MATERIALISM, SOCIOCULTURAL APPEARANCE MESSAGES, AND PATERNAL ATTITUDES PREDICT COLLEGE WOMEN'S ATTITUDES ABOUT COSMETIC SURGERY

Rates of cosmetic surgery procedures have increased dramatically over the past several decades, but only recently have studies of cosmetic surgery attitudes among the general population begun to appear in the literature. The vast majority of those who undergo cosmetic surgery are women. We examined cosmetic surgery attitudes among 218 undergraduate women, most of whom were White. Specifically, we examined their acceptance of cosmetic surgery and expressed desire to undergo cosmetic surgery procedures, and several potential predictors: appearance attitudes of mothers, fathers, and friends; awareness and internalization of sociocultural appearance messages; and materialism. Multiple regression analyses indicated that materialism and internalization of sociocultural messages consistently emerged as significant predictors of acceptance of cosmetic surgery and desire for cosmetic surgery procedures. Paternal attitudes positively predicted acceptance of cosmetic surgery for social reasons and desire for cosmetic surgery; nonmaterialism negatively predicted considering cosmetic surgery and the desire for cosmetic surgery procedures.     

The Effect of Social Network Site Use on Appearance Investment and Desire for Cosmetic Surgery Among Adolescent Boys and Girls

Although adolescents frequently use social network sites, little is known about whether the highly visual and self-presentation-centered character of such sites affects body-related outcomes such as investment in appearance and appearance-changing strategies. Due to gender differences in appearance pressures and appearance ideals, these effects of social network sites on body-related outcomes may differ between boys and girls. The aim of the current study was therefore to investigate the relationships between social network site use, appearance investment, and desire for cosmetic surgery among adolescents and to compare the experiences of boys and girls. We used data from a two-wave panel study among 604 Dutch adolescents (aged 11–18). Structural equation modeling showed that social network site use positively predicted adolescents’ desire to undergo cosmetic surgery indirectly through increased appearance investment. The relationships found between social network site use, investment in appearance, and cosmetic surgery desire applied to boys and girls and were not moderated by gender.     

The roles of self‐discrepancy and social support in young females' decisions to undergo cosmetic procedures

• Advertising appeals emphasizing unrealistic body images are increasingly linked to depression, loss of self‐esteem, and unhealthy eating habits. Understanding the motivation of young and vulnerable populations to undergo cosmetic procedures can help modify marketing and public policy practices. Using a multidisciplinary approach, this paper confirms the motivating role of self‐concept discrepancy in young women seeking cosmetic procedures. It also reveals conflicting moderating influences of different types of social support on the relationship between self‐discrepancy and choice of cosmetic procedures. Our findings show that family‐based social support attenuates the effect of perceived actual‐ideal self‐discrepancy on the choice of cosmetic procedures, while social support from friends amplifies this effect. Actual‐ought discrepancy appears to negatively affect the propensity for cosmetic procedures. Discussion of the findings and implications for public policy and marketing managers are presented.

Copyright © 2009 John Wiley & Sons, Ltd.     

Sculpting the Body Beautiful: Attachment Style,Neuroticism, and Use of Cosmetic Surgeries

Use of cosmetic surgeries has increased steadily over the last decade, and continues to rise in young and old alike. The purpose of present research was to investigate the relationship of personality to use of cosmetic procedures of various kinds. It was expected that adult attachment style, in particular attachment anxiety, would be positively related to use of cosmetic procedures. Attachment anxiety involves excessive approval seeking and concern over achieving and maintaining the love of significant others (such as romantic relationship partners). Such concerns could, in turn, lead to use of a variety of strategies for maintaining positive regard, including cosmetic surgeries to enhance physical appearance. Results supported this hypothesis, particularly among women. Neuroticism was also related to some procedures, though the relationships were generally weaker than those for attachment anxiety, and largely disappeared in regression analyses that controlled for the separate influence of the two variables.     

Facing Up to Aging: Mid-Life Women's Attitudes toward Cosmetic Procedures

Despite the fact that mid-life and older women are a major consumer group for cosmetic procedures (e.g., botox, face lifts), few studies have been done on their attitudes toward these procedures and their willingness to undergo them. The purpose of the present study was to gather information about the popularity of these procedures among a group of 57 mid-life American women, examine whether some personality and attitudinal measures might predict attitudes toward these procedures, and consider the ramifications of the data for the treatment of women in feminist therapy. About one third (38.5%) of our sample had had one or more cosmetic procedures, and 81% said that they would have a procedure if cost were not an issue. Positive attitudes toward cosmetic surgery and preoccupation with being over-weight best predicted women's interest in cosmetic procedures. The popularity of these procedures is discussed in light of the double standard of aging and age discrimination, weight as a “normative discontent,” and the ubiquity of advertisements for, and normalization of, these procedures in the popular media.     

Social comparison and the drive upward revisited: Affiliation as a response to marital stress

To test theoretical ideas derived from classic and recent social comparison theory, two studies examined affiliative tendencies as a response to marital problems among individuals varying in marital dissatisfaction. Study 1 (n. = 632) showed that the higher the degree of marital dissatisfaction and the higher the uncertainty about how things are going in one's marriage, the stronger was the desire for affiliation (operationalized as the desire to talk with others about one's marriage). Moreover, among individuals high in marital dissatisfaction, a preference for upward affiliation was found, i.e. for contact with others having better marriages. Individuals with lower levels of dissatisfaction preferred affiliation with similar others. Women experienced more uncertainty and a stronger affiliative tendency than men. In Study 2 (n = 233), these findings were largely replicated. Moreover, it was shown that the desire to affiliate when facing marital stress was particularly strong among individuals high in interpersonal orientation.     

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.     

Using Sexual Appeals in Advertising to Sell Cosmetic Surgery: A Content Analysis from 1986 to 2007

This study provides an account of how sexual appeals are used to promote cosmetic surgery. A content analysis of advertisements appearing between 1986 and 2007 in large city magazines reveals that advertisements position surgery as a means of boosting sex-esteem, and enhancing one’s sexual attractiveness, a pattern different from that of branded consumer products and services. Invasive procedures such as liposuction and breast augmentation are the top procedures advertised with sexual appeals and most advertisements feature nude or partially-nude white female models. The findings help expand knowledge about cosmetic surgery advertising, how sex is used to sell an ideal beauty standard attainable through invasive medical services, and the use of sexual content in a new context, that of medical-related advertising for cosmetic surgery.     

Cosmetic Customization of Mobile Phones: Cultural Antecedents,Psychological Correlates

Mobile phones are seen as extensions of the self, with users individualizing their phones via customized accessories and features. A Korea–U.S. comparison survey (N = 551) examines the degree to which aspects of cultural psychology predict aesthetic motivations for mobile-phone customization, including the possibility that repression of self-expression in predominantly collectivistic Eastern cultures may be fueling the need to publicly express oneself through visible accessories. Furthermore, it explores psychological correlates of the tendency for cosmetic customization. Analyses using structural equation modeling show that culture predicts other-directedness, which is associated with aesthetic motivations for cosmetic customization of mobile phones, which in turn is related to product attachment—a relationship that is mediated by the degree to which users perceive their phones as reflecting their self. Theoretical contributions include an empirically based explication of the social psychology underlying the phenomenon of personal-media accessorizing, with practical implications for the design of customization options and cross-cultural marketing of mobile phones.     

Orchiectomy in transgender individuals: A motivation analysis and report of surgical outcomes

Abstract

Background: Different surgical procedures are available for transgender women wishing to undergo genital gender-affirming surgery.

Aim: To assess preoperative motivations, the frequency of orchiectomy procedures, and postoperative outcomes of orchiectomy in transgender individuals.

Methods: All transgender individuals who underwent orchiectomy in the period between January 2012 and January 2020 at our institution were retrospectively identified. A chart study was conducted, recording motivations, demographics, perioperative characteristics and surgical outcomes. The frequency of orchiectomy and vaginoplasty procedures during the study period were determined and compared.

Results: During the study period, an increase of performed orchiectomy procedures was observed. The orchiectomy/vaginoplasty ratio was 0.01–0.07 in the period 2012–2018 and 0.24 in 2019. A total of 43 transgender individuals were retrospectively identified. Sixteen (37%) initially wished to undergo a vaginoplasty, but did not meet institutional requirements (nonsmoker, BMI < 30kg/m²) or were not eligible for vaginoplasty surgery because of interfering somatic or mental health issues. Fourteen (33%) individuals who underwent orchiectomy regarded it as a preceding step to a future vaginoplasty procedure. Out of these fourteen, one person is now on the waiting list for vaginoplasty surgery. Thirteen (30%) others did not report a desire to pursue vaginoplasty in the future. This was mostly motivated by the absence of genital dysphoria or motivations related to their gender identity, with a desire to discontinue anti-testosterone treatment. The postoperative course was uncomplicated in 39 (91%) individuals.

Conclusion: In the Netherlands, especially in the last year, the frequency of orchiectomy procedures has increased. Reasons that people chose to undergo this procedure include: not being eligible for a vaginoplasty procedure, seeing it as a preceding step to a possible future vaginoplasty or other identity-related motivations (i.e., non-binary gender identification or absence of genital dysphoria).     

Inspired by Hope,Motivated by Envy: Comparing the Effects of Discrete Emotions in the Process of Social Comparison to Media Figures

Despite considerable research and theorizing regarding the process of social comparison, limited attention has been given to the role of discrete emotions in this context, particularly as they may influence the behavioral responses resulting from comparison to similar others. In the context of cosmetic surgery makeover programs, we explore how discrete emotions may mediate the effects of social comparison on behavior and how different emotions, envy and hope in particular, may differentially relate to behavioral motivation. Based on the survey responses of 236 female students, results suggest that social comparison to media figures correlates with a range of emotional responses as well as with behavioral motivation for invasive cosmetic enhancements. Envy maintained a significantly greater association with behavioral motivation than hope or any other emotional response. Further, mediational analyses were consistent with the argument that envy, but not hope, mediates the social comparison–behavioral motivation relationship. The relationship between character identification and social comparison, as well as processes associated with downward social comparison, are also explored. This research helps illuminate the driving mechanism for social comparison's effects on behavior and has implications for better understanding how media exposure may stimulate this process.     

Predicting engaging in cosmetic surgery: A test of the role of doing and not doing cognitions

The decision-making process underlying cosmetic surgery for esthetic purposes has been rarely investigated. To fill in this gap, we examined the determinants of undergoing plastic surgery among women within a framework that considers that the intentions to undergo and to not undergo surgery are related to different motivational systems that could both contribute to behavior. To do so, we assessed the goals underlying both options and theory of planned behavior constructs (Attitude, Perceived Behavioral Control, Subjective norms) related to undergoing and not undergoing plastic surgery as well as risk perception among a convenience sample of women (N = 265). Results confirmed that undergoing and not undergoing plastic surgery are related to different but not opposite goals. More importantly, both intentions predicted actual behavior but with the intention of not undergoing weighing more than the intention of undergoing plastic surgery. Finally, results supported previous research showing that risk perception does not add to predicting behavior. This contribution, therefore, supports the adoption of a decision-making framework to provide additional information to individual and social factors that can explain why women are undergoing plastic surgery for esthetic purposes or not.     

Cosmetic Surgery: Feminist Perspectives

Cosmetic surgery is gaining popularity not only in the U.S., but worldwide. The sheer number of procedures being performed makes it seem “normal,” and in the statistical sense it is. Feminist therapists are likely to have clients who are contemplating undergoing one or more of these procedures. Therapists ought to help their clients to understand the motivations underlying a decision to undergo surgery for the sake of improving on nature. In the final analysis, the decision belongs to the woman who may be placing her life at risk to achieve some desired end. The therapist can play a role in helping her to weigh the risks and what will be accomplished in the end.     

Employee voice at work: the role of employees’ gender,self-efficacy beliefs,and leadership

ABSTRACT

Building on social role theory, we investigated the association between gender and employee voice (employees’ speaking up in a challenging but constructive way about work-related issues) in a typically male-dominated sector. In two field studies in the logistics context, we tested how and when gender is related to employee voice. In Study 1 (N = 132), we examined whether the gender-voice association is mediated by general self-efficacy beliefs. In Study 2 (N = 99), we replicated the indirect effect of gender on employee voice via general self-efficacy beliefs and investigated whether this indirect effect is contingent on supportive leadership. Using path analytical procedures, we found a significant indirect effect moderated by supportive leadership: At low and medium levels of supportive leadership, women reported less self-efficacy than men, which in turn resulted in less voice. At high levels of supportive leadership, the indirect effect was nonsignificant. Our studies contribute to research on the mechanisms and boundary conditions of gender’s influence in the employee voice process and have practical implications for leaders in male-dominated working contexts who want to encourage their female employees to speak up about work-related issues.     

The social affirmation use of social media as a motivator of collective action

The mobilizing potential of the internet has been widely recognized but also sharply criticized. We propose and test in two studies that the social affirmation use of social media motivates individuals for collective action to achieve social change. In Study 1, we surveyed participants of a university occupation and found that enduring participation was predicted by social affirmation use, mediated by group identification. In Study 2 we experimentally tested our hypothesis, the results of which confirmed that the social affirmation use of a forum (and in particular its interactive aspect) motivated individuals for collective action to achieve social change. We discuss the theoretical and practical implications of our findings for theory and research on the mobilizing potential of the internet.     

Internalization of Appearance Ideals and Cosmetic Surgery Attitudes: A Test of the Tripartite Influence Model of Body Image

The Tripartite Influence Model of Body Image was adapted to examine the role of body satisfaction, perceived pressure to have cosmetic surgery, and internalization of societal appearance ideals in understanding cosmetic surgery attitudes. Participants were 2,048 men (N?=?445) and women (N?=?1,603) American college students from Florida who completed a range of measures that assessed levels of body satisfaction, perceived appearance pressures, internalization of appearance standards, and cosmetic surgery attitudes. A structural equation model was used to test hypothesized relations independently for men and women. Results indicated a moderate-good fit to the data, with both internalization and body satisfaction mediating the effect of perceived pressures on cosmetic surgery attitudes. Invariance testing revealed significant differences in pathway estimates between samples of men and women. The findings offer further support for the Tripartite Influence Model of Body Image and indicate potential factors that may influence cosmetic surgery attitudes.     

Cosmetic surgery and the relationship between appearance satisfaction and extraversion: Testing a transactional model of personality

Few studies have tested potential explanatory mechanisms for the high stability of extraversion. In this study, the relationship between extraversion, appearance evaluation, and cosmetic surgery was investigated to examine such mechanisms. The “Big Five” personality traits were assessed in 155 female cosmetic surgery patients prior to and 6 months after surgery, as well as from a representative sample of 907 women. Patients showed higher extraversion scores prior to surgery than were found in the representative sample; further, extraversion scores increased after surgery, while the increase diminished when controlled for appearance evaluation. The results are in accordance with a transactional model, whereby extraverts engage in actions that reinforce extravert tendencies, which may account for the high stability of extraversion.     

“If It Helps,I’ll Carry On”: Factors Supporting the Participation of Native and Immigrant Youth in Belgium and Germany

In this article we propose looking into some factors for Civic Participation and the intention to continue to participate among local (Study I) and immigrant (Study II) young people living in Belgium and Germany. In Study I, 1,079 young people (M_age = 19.23, 44.9% males) completed a self-report questionnaire asking about their Civic Participation. Multiple linear regressions reveal (a) evidence of a pool of variables significantly linked to Civic Participation: Institutional Trust, Collective-Efficacy, Parents’ and Peers’ Support, Political Interest, Motivations and (b) that Civic Participation, along with the mediation of the Participation's Efficacy, explains the Intention to Continue to Participate. An explanatory model was constructed on participation and the Intention to Continue to Participate on behalf of the native youth. This model is invariant between the two countries. In Study II, 276 young Turkish immigrants (M_age = 20.80, 49.3% males) recruited in Belgium and Germany filled out the same questionnaire as in Study I. The same analysis was conducted as for Study I, and they provided the same results as the native group, highlighting the invariance of the model between natives and immigrants. Applicative repercussions are discussed.     

A correlational and experimental examination of reality television viewing and interest in cosmetic surgery

Two studies are presented that examine the influence of media messages about cosmetic surgery on youths’ interest in altering their own physical appearance. In Study 1, 170 participants (59% female; M age = 19.77 years) completed surveys assessing their impression of reality television shows featuring cosmetic surgery, appearance satisfaction, self-esteem, and their interest in cosmetic surgery. Results indicated that participants who reported favorable impressions of reality television shows featuring cosmetic surgery were more likely to indicate interest in pursuing surgery. One hundred and eighty-nine participants (51% female; M age = 19.84 years) completed Study 2. Approximately half of the participants were exposed to a television message featuring a surgical make-over; the other half was exposed to a neutral message. Results indicated that participants who watched a television program about cosmetic surgery wanted to alter their own appearance using cosmetic surgery more than did participants who were not exposed to this program.