Quote:
Originally posted by blinkinlovely
Does he have a few mental difficulties. His relationshipe with his own father seemed to touch a nerve.
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I didn't see the programme, so I am cheating here, but I think the answer to your question blinkin is (Helen Adams voice)
Erm---------------
YEAH!!!!!
TAKE YOUR PICK FROM ONE OF THESE:
". PERSONALITY DISORDERS AND BODY DYSMORPHIC DISORDER
However, patients with some personality types are not well suited for cosmetic surgery; these personality types are categorized according to the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV) as personality disorders. They include schizoid, paranoid, histrionic, and depressive personality disorders. Patients with these personality disorders deserve closer attention because the personality disorders often are associated with psychiatric complications and the patients are unfit for cosmetic surgery.
Schizoid personality disorder
Individuals with schizoid personality disorder are described as being socially withdrawn, introverted, eccentric, and uncomfortable with others. Such patients often express vague reasons for wanting aesthetic surgery and are unable to supply precise goals for the procedure even after further questioning. The patient may request surgery because “it would be better to look that way.” Characteristically, these patients avoid eye contact, show little emotion, and have difficulty relaxing during consultation with the physician. They make few, if any, spontaneous comments, and they answer questions without elaboration.
Paranoid personality disorder
Paranoia refers to a pervasive and unwarranted skepticism of others. The individual with paranoid personality disorder is most commonly a young unmarried male. The patient often is a loner and hypersensitive. Individuals with paranoid personality disorder are likely to have an unstable work history, to present themselves as innocent victims of unfairness, and to place blame on others (eg, previous doctors). Patients with this disorder can appear tense, guarded, and secretive. They often are argumentative or even belligerent and highly moralistic. During consultation, patients with paranoid personality disorder are likely to be overly concerned with keeping themselves “all together” and very businesslike. They may scan the room anxiously and have great difficulty relaxing and often are preoccupied with minor details and overcoming their suspicion.
Histrionic personality disorder
Individuals with histrionic personality disorder are often excessively emotional and seek constant attention. They are colorful with labile and shallow emotional responses, from laughing easily to bursting into tears. These patients can use their fantastic displays of emotion and appearance to control others. For example, a person with histrionic personality disorder can use an inappropriate seductive demeanor to solicit special services from the surgeon. Patients with histrionic personality disorder tend to be noncompliant, disorderly, and nonpunctual. They have an intense need for attention, and they seek it through their external appearance, about which they are excessively worried. During an interview, patients with histrionic personality disorder constantly seek reassurance, approval, or praise. They often have a style of speech that is highly impressionistic. For example, when the patient is asked to describe his or her mother, the answer may not be more specific than, “She was a beautiful person.”
Depressive personality disorder
Patients who have depressive personality disorder do not desire cosmetic surgery. By contrast, depressive patients are more prone to seek cosmetic surgery and often seek it believing that an enhanced physical appearance will improve their feelings about themselves. They have multiple somatic symptoms, constriction of the thought process, and diminished spontaneous behavior. They anxiously repeat questions, demand guarantees, and do not appear optimistic even with assurances. When evaluating a potential depressive patient, specific questions about life stressors are important. Loss of a loved one is the most common inducer of depression.
Body dysmorphic disorder
Unlike different personality traits and normal concerns about one’s appearance, the preoccupation with appearance in body dysmorphic disorder (BDD) is excessively time-consuming and associated with significant distress or impairment in social, occupational, or other areas of functioning. BDD is a psychiatric illness. The defect in appearance is either imagined or slight. The preoccupation also is not better accounted for by another mental disorder.
Concerns about appearance can involve imagined or slight flaws of the whole body as well as single parts such as the skin, nose, eyes, hair, ears, breasts, or genitals. Most individuals with BDD often describe their preoccupation as “tormenting” or “devastating” and difficult to control. They often spend hours each day thinking about their “defect,” and significant impairment in many areas of functioning may occur. The patients typically engage in various ways to hide their defect such as camouflaging it with makeup, clothing, or body position. They may frequently request reassurance about the defect. Individuals with this disorder often think that others are taking special notice of their supposed flaw.
BDD begins during adolescence but may not be diagnosed for many years and has a continuous course. A review of BDD illustrates an approximately equal sex ratio. However, men and women show differing concerns for different body parts. For instance, women are more likely to be preoccupied with weight and hips, while concerns about hair thinning and size of genitals are more common in men. BDD also is associated with different patterns of comorbidity and psychiatric illnesses. BDD is more likely to be associated with bulimia, panic disorder, and generalized anxiety disorder in women. BDD can manifest itself in many other psychiatric disorders including schizophrenia, depression, hypochondriacal psychosis, and severe neurosis.
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OF COURSE, THE REAL ISSUE HERE IS ONE OF THE UNETHICAL BEHAVIOUR OF THE SURGEONS WHO CARRIED IT OUT!