disorders, and the design of population-level interventions.
Prevalence, course and clinical characterisation of mental disorders in Paraguayan and Latin American populations.
How geopolitical context, conflict and global crises translate into population mental health.
Medical students' mental health, research training and medical professionalism.
Publications
The most recent ones are here. Below you can see them all, with a search box and a filter by year.
Books and chapters
27 books and 81 chapters, most written with the department and published by university presses in Paraguay and the region.
The first Spanish-language handbook devoted entirely to psychodermatology, written for dermatologists and psychiatrists treating patients whose skin and mind cannot be told apart.
An institutional guide to designing, running and evaluating university outreach projects in the health sciences.
A handbook covering the full path, from formulating the research question to writing and publishing the article.
A short, operational guide to recognising and treating delirium on the ward, aimed at non-psychiatrist physicians.
A clinical psychopharmacology reference written by the department, with twenty-three contributing authors.
A review of the most frequent conditions in psychodermatology practice, with diagnostic criteria and treatment schemes.
Editorial leadership and peer review
Besides publishing, Julio reviews what others write before it comes out and sits on the boards of the journals where that happens.
Editorial boards
Peer review
International Journal of Social Psychiatry94, International Review of Psychiatry17, BMJ Open14, The Lancet Regional Health - Americas11, Psychiatry Research Case Reports9, Acta Psychologica8, Journal of Affective Disorders8, Geopsychiatry7, Medicina Clínica y Social7, Psychology Health & Medicine7, Schizophrenia Research7, PLOS One6, BMC Psychiatry5, Frontiers in Psychiatry5, African Health Sciences4, CNS Spectrums4, Clinical Neurology and Neurosurgery4, Community Mental Health Journal4
ORCID records 501 verified reviews for 160 journals. These are the ones he has reviewed for most often.
Scientific societies and governance
I trained as a physician at the National University of Asunción and specialised in Psychiatry there. Then came an MSc in Psychopharmacology at the University of Valencia, another in Medical Education, an MSc in Clinical Dermatology at CEU Cardenal Herrera University, and a PhD at the Universidad Internacional Iberoamericana. That mix goes a long way towards explaining why I keep working at the edges of the specialty rather than at its centre.
From 2010 to 2021 I led the Psychodermatology Unit at the School of Medical Sciences, and since 2021 I have been Head of the Medical Psychology Department. Psychodermatology was my main line of work for years and is still what I am best known for abroad. These are the disorders that appear where psychiatry and dermatology meet, such as trichotillomania, skin picking disorder and dermatitis artefacta.
In recent years the focus has moved towards public mental health and geopsychiatry. I study how structural determinants, from a pandemic to a geopolitical tension, turn into concrete diagnoses in the consulting room. I direct the Geopsychiatry Collaborative Centre in Paraguay of the International Institute of Geopsychiatry, and I am Associate Editor of the International Journal of Social Psychiatry.
I am a Level II Researcher of Paraguay's National System of Researchers (CONACYT) and an International Fellow of the American Psychiatric Association.
Languages
Spanish native, English very good, Portuguese very good reading, Guaraní good
Positions
Also an International Fellow of the institute.
Also Director General of the Latin American Psychiatry Research Network.
Also a member of the national panel of reviewers.
And general coordinator of the MSc in Mental Health Research.
Also directs the international course “Focus 10 in Psychodermatology” since 2023.
Education
Thesis: Subjective psychological well-being in medical students, through the theory of optimal experience
Thesis: Paediatric trichotillomania: assessment and treatment recommendations
Get in touch
jtorales@fcmuna.edu.pyAcademic enquiries, research collaborations and manuscript review.