Intrusive Imagery Experiences in a High Dysmorphic Concern Population

Intrusive imagery may be an important factor in cognitive-behavioural models of body image. Some research has examined the role of imagery within body image disorders; however, little is known about the association between intrusive imagery and body image concern in the general population. The aims of the present study were threefold: 1) to document the content and contexts of intrusive appearance-related images experienced by individuals high in dysmorphic concern, 2) to investigate the relationship between dysmorphic concern and appearance-related imagery, and 3) to investigate the relationships between dysmorphic concern and image suppression. Sixty-five (55 female) undergraduates participated in semi-structured interviews on imagery. Intrusive appearance-related images were common, and mostly involved negative self-imagery and/or images of other people showing disgust toward the individual. Many of the images occurred within social contexts, and depicted present and future selves in undesirable terms and past or ideal selves in desirable terms. There was no relationship between dysmorphic concern and the quality or frequency of intrusive appearance-related images. Importantly, attempts to suppress imagery predicted dysmorphic concern, controlling for general psychopathology.