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Body dysmorphic disorder

Body dysmorphic disorder (BDD) is a mental disorder which involves a disturbed body image. The central feature of BDD is that persons who are afflicted with it are excessively dissatisfied with their body because of a perceived physical defect. An example would be a woman who is extremely worried that her nose is too big, although other people don't notice anything unusual about it. more...

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Diagnostic criteria (DSM-IV-TR)

The DSM-IV-TR, the latest version of the diagnostic manual of the American Psychiatric Association (see also: DSM cautionary statement), lists three (3) necessary criteria for a diagnosis of body dysmorphic disorder:

  1. Preoccupation with an imagined defect in appearance. If a slight physical anomaly is present, the person's concern is markedly excessive.
  2. The preoccupation causes clinically significant distress or impairment in social, occupational, or other important areas of functioning.
  3. The preoccupation is not better accounted for by another mental disorder (e.g., dissatisfaction with body shape and size in anorexia nervosa).

BDD and other disorders

Note that, according to the DSM criteria, a BDD diagnosis cannot be made if another disorder accounts for the preoccupation with a perceived defect. For instance, people who worry excessively about their weight are not considered to have BDD if this preoccupation is accounted for by an eating disorder. Body dysmorphic disorder is also considered to be different from gender identity disorder and transsexualism, even though the desire to modify one's body is also reflected in people who are judged to have these disorders. Some paraphilias also involve a wish to modify one's body. For example, people with apotemnophilia are convinced that a part of their body needs to be amputated.

In the medical community, some make links between BDD and obsessive-compulsive disorder because there are some similarities between these disorders. For instance, obsessive thoughts and compulsive behaviors are common symptoms of both disorders.

Read more at Wikipedia.org


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Body of work: art career linked to image disorder - Work - Brief Article
From Psychology Today, 3/1/03 by Rose Palazzolo

BALLET DANCERS AND MODELS ARE NOTORIOUS for obsessing about their bodies. But what about art historians, fashion designers and architects?

A recent study of people who suffer from body dysmorphic disorder (BDD), an obsession with imagined or slight imperfections in appearance, suggests they are more likely to have an education or occupation in art and design.

A group of researchers in London studied 100 people with the image disorder and compared them with groups of people with depression, obsessive-compulsive disorder and posttraumatic stress disorder. Artists, designers and people who have been to art school were five times more likely to suffer from BDD, according to the study, published in the American Journal of Psychiatry.

"An occupation or education in art may be a risk factor for BDD" says lead author David Veale, M.D., psychiatrist and senior lecturer at the University of London. "But we don't know whether it is a cause or an effect."

One theory is that those interested in art are more aesthetically minded, which may carry over to a more obsessive evaluation of their own body. Another possibility is that an education or practice in art or design fosters a more critical eye.

"The findings don't surprise me" says Roberto Olivardio, Ph.D., a psychology professor at Harvard Medical School. "I think that people who are artistically inclined might be more visually sensitive."

The idea for the study was sparked when Veale noted that many of his patients with BDD seemed to be preoccupied with art or design. They were either educated or employed in fine art, art history, graphics, clothing or textile design.

"To better understand BDD, we need large epidemiological studies to figure out whether the prevalence of BDD is higher in particular cultures, countries, socioeconomic groups and occupations," adds Katharine Phillips, M.D., an associate professor at Brown Medical School.

COPYRIGHT 2003 Sussex Publishers, Inc.
COPYRIGHT 2003 Gale Group

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