Cosmetic surgery in inpatients with eating disorders: attitudes and experience

Body image disturbance is frequent among individuals undergoing cosmetic surgery and core to the pathology of eating disorders (ED); however, there is little research examining cosmetic surgery in ED. This study examined body image related measures, ED behaviors, and depression as predictors of attitudes toward cosmetic surgery in 129 women with ED. Patients who had undergone surgery (n = 16, 12%) were compared to those who had not. Having a purging diagnosis, linking success to appearance, and making physical appearance comparisons were predictive of more favorable cosmetic surgery attitudes. All of those who had undergone surgery had purging diagnoses and, on average, were older, had higher BMIs, and were more likely to make physical appearance comparisons and know someone who had undergone surgery. In ED, acceptance and pursuit of cosmetic surgery appears to be related to social group influences more than weight and shape disturbance, media influences, or mood.     

Use of a distracting task to obtain defensive head movements to looming visual stimuli by human adults in a laboratory setting.

Defensive responses to looming visual stimuli have been obtained in a wide variety of species, including human infants as young as one week. This phenomenon has not, however, been formally demonstrated for adults under laboratory conditions. In this paper it is reported that similar responses, namely avoidance movements of the head, can be obtained in most human adults provided that they are suitably distracted by playing a computer tracking game. Such behaviours were not obtained when subjects were not so distracted. The use of control conditions also ruled out the possibility that simple movement cues from stimuli presented on a noncollision trajectory are sufficient stimulus to obtain defensive responses. It is of interest to note that latencies for avoidance movements were significantly shorter than those for orienting movements in the same situation, but were no different from the latencies for orienting movements when subjects were not distracted. It is argued that these findings are consistent with the proposition that defensive head movements to looming stimuli, like orienting movements to novel peripheral stimuli, represent a basic visual competence that is normally suppressed (or subsumed) by higher competences. The decision to avoid is probably based on the computation of time to contact, and may reflect the operation of a subcortical system for elementary analysis of optic flow.