Big Picture: Self as a walking nose

Download PDF for poster. The photomontage is by Steve Caplin (author of How to Cheat in Photoshop) and David Veale, who is a director of a national specialist service in BDD at the Maudsley and Royal Bethlem Hospitals. Does your work lend itself to a striking visual image? Get in touch on [email protected]
‘This photomontage illustrates how a man with body dysmorphic disorder (BDD) described his experience of being excessively self-consciousness about the size of his nose. This is described in our model  as the “self as an aesthetic object”, whereby he experiences his self as a distorted image in appearance-based (objectified) terms viewed from an observer perspective. Thus he feels as if he looks like
a “walking nose” and this defines his identity. Such images are often associated with aversive memories, such as being teased or bullied during childhood. Cognitive behaviour therapy uses imagery rescripting for such memories and to help refocus an individual’s attention away from the self.’

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