Introduction
Body image is a construct that has applications in several areas of psychology and medicine, including patients with neurological disorders leading to inaccurate perceptions of personal appearance, patients with noticeable physical deformities, individuals with pathological misperceptions about certain aspects of their appearance, as well as in eating disorder patients (Fulkerson, McGuire, Neumark Sztainer, Story, French and Perry 2002). In fact, the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV; American Psychiatric Association, 1994) requires the presence of body image disturbance for the diagnosis of both Anorexia Nervosa (AN), marked by food refusal due to fear of weight gain, and Bulimia Nervosa (BN), in which patients binge and purge in order to prevent weight gain (Fulkerson, McGuire, Neumark Sztainer, Story, French and Perry 2002).
Body image can be described as a combination of a person’s perceptions, feelings and thoughts about his/her body and their general physical appearance (Ogden 2010). It is usually conceptualized as an individual’s body size estimation, evaluation of body attractiveness and emotions associated with their body shape and size (Ogden 2010). Representation and visual culture play a significant part in determining the “ideal” female body.
Factors Affecting Body Image Concern
Body image concern is thought to be influenced by a large number of factors including age, gender, family environment and the media. Halliwell and Harvey (2006) have devised a categorization of these factors into four key areas: biological, psychological, interpersonal and environmental and cultural factors. The following section uses this categorization to describe the evidence from the literature concerning these influences on body image (Halliwell and Harvey 2006).
Environmental and cultural factors
Environmental and cultural factors are those relating to
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