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Altered body image: a fear‐avoidance model of psycho‐social difficulties following disfigurement
Abstract
Altered body image is a potential and actual source of considerable distress, particularly following facial disfigurement, and social functioning is reported as a major area of difficulty by sufferers. However, the area of facial disfigurement has received comparatively little attention from researchers in health care. Two current models of disturbed body image are examined, and it is contended that both require development in order to be of use in responding to the difficulties experienced by disfigured people. A fear-avoidance model of exaggerated pain perception, which has clear treatment implications, is described, and it is shown how this model may be modified to offer a framework for the understanding and treatment of the psycho-social difficulties of disfigured people. In particular, it is suggested that the avoidance present following disfigurement is phobic in nature, and special attention is given to the roles of avoidance and confrontation in mediating these difficulties. Implications for intervention and the shortcomings of the model are described.
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“patients with HNC frequently experience poor social self-efficacy and social isolation”
From Psychological variables associated with quality of life in patients with head and neck cancer: the role of body image distress (2022) · cites this paper as [12]
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Metadata
- Authors
- Newell, R. J.
- Venue
- Journal of Advanced Nursing
- Publisher
- Wiley
- Published
- 1999-11
- Volume
- 30
- Issue
- 5
- Pages
- 1230-1238
- ISSN
- 0309-2402 (ISSN-L)
- 1365-2648
- OpenAlex
- W2001582105
- Cited by
- 113
- References
- 44
- Citations by year
- 2025: 9 · 2024: 3 · 2023: 4 · 2022: 4 · 2021: 5 · 2020: 5 · 2019: 3 · 2018: 6 · 2017: 4 · 2016: 2 · 2015: 2 · 2014: 3 · 2013: 5 · 2012: 18
- FWCI
- 0.37
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Advanced Nursing (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Body Image and Dysmorphia Studies
- Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
- Health Sciences › Medicine › Surgery › Reconstructive Facial Surgery Techniques
- Keywords
- altered body image, facial disfigurement, fear-avoidance model, social functioning, phobic avoidance, confrontation, psychological intervention
- MeSH terms
- Avoidance Learning, Body Image, Face, Fear, Humans, Models, Psychological, Pain, Psychology, Social, Somatoform Disorders
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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