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Chapter 5 - The Ideal of the Perfect Body

Appearance Anxiety, Excessive Exercising, and Use of Image- and Performance-Enhancing Drugs

from Section 1 - From Exercise to Addiction: An Introduction to the Phenomenon

Published online by Cambridge University Press:  30 March 2023

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

Sociocultural theories of body image propose that different societies have different conceptions of the ideal body shape. Within contemporary Westernized cultures, advertisements, the Internet, and social media networks promote particular assumptions about what constitutes the ‘ideal’ body, and thus exert a strong social pressure to achieve such a body shape. Individuals go to great lengths to achieve and maintain a body image that corresponds to these archetypes of ‘beauty’, which are reinforced as having a superior social value. Such social ideals of beauty are often entirely unrealistic, and can result in body dissatisfaction, appearance anxiety, body image disorder, low self-esteem, and depressive symptoms. Attempts to attain the ideal body can lead to excessive behaviours, such as compulsive exercising, the use of image- and performance-enhancing drugs (IPEDs), and eating disorders. This chapter focuses on excessive exercising and the use of IPEDs, and how these behaviours relate to distress about body image.

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Chapter
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The Body in the Mind
Exercise Addiction, Body Image and the Use of Enhancement Drugs
, pp. 77 - 92
Publisher: Cambridge University Press
Print publication year: 2023

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References

Schilder, P. The Image and Appearance of the Human Body. Kegan Paul, 1935.Google Scholar
Head, H, Holmes, G. Les Sensations et el Córtex Cerebral [The Sensations and the Cerebral Cortex]. Privat, 1973.Google Scholar
Schilder, P. A Imagem do Corpo. As Energias Construtivas da Psique [The Body Image. The Constructive Energies of the Psyche]. Martins Fontes, 1980.Google Scholar
Fraser, M, Greco, M. Introduction. In: Fraser, M, Greco, M, eds. The Body: A Reader. Routledge, 2005: 2641.Google Scholar
Turner, B. The Body and Society. Sage, 1996.Google Scholar
Shorter, E. From Paralysis to Fatigue: A History of Psychosomatic Illness in the Modern Era. Free Press, 1992.Google Scholar
Eco, U. Storia della Bruttezza [On Uglyness]. RCS Libri S.p.A. Bompiani, 2007.Google Scholar
Eco, U, de Michele, G. Storia della Bellezza [On Beauty]. RCS Libri S.p.A. Bompiani, 2002.Google Scholar
Foucault, M. The Use of Pleasure: The History of Sexuality, Vol. 2. Penguin, 1986.Google Scholar
Foucault, M. Technologies of the self. In: Martin, LM, Gutman, H, Hutton, PH, eds. Technologies of the Self: A Seminar with Michel Foucault. Tavistock, 1988: 1649.Google Scholar
Featherstone, M. The body in consumer culture. Theory Cult Soc 1982; 1: 1833.CrossRefGoogle Scholar
Lipovetsky, G. L’Ère du Vide [The Era of the Void]. Gallimard, 1983.Google Scholar
van den Berg, P, Thompson, JK, Obremski-Brandon, K, Coovert, M. The Tripartite Influence model of body image and eating disturbance: a covariance structure modeling investigation testing the mediational role of appearance comparison. J Psychosom Res 2002; 53: 1007–20.Google Scholar
Swami, V, Frederick, DA, Aavik, T et al. The attractive female body weight and female body dissatisfaction in 26 countries across 10 world regions: results of the International Body Project I. Pers Soc Psychol Bull 2010; 36: 309–25.Google Scholar
Canguilhem, G. The Normal and the Pathological. Zone, 1989.Google Scholar
Behar, AR. La construcción cultural del cuerpo: el paradigma de los trastornos de la conducta alimentaria [The cultural construction of the body: the paradigm of eating disorders]. Rev Chil Neuro-Psiquiatr 2010; 48: 319–34.Google Scholar
Burnette, CB, Kwitowski, MA, Mazzeo, SE. “I don’t need people to tell me I’m pretty on social media:” a qualitative study of social media and body image in early adolescent girls. Body Image 2017; 23: 114–25.CrossRefGoogle ScholarPubMed
Fardouly, J, Vartanian, LR. Social media and body image concerns: current research and future directions. Curr Opin Psychol 2016; 9: 15.CrossRefGoogle Scholar
Barry, CT, Doucette, H, Loflin, DC, Rivera-Hudson, N, Herrington, L. “Let me take a selfie”: associations between self-photography, narcissism, and self-esteem. Psychol Pop Media Cult 2017; 6: 4860.CrossRefGoogle Scholar
Grogan, S. Body Image: Understanding Body Dissatisfaction in Men, Women and Children, 3rd ed. Routledge, 2016.Google Scholar
Mabe, AG, Forney, KJ, Keel, PK. Do you “like” my photo? Facebook use maintains eating disorder risk. Int J Eat Disord 2014; 47: 516–23.CrossRefGoogle Scholar
Dores, AR, Carvalho, IP, Burkauskas, J et al. Exercise and use of enhancement drugs at the time of the COVID-19 pandemic: a multicultural study on coping strategies during self-isolation and related risks. Front Psychiatry 2021; 12: 648501.Google Scholar
Cataldo, I, De Luca, I, Giorgetti, V et al. Fitspiration on social media: body-image and other psychopathological risks among young adults. A narrative review. Emerg Trends Drugs Addict Health 2021; 1: 100010.Google Scholar
Sylvia, Z, King, TK, Morse, BJ. Virtual ideals: the effect of video game play on male body image. Comput Hum Behav 2014; 37: 183–8.Google Scholar
Tiggemann, M, Zaccardo, M. “Exercise to be fit, not skinny”: the effect of fitspiration imagery on women’s body image. Body Image 2015; 15: 61–7.Google Scholar
Tiggemann, M, Zaccardo, M. ‘Strong is the new skinny’: a content analysis of# fitspiration images on Instagram. J Health Psychol 2016; 23: 1003–11.Google Scholar
Prichard, I, Kavanagh, E, Mulgrew, KE, Lim, MS, Tiggemann, M. The effect of Instagram #fitspiration images on young women’s mood, body image, and exercise behaviour. Body Image 2020; 33: 16.CrossRefGoogle Scholar
Ghaznavi, J, Taylor, LD. Bones, body parts, and sex appeal: an analysis of #thinspiration images on popular social media. Body Image 2015; 14: 5461.Google Scholar
Tiggemann, M, Slater, A. NetGirls: the Internet, Facebook, and body image concern in adolescent girls. Int J Eat Disord 2013; 46: 630–3.CrossRefGoogle ScholarPubMed
Fardouly, J, Diedrichs, PC, Vartanian, LR, Halliwell, E. Social comparisons on social media: the impact of Facebook on young women’s body image concerns and mood. Body Image 2015; 13: 3845.CrossRefGoogle Scholar
Griffiths, S, Murray, SB, Krug, I, McLean, SA. The contribution of social media to body dissatisfaction, eating disorder symptoms, and anabolic steroid use among sexual minority men. Cyberpsychol Behav Soc Netw 2018; 21: 149–56.Google Scholar
Zamani Sani, SH, Fathirezaie, Z, Brand, S et al. Physical activity and self-esteem: testing direct and indirect relationships associated with psychological and physical mechanisms. Neuropsychiatr Dis Treat 2016; 12: 2617–25.Google Scholar
Puhl, RM, Latner, JD. Stigma, obesity, and the health of the nation’s children. Psychol Bull 2007; 133: 557–80.Google Scholar
Franko, DL, Fuller-Tyszkiewicz, M, Rodgers, RF et al. Internalization as a mediator of the relationship between conformity to masculine norms and body image attitudes and behaviors among young men in Sweden, US, UK, and Australia. Body Image 2015;15: 5460.Google Scholar
Grogan, S, Richards, H. Body image: focus groups with boys and men. Men Masculinities 2002; 4: 219–32.CrossRefGoogle Scholar
Jankowski, GS, Gough, B, Fawkner, H, Halliwell, E, Diedrichs, PC. Young men’s minimisation of their body dissatisfaction. Psychol Health 2018; 33: 1343–63.Google Scholar
Pope, HG Jr, Gruber, AJ, Mangweth, B et al. Body image perception among men in three countries. Am J Psychiatry 2000; 157: 1297–301.CrossRefGoogle ScholarPubMed
Pope, HG Jr, Phillips, KA, Olivardia, R. The Adonis Complex: The Secret Crisis of Male Body Obsession. The Free Press, 2000.Google Scholar
Hall, M, Grogan, S, Gough, B, eds. Chemically Modified Bodies: The Use of Diverse Substances for Appearance Enhancement. Palgrave Macmillan, 2006.Google Scholar
McCreary, DR, Saucier, DM. Drive for muscularity, body comparison, and social physique anxiety in men and women. Body Image 2009; 6: 2430.Google Scholar
Gough, B, Seymour-Smith, S, Matthews, CR. Body dissatisfaction, appearance investment, and wellbeing: how older obese men orient to ‘aesthetic health’. Psychol Men Masc 2016; 17: 8491.Google Scholar
Bordo, S. Feminism, Foucault and the politics of the body. In: Ramazanoglu, C, ed. Up Against Foucault: Explorations of Some Tensions Between Foucault and Feminism. Routledge, 1993: 179202.Google Scholar
Dion, K, Berscheid, E, Walster, E. What is beautiful is good. J Pers Soc Psychol 1972; 24: 285–90.Google Scholar
Al-Raqqad, HK, Al-Bourini, ES, Al Talahin, FM, Aranki, RME. The impact of school bullying on students’ academic achievement from teachers’ point of view. Int Educ Stud 2017; 10: 4450.Google Scholar
Darling-Wolf, F. Texts in context: intertextuality, hybridity, and the negotiation of cultural identity in Japan. J Commun Inq 2000; 24: 134–55.Google Scholar
Kaewpradub, N, Kiatrungrit, K, Hongsanguansri, S, Pavasuthipaisit, C. Association among Internet usage, body image and eating behaviors of secondary school students. Shanghai Arch Psychiatry 2017;29: 208–17.Google Scholar
Duarte, C, Pinto-Gouveia, J. Body image flexibility mediates the effect of body image-related victimization experiences and shame on binge eating and weight. Eat Behav 2016; 23: 1318.CrossRefGoogle ScholarPubMed
Cash, TF, Smolak, L. Understanding body images: historical and contemporary perspectives. In: Cash, TF, Smolak, L, eds. Body Image: A Handbook of Science, Practice, and Prevention. Guilford Press, 2011: 311.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
Beucke, JC, Sepulcre, J, Buhlmann, U et al. Degree connectivity in body dysmorphic disorder and relationships with obsessive and compulsive symptoms. Eur Neuropsychopharmacol 2016; 26: 1657–66.CrossRefGoogle ScholarPubMed
Bewley, A. The neglected psychological aspects of skin disease. BMJ 2017; 358: j3208.Google Scholar
American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders, 5th ed. American Psychiatric Association, 2013.Google Scholar
World Health Organization. WHO Guidelines on Physical Activity and Sedentary Behaviour. World Health Organization, 2020. https://apps.who.int/iris/handle/10665/336656Google Scholar
Sanchis-Soler, G, Tortosa-Martínez, J, Manchado-Lopez, C, Cortell-Tormo, JM. The effects of stress on cardiovascular disease and Alzheimer’s disease: physical exercise as a counteract measure. Int Rev Neurobiol 2020; 152: 157–93.Google Scholar
Lichtenstein, MB, Nielsen, RO, Gudex, C, Hinze, CJ, Jørgensen, U. Exercise addiction is associated with emotional distress in injured and non-injured regular exercisers. Addict Behav Rep 2018; 8: 33–9.Google Scholar
Soundy, A, Roskell, C, Stubbs, B, Probst, M, Vancampfort, D. Investigating the benefits of sport participation for individuals with schizophrenia: a systematic review. Psychiatr Danub 2015; 27: 213.Google ScholarPubMed
Berczik, K, Szabó, A, Griffiths, MD et al. Exercise addiction: symptoms, diagnosis, epidemiology, and etiology. Subst Use Misuse 2012; 47: 403–17.Google Scholar
Ekelund, U, Steene-Johannessen, J, Brown, WJ et al. Does physical activity attenuate, or even eliminate, the detrimental association of sitting time with mortality? A harmonised meta-analysis of data from more than 1 million men and women. Lancet 2016; 388: 1302–10.Google Scholar
Furnham, A, Greaves, N. Gender and locus of control correlates of body image dissatisfaction. Eur J Pers 1994; 8: 183200.Google Scholar
Grogan, S, Conner, M, Smithson, H. Sexuality and exercise motivations: are gay men and heterosexual women most likely to be motivated by concern about weight and appearance? Sex Roles 2006; 55: 567–72.Google Scholar
Kyrejto, JW, Mosewich, AD, Kowalski, KC, Mack, DE, Crocker, PRE. Men’s and women’s drive for muscularity: gender differences and cognitive and behavioral correlates. Int J Sport Exerc Psychol 2008; 6: 6984.Google Scholar
Mutrie, N, Choi, PYL. III. Is ‘fit’ a feminist issue? Dilemmas for exercise psychology. Fem Psychol 2000; 10: 544–51.Google Scholar
Ginis, KAG, Bassett, RL. Exercise: effects on body image. In: Cash, T, ed. Encyclopedia of Body Image and Human Appearance. Academic Press, 2012: 412–17.Google Scholar
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.Google Scholar
Laus, MF, Costa, TMB, Almeida, SS. Body image dissatisfaction and aesthetic exercise in adolescents: are they related? Estud Psicol 2013; 18: 63171.Google Scholar
de Coverley Veale, DM. Exercise dependence. Br J Addict 1987; 82: 735–40.CrossRefGoogle ScholarPubMed
Griffiths, MD. Behavioural addiction: an issue for everybody? J Workplace Learn 1996; 8: 1925.Google Scholar
Griffiths, MD. Exercise addiction: a case study. Addict Res 1997; 5: 161–8.CrossRefGoogle Scholar
Cockerill, IM, Riddington, ME. Exercise dependence and associated disorders: a review. Couns Psychol Q 1996; 9: 119–29.Google Scholar
World Health Organization. ICD-11 for Mortality and Morbidity Statistics. World Health Organization, 2019.Google Scholar
Corazza, O, Bersani, FS, Brunoro, R et al. The diffusion of performance and image-enhancing drugs (PIEDs) on the Internet: the abuse of the cognitive enhancer piracetam. Subst Use Misuse 2014; 49: 1849–56.CrossRefGoogle ScholarPubMed
Bates, G, McVeigh, J. Image and Performance Enhancing Drugs: 2015 Survey Results. Centre for Public Health, Liverpool John Moores University, 2016. www.ipedinfo.co.uk/resources/downloads/2015%20National%20IPED%20Info%20Survey%20report.pdfGoogle Scholar
Di Benedetto, G, Pierangeli, M, Scalise, A, Bertani, A. Paraffin oil injection in the body: an obsolete and destructive procedure. Ann Plast Surg 2002; 49: 391–6.Google Scholar
Banke, IJ, Prodinger, PM, Waldt, S et al. Irreversible muscle damage in bodybuilding due to long-term intramuscular oil injection. Int J Sports Med 2012; 33: 829–34.Google Scholar
Smith, D, Rutty, MC, Olrich, TW. Muscle dysmorphia and anabolic-androgenic steroid use. In: Hall, M, Grogan, S, Gough, B, eds. Chemically Modified Bodies: The Use of Diverse Substances for Appearance Enhancement. Palgrave Macmillan, 2016: 3150.Google Scholar
Hildebrandt, T, Alfano, L. Drug use, appearance- and performance-enhancing. In: Cash, T, ed. Encyclopedia of Body Image and Human Appearance. Academic Press, 2012: 392–8.Google Scholar
Sagoe, D, Andreassen, CS, Pallesen, S. The aetiology and trajectory of anabolic–androgenic steroid use initiation: a systematic review and synthesis of qualitative research. Subst Abuse Treat Prev Policy 2014; 9: 27.Google Scholar
Strauss, RH, Yesalis, CE. Anabolic steroids in the athlete. Annu Rev Med 1991; 42: 449–57.CrossRefGoogle ScholarPubMed
Grogan, S, Shepherd, S, Evans, R, Wright, S, Hunter, G. Experiences of anabolic steroid use: in-depth interviews with men and women body builders. J Health Psychol 2006; 11: 845–56.Google Scholar
Hall, M, Grogan, S, Gough, B. Bodybuilders’ accounts of synthol use: the construction of lay expertise. In: Hall, M, Grogan, S, Gough, B, eds. Chemically Modified Bodies: The Use of Diverse Substances for Appearance Enhancement. Palgrave Macmillan, 2016: 127–45.Google Scholar
Eisenberg, ME, Wall, M, Neumark-Sztainer, D. Muscle-enhancing behaviors among adolescent girls and boys. Pediatrics 2012; 130: 1019–26.CrossRefGoogle ScholarPubMed
O’Dea, J, Cinelli, RL. Use of drugs to change appearance in girls and female adolescents. In: Hall, M, Grogan, S, Gough, B, eds. Chemically Modified Bodies: The Use of Diverse Substances for Appearance Enhancement. Palgrave Macmillan, 2016: 5176.Google Scholar
Mental Health Foundation. Body Image: How We Think and Feel About Our Bodies. Mental Health Foundation, 2019. www.mentalhealth.org.uk/publications/body-image-report.Google Scholar

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