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Beauty and the Beast: Psychobiologic and Evolutionary Perspectives on Body Dysmorphic Disorder

Published online by Cambridge University Press:  07 November 2014

Abstract

Body dysmorphic disorder (BDD) is characterized by preoccupation with a defect in appearance. Concepts of beauty play a particularly crucial role in humans' mental and social life, and may have specific psychobiologic and evolutionary underpinnings. In particular, there is a growing literature on the neurocircuitry underpinning the body schema, body image and facial expression processing, and aesthetic and symmetry judgments. Speculatively, disruptions in cognitive-affective processes relevant to judgments about physical beauty lead to BDD.

Type
Pearls in Clinical Neuroscience
Copyright
Copyright © Cambridge University Press 2006

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References

REFERENCES

1.McGlynn, SM, Schachter, DL. Unawareness of deficits in neuropsychological syndromes. J Clin Exp Neuropsychol. 1989;11:143205.CrossRefGoogle ScholarPubMed
2.Maravita, A, Spence, C, Driver, J. Multisensory integration and the body schema: Close to hand and within reach. Curr Biol. 2003;13:531539.Google Scholar
3.Downing, PE, Jiang, Y, Shuman, M, Kanwisher, D. A cortical area selective for visual processing of the human body. Science. 2001;293:24702473.Google Scholar
4.Uher, R, Murphy, T, Friederich, HC, et al.Functional neuroanatomy of body shape perception in healthy and eating-disordered women. Biol Psychiatry. 2005;58:990997.Google Scholar
5.Loffler, G, Yourganov, G, Wilkinson, F, Wilson, HR. fMRI evidence for the neural representation of faces. Nat Neurosci. 2005;8:13861390.Google Scholar
6.Grill-Spector, K, Knouf, N, Kanwisher, N. The fusiform face area subserves face perception, not generic within-category identification. Nat Neurosci. 2004;7:555562.Google Scholar
7.Aharon, I, Etcoff, N, Ariely, D, Chabris, CF, O'Connor, E, Breiter, HC. Beautiful faces have variable reward value: fMRI and behavioral evidence. Neuron. 2001;32:537551.Google Scholar
8.O'Doherty, J, Winston, J, Critchley, H, Perrett, D, Burt, DM, Dolan, RJ. Beauty in a smile: the role of medial orbitofrontal cortex in facial attractiveness. Neuropsychologia. 2003;41:147155.Google Scholar
9.Jacobsen, T, Schubotz, RI, Hofel, L, Cramon, DY. Brain correlates of aesthetic judgment of beauty. Neuroimage. 2006;29:276285.CrossRefGoogle ScholarPubMed
10.Senior, C. Beauty in the brain of the beholder. Neuron. 2003;38:525528.Google Scholar
11.Rauch, SL, Phillips, KA, Segal, E, et al.A preliminary morphometric magnetic resonance imaging study of regional brain volumes in body dysmorphic disorder. Psychiatry Res. 2003;122:1319.Google Scholar
12.Carey, P, Seedat, S, Warwick, J, van Heerden, B, Stein, DJ. SPECT imaging of body dysmorphic disorder. J Neuropsychiatry Clin Neurosci. 2004;16:357359.Google Scholar
13.Deckersbach, T, Savage, CR, Phillips, KA, et al.Characteristics of memory dysfunction in body dysmorphic disorder. J Int Neumpsychol Soc. 2000;6:673681.Google Scholar
14.Gabbay, V, Asnis, GM, Bello, JA, Alonso, CM, Serras, SJ, O'Dowd, MA. New onset of body dysmorphic disorder following frontotemporal lesion. Neurology. 2003;61:123125.Google Scholar
15.Hollander, E, Allen, A, Kwon, J, et al.Clomipramine vs desipramine crossover trial in body dysmorphic disorder: selective efficacy of a serotonin reuptake inhibitor in imagined ugliness. Arch Gen Psychiatry. 1999;56:10331039.CrossRefGoogle ScholarPubMed
16.Phillips, KA, McElray, SL, Dwight, MM, Eisen, JL, Rasmussen, SA. Delusionality and response to open-label fluvoxamine in body dysmorphic disorder. J Clin Psychiatry. 2001;62:8791.Google Scholar
17.Phillips, KA. Olanzapine augmentation of fluoxetine in body dysmorphic disorder. Am J Psychiatry. 2005;162:10221023.Google Scholar
18.Veale, D, Gournay, K, Dryden, W, Boocock, A, Shah, F, Willson, R, Walburn, J. Body dysmorphic disorder: a cognitive behavioural model and pilot randomised controlled trial. Behav Res Ther. 1996;34:717729.CrossRefGoogle ScholarPubMed
19.Greer, JM, Capecchi, MR. Hoxb8 is required for normal grooming behavior in mice. Neuron. 2002;33:2334.Google Scholar
20.Phillips, KA, Menard, W, Fay, C, Weisberg, R. Demographic characteristics, phenomenology, comorbidity, and family history in 200 individuals with body dysmorphic disorder. Psychosomatics. 2005;46:317325.Google Scholar
21.Bienvenu, OJ, Samuels, JF, Riddle, MA, et al.The relationship of obsessive-compulsive disorder to possible spectrum disorders: results from a family study. Biol Psychiatry. 2000;48:287293.Google Scholar
22.Roberts, SC, Little, AC, Gosling, LM, et al.MHC-heterozygosity and human facial attractiveness. Evol Hum Behav. 2005;26:213216.Google Scholar
23.Stein, DJ, Frenkel, M, Hollander, E. Classification of Koro. Am J Psychiatry. 1991;148:12791280.Google Scholar
24.Hitzeroth, V, Wessels, C, Zungu-Dirwayi, N, Oosthuizen, P, Stein, DJ. Muscle dysmorphia: a South African sample. Psychiatry Clin Neurosci. 2001;55:521523.Google Scholar
25.Rhodes, G, Yoshikawa, S, Clark, A, Lee, K, McKay, R, Akamatsu, S. Attractiveness of facial averageness and symmetry in non-western cultures: in search of biologically based standards of beauty. Perception. 2001;30:611625.Google Scholar
26.Rhodes, G. The evolutionary psychology of facial beauty. Annu Rev Psychol. 2006;57:199226.Google Scholar
27.Etcoff, N. Survival of the Prettiest: The Science of Beauty. New York, NY: Anchor/Doubleday; 1999.Google Scholar
28.Zaidel, DW, Aarde, SM, Baig, K. Appearance of symmetry, beauty, and health in human faces. Brain Cogn. 2005;57:261263.Google Scholar
29.Cellerino, A. Psychobiology of facial attractiveness. J Endocrinol Invest. 2003;26(3 suppl):4548.Google Scholar
30.Thornhill, R, Gangestad, SW. Facial attractiveness. Trends Cog Sci. 1999;3:452460.CrossRefGoogle ScholarPubMed
31.Stein, DJ. Translational and evolutionary models of body dysmorphic disorder. In: Maj, M, Akiskal, HS, Mezzich, JE, Okasha, A, eds. Somatoform Disorders. Chichester, England: John Wiley; 2005;226227.Google Scholar
32.Veale, D, Ennis, M, Lambrou, C. Possible association of body dysmorphic disorder with an occupation or education in art and design. Am J Psychiatry. 2002;159:17881790.Google Scholar
33.Atiullah, N, Phillips, KA. Fatal body dysmorphic disorder by proxy. J Clin Psychiatry. 2001;62:204205.Google Scholar
34.Phillips, KA. Body dsymorphic disorder: diagnostic controversies and treatment challenges. Bull Menninger Clin. 2000;64:1835.Google Scholar
35.Simeon, D, Hollander, E, Stein, DJ, Cohen, L, Aronowitz, B. Body dysmorphic disorder in the DSM-IV field trial for obsessive-compulsive disorder. Am J Psychiatry. 1995;152:12071209.Google ScholarPubMed
36.Stein, DJ, Ono, Y, Tajima, O, Muller, JE. The social anxiety disorder spectrum. J Clin Psychiatry. 2004;65:2733.Google Scholar
37.Phillips, KA, Menard, W, Pagano, ME, Fay, C, Stout, RL. Delusional versus nondelusional body dysmorphic disorder: clinical features and course of illness. J Psychiatr Res. 2006;40:95104.Google Scholar
38.Zimmerman, M, Mattia, JI. Body dysmorphic disorder in psychiatric outpatients: recognition, prevalence, comorbidity, demographic, and clinical correlates. Compr Psychiatry. 1998;39:265270.Google Scholar
39.Wilhelm, S, Otto, MW, Zucker, BG, Pollack, MH. Prevalence of body dysmorphic disorder in patients with anxiety disorders. J Anxiety Disord. 1997;11:499502.Google Scholar
40.Grant, JE, Kim, SW, Crow, SJ. Prevalence and clinical features of body dysmorphic disorder in adolescent and adult psychiatric inpatients. J Clin Psychiatry. 2001;62:517522.Google Scholar
41.Otto, MW, Wilhelm, S, Cohen, LS, Harlow, BL. Prevalence of body dysmorphic disorder in a community sample of women. Am J Psychiatry. 2001;58:20612063.Google Scholar
42.Dufresne, RG, Phillips, KA, Vittorio, CC, Wilkel, CS. A screening questionnaire for body dysmorphic disorder in a cosmetic dermatologic surgery practice. Dermatol Surg. 2001;27:457462.Google Scholar
43.Phillips, KA, Hollander, E, Rasmussen, SA, Aronowitz, BR, DeCaria, C, Goodman, WK. A severity rating scale for body dysmorphic disorder: development, reliability, and validity of a modified version of the Yale-Brown Obsessive Compulsive Scale. Psychopharmacol Bull. 1997;33:1722.Google ScholarPubMed
44.Phillips, KA, Coles, ME, Menard, W, Yen, S, Fay, C, Weisberg, RB. Suicidal ideation and suicide attempts in body dysmorphic disorder. J Clin Psychiatry. 2005;66:717725.Google Scholar
45.Phillips, KA, Taub, SL. Skin picking as a symptom of body dysmorphic disorder. Psychopharmacol Bull. 1995;31:279288.Google Scholar
46.Lucas, P. Violence may be serious in men with body dysmorphic disorder. BMJ. 2002;324:678.Google Scholar
47.Williams, J, Hadjistavropoulos, T, Sharpe, D. A meta-analysis of psychological and pharmacological treatments for Body Dysmorphic Disorder. Behav Res Ther. 2006;44:99111.Google Scholar
48.Phillips, KA. Placebo-controlled study of pimozide augmentation of fluoxetine in body dysmorphic disorder. Am J Psychiatry. 2005;162:377379.Google Scholar