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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]
Citations
Cites
Self-efficacy: Toward a unifying theory of behavioral change
Bandura, A. (1977) · Psychological Review · doi:10.1037/0033-295x.84.2.191 · Cited by 43,925
A Theory of Cognitive Dissonance
Festinger, L. (1957) · doi:10.1515/9781503620766 · Cited by 24,241
Outline of a fear-avoidance model of exaggerated pain perception--I.
Lethem, J., Slade, P. D., Troup, J. D. G., & Bentley, G. (1983) · Behaviour Research and Therapy · doi:10.1016/0005-7967(83)90009-8 · Cited by 1,327
The Image and Appearance of the Human Body
Schilder, P. (2013) · Routledge eBooks · doi:10.4324/9781315010410 · Cited by 1,126
Attitudinal Body-Image Assessment: Factor Analysis of the Body-Self Relations Questionnaire
Brown, T. A., Cash, T. F., & Mikulka, P. J. (1990) · Journal of Personality Assessment · doi:10.1207/s15327752jpa5501&2_13 · Cited by 783
Perceptual and Conceptual Disturbances in Anorexia Nervosa
Bruch, H. (1962) · Psychosomatic Medicine · doi:10.1097/00006842-196203000-00009 · Cited by 760
Slade, P. D. (1994) · Behaviour Research and Therapy · doi:10.1016/0005-7967(94)90136-8 · Cited by 499
Macgregor, F. C. (1990) · Aesthetic Plastic Surgery · doi:10.1007/bf01578358 · Cited by 385
An evaluation of the impact of social interaction skills training for facially disfigured people
Robinson, E., Ramsey, N., & Partridge, J. (1996) · British Journal of Plastic Surgery · doi:10.1016/s0007-1226(96)90156-3 · Cited by 246
Rubinow, D. R., Peck, G. L., Squillace, K. M., & Gantt, G. (1987) · Journal of the American Academy of Dermatology · doi:10.1016/s0190-9622(87)70166-2 · Cited by 234
Physical attractiveness in social interaction.
Reis, H. T., Nezlek, J. B., & Wheeler, L. S. (1980) · Journal of Personality and Social Psychology · doi:10.1037/0022-3514.38.4.604 · Cited by 198
Psychosocial adjustment of patients surgically treated for head and neck cancer
Gamba, A., Romano, M., Grosso, L. M., Tamburini, M., Cantú, G., Molinari, R., & Ventafridda, V. (1992) · Head & Neck · doi:10.1002/hed.2880140309 · Cited by 151
The Fear-Avoidance Model of exaggerated pain perception--II.
Slade, P. D., Troup, J., Lethem, J., & Bentley, G. (1983) · Behaviour Research and Therapy · doi:10.1016/0005-7967(83)90010-4 · Cited by 150
A model of hiring decisions in real employment interviews.
Raza, S. M., & Carpenter, B. N. (1987) · Journal of Applied Psychology · doi:10.1037/0021-9010.72.4.596 · Cited by 135
Body image : nursing concepts and care
Price, B. (1990) · Prentice Hall eBooks · Cited by 128
Changing the Body—Psychological Effects of Plastic Surgery
John, B., & Goin, M. (1982) · Annals of Plastic Surgery · doi:10.1097/00000637-198211000-00016 · Cited by 124
Price, B. (1990) · Journal of Advanced Nursing · doi:10.1111/j.1365-2648.1990.tb01858.x · Cited by 116
Dysmorphophobic Avoidance with Disturbed Bodily Perception
Marks, I. M., & Mishan, J. (1988) · The British Journal of Psychiatry · doi:10.1192/bjp.152.5.674 · Cited by 110
Changing Faces: The Challenge of Facial Disfigurement
Partridge, J. S. L. (1990) · Medical Entomology and Zoology · Cited by 108
Do people avoid sitting next to someone who is facially disfigured?
Houston, V., & Bull, R. H. C. (1994) · European Journal of Social Psychology · doi:10.1002/ejsp.2420240205 · Cited by 107
Kleck, R. E., & Rubenstein, C. (1975) · Journal of Personality and Social Psychology · doi:10.1037/h0076243 · Cited by 90
Some Psycho-Social Problems Associated with Facial Deformities
MacGreggor, F. C. (1951) · American Sociological Review · doi:10.2307/2087355 · Cited by 80
THE SURGERY OF APPEARANCE: PSYCHOLOGICAL AND RELATED ASPECTS
Reich, J. (1969) · The Medical Journal of Australia · doi:10.5694/j.1326-5377.1969.tb105580.x · Cited by 68
Body image and its disturbances
Lacey, J. H., & Birtchnell, S. A. (1986) · Journal of Psychosomatic Research · doi:10.1016/0022-3999(86)90096-6 · Cited by 64
An application of the fear avoidance model to three chronic pain problems
Rose, M. J., Klenerman, L., Atchison, L., & Slade, P. D. (1992) · Behaviour Research and Therapy · doi:10.1016/0005-7967(92)90047-k · Cited by 58
Long-term psychosocial follow-up studies of burned adults: review of the literature
Malt, U. F. (1980) · Burns · doi:10.1016/0305-4179(80)90064-9 · Cited by 51
Body‐image disturbance: cognitive behavioural formulation and intervention
Newell, R. (1991) · Journal of Advanced Nursing · doi:10.1111/j.1365-2648.1991.tb01586.x · Cited by 43
Self-citationSocial, psychological and cultural dimensions of cosmetic and reconstructive plastic surgery
Macgregor, F. C. (1989) · Aesthetic Plastic Surgery · doi:10.1007/bf01570318 · Cited by 41
Social Issues and Body Image Concerns of Port Wine Stain Patients Undergoing Laser Therapy
Kalick, S. M., Goldwyn, R. M., & Noe, J. M. (1981) · Lasers in Surgery and Medicine · doi:10.1002/lsm.1900010303 · Cited by 40
Social and Cultural Components in the Motivations of Persons Seeking Plastic Surgery of the Nose
Macgregor, F. C. (1967) · Journal of Health and Social Behavior · doi:10.2307/2948343 · Cited by 37
A social training program for clients with facial disfigurations
Fiegenbaum, W. (1981) · International Journal of Rehabilitation Research · doi:10.1097/00004356-198112000-00003 · Cited by 34
Treatment of psychological distress following mastectomy: an initial report
Tarrier, N., & Maguire, P. (1984) · Behaviour Research and Therapy · doi:10.1016/0005-7967(84)90036-6 · Cited by 33
The Neurobiology of the Body Schema
Cumming, W. J. K. (1988) · The British Journal of Psychiatry · doi:10.1192/s0007125000298905 · Cited by 30
The Benefits and Risks of 5-HT Uptake Inhibitors in Depression: Chairman's Introduction
Montgomery, S. (1988) · The British Journal of Psychiatry · doi:10.1192/s0007125000297237 · Cited by 29
Attitude Change and Behaviour Therapy in Body Dysmorphic Disorder: Two Case Reports
Newell, R., & Shrubb, S. (1994) · Behavioural and Cognitive Psychotherapy · doi:10.1017/s1352465800011942 · Cited by 23
Self-citationDoes Rational Role-play Enhance the Outcome of Exposure Therapy in Dysmorphophobia?
Cromarty, P., & Marks, I. (1995) · The British Journal of Psychiatry · doi:10.1192/bjp.167.3.399 · Cited by 23
Psychological problems associated with facial disfigurement.
Rumsey, N. (1983) · Europe PMC (PubMed Central) · Cited by 12
Gournay, K., Veale, D. M., & Walburn, J. (1997) · Clinical Effectiveness in Nursing · doi:10.1016/s1361-9004(97)80034-9 · Cited by 10
Partridge, J., Winnie, C., Emma, R., & Rumsey, N. (1994) · Nursing Standard · doi:10.7748/ns.8.34.54.s64 · Cited by 9
Facial disfigurement and avoidance : a cognitive behavioural approach
Newell, R. (1998) · Hydra (University of Hull) · Cited by 5
Self-citationHill, B. (2001) · Nursing Standard · doi:10.7748/ns2001.11.16.8.63.c3114 · Cited by 4
Tissue viability. Changing faces: two years on.
Partridge, J., Coutinho, W., Robinson, E., & Rumsey, N. (1994) · PubMed · Cited by 4
Griffiths, E. T. (1989) · PubMed · Cited by 4
Body image. Keeping up appearances.
Price, B. (1986) · PubMed · Cited by 3
Research works printed but not linked: 9
- BanduraA.(1977a)Social Learning Theory.Prentice Hall Englewood Cliffs New Jersey.
- Bull R., 1981, The effects of facial disfigurement on helping behaviour, Italian Journal of Psychology, 8, 25
- ButlerG.(1989)Phobias. InCognitive‐Behaviour Therapy for Psychiatric Problems. A Practical Guide(Hawton K. Salkovskis P.M. Kirk J. & Clark D.M. eds) Oxford University Press Oxford pp. 97–129.
- Dewing J., 1989, Altered body image, Surgical Nurse, 2, 17
- LangP.(1971)The application of psychophysiological methods to the study of psychotherapy. InHandbook of Psychotherapy and Behavior Change(Bergin A.E. & Garfield S.L. eds) John Wiley New York pp. 75–125.
- Latham M., 1997, Commentary: Body dysmorphic disorder: pilot randomized controlled trial of treatment; implications for nurse therapy research and practice (Gournay K, Veale D & Walburn J), Clinical Effectiveness in Nursing, 1, 45
- MarksI.M.(1987)Fears Phobias and Rituals.Oxford University Press New York.
- WestonS.(1989)Walking Tall.Bloomsbury London.
- ZimbardoP.&EbbesonE.B.(1970)Influencing Attitudes and Changing Behavior.Addison‐Wesley New York.
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Rhoten, B. A., Murphy, B., & Ridner, S. H. (2013) · Oral Oncology · doi:10.1016/j.oraloncology.2013.04.005 · Cited by 156
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The individual health burden of acne
Hassan, J. H., Grogan, S., Clark-Carter, D. D., Richards, H. L., & YATES, V. M. (2009) · Journal of Health Psychology · doi:10.1177/1359105309342470 · Cited by 87
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
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