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Chapter 11 - Being Versus Appearing: Two Sides of the Same Coin?

A Case Report

from Section 2 - Reaching the Extreme with Exercise: A Collection of Clinical Case Studies

Published online by Cambridge University Press:  30 March 2023

By
Artemisa Rocha Dores  and
Pedro Morgado
Edited by
Ornella Corazza  and
Artemisa Rocha Dores
Ornella Corazza
Affiliation:
University of Hertfordshire and University of Trento, Italy
Artemisa Rocha Dores
Affiliation:
Polytechnic Institute of Porto and University of Porto, Portugal
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Summary

We are living in an era in which appearance and body image can become the main focus of thoughts and behaviours, resulting in physical, psychological, and social suffering, about which patients, health professionals, and organizations may or may not have insight. This chapter presents the case of a 32-year-old man with body dysmorphic disorder (BDD) who presented for a psychiatric consultation because he believed that his current psychotropic medication was preventing him from achieving his desired body shape. Exercise had become such an overwhelming preoccupation that it was having negative effects on the other areas of his life, and thus required intervention. Possible etiological and maintenance factors, in particular excessive and dysfunctional exercise behaviours (exercise addiction), were explored. Remission of symptoms only occurred after psychotherapy was included as part of the intervention, demonstrating the positive effects of a treatment plan that combines pharmacology with other therapeutic approaches.

Keywords

appearancebehavioural addictionsbody dysmorphic disorderbody imagecase studyexercise addictionperfect body
Type
Chapter
Information
The Body in the Mind
Exercise Addiction, Body Image and the Use of Enhancement Drugs
 , pp. 163 - 170
Publisher: Cambridge University Press
Print publication year: 2023

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References

Mooney, R, Simonato, P, Ruparelia, R et al. The use of supplements and performance and image enhancing drugs in fitness settings: an exploratory cross-sectional investigation in the United Kingdom. Hum Psychopharmacol 2017; 32: e2619.CrossRefGoogle ScholarPubMed
Altabe, M, Thompson, JK. Body image: a cognitive self-schema construct? Cogn Ther Res 1996; 20: 171–93.Google Scholar
Borchert, J, Heinberg, L. Gender schema and gender role discrepancy as correlates of body image. J Psychol 1996; 130: 547–59.Google Scholar
Corazza, O, Simonato, P, Demetrovics, Z et al. The emergence of Exercise Addiction, Body Dysmorphic Disorder, and other image-related psychopathological correlates in fitness settings: a cross sectional study. PLoS ONE 2019; 14: e0213060.CrossRefGoogle ScholarPubMed
Grant, AM. An integrated model of goal-focused coaching: an evidence-based framework for teaching and practice. Int Coach Psychol Rev 2012; 7: 146–65.Google Scholar
Monteath, SA, McCabe, MP. The influence of societal factors on female body image. J Soc Psychol 1997; 137: 708–27.CrossRefGoogle ScholarPubMed
American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders, 5th ed. American Psychiatric Association, 2013.Google Scholar
Phillips, KA, Dufresne, RG Jr, Wilkel, CS, Vittorio, CC. Rate of body dysmorphic disorder in dermatology patients. J Am Acad Dermatol 2000; 42: 436–41.CrossRefGoogle ScholarPubMed
Symons Downs, D, MacIntyre, RI, Heron, KE. Exercise addiction and dependence. In: Anshel, MH, Petruzzelo, SJ, Labbé, EE, eds. APA Handbook of Sport and Exercise Psychology, Vol. 2. Exercise Psychology. American Psychological Association, 2019: 589–604.Google Scholar
Feusner, JD, Neziroglu, F, Wilhelm, S, Mancusi, L, Bohon, C. What causes BDD: research findings and a proposed model. Psychiatr Ann 2010; 40: 349–55.Google Scholar
Veale, D. Advances in a cognitive behavioural model of body dysmorphic disorder. Body Image 2004; 1: 113–25.Google Scholar
Wilhelm, S, Phillips, KA, Steketee, G. Cognitive-Behavioral Therapy for Body Dysmorphic Disorder: A Treatment Manual. The Guilford Press, 2013.Google Scholar
McVeigh, J, Begley, E. Anabolic steroids in the UK: an increasing issue for public health. Drugs (Abingdon Engl) 2016; 24: 278–85.Google Scholar
Griffiths, MD. Exercise addiction: a case study. Addict Res 1997; 5: 161–8.CrossRefGoogle Scholar
Griffiths, MD. Gambling and Gaming Addictions in Adolescence. BPS Blackwell, 2002.Google Scholar
Szabo, A. Studying the psychological impact of exercise deprivation: are experimental studies hopeless? J Sport Behav 1998; 21: 139–47.Google Scholar
Szabo, A. Physical activity and psychological dysfunction. In: Biddle, S, Fox, K, Boutcher, S, eds. Physical Activity and Psychological Well-Being. Routledge, 2000: 130–53.Google Scholar
Griffiths, MD. Behavioural addiction: an issue for everybody? J Workplace Learn 1996; 8: 19–25.Google Scholar
Hartmann, A, Greenberg, J, Wilhelm, S. A Therapist’s Guide for the Treatment of Body Dysmorphic Disorder. International OCD Foundation, 2022. https://bdd.iocdf.org/professionals/therapists-guide-to-bdd-txGoogle Scholar
Wilhelm, S, Phillips, KA, Didie, E et al. Modular cognitive-behavioral therapy for body dysmorphic disorder: a randomized controlled trial. Behav Ther 2014; 45: 314–27.Google Scholar
Wilhelm, S, Phillips, KA, Fama, JM, Greenberg, JL, Steketee, G. Modular cognitive-behavioral therapy for body dysmorphic disorder. Behav Ther 2011; 42: 624–33.Google Scholar

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