The broken mirror : understanding and treating body dysmorphic disorder
著者
書誌事項
The broken mirror : understanding and treating body dysmorphic disorder
Oxford University Press, 2005
Rev. and expanded ed
- : pbk
- : [hardcover]
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注記
Includes bibliographical references (p. 357-364) and index
内容説明・目次
- 巻冊次
-
: pbk ISBN 9780195121261
内容説明
Jane is an attractive woman in her mid-thirties, tall, thin, and stately. She believes she is breathtakingly ugly. Tormented by what she sees as her huge nose, crooked lip, big jaw, fat buttocks, and tiny breasts, she has not left her house in six years. Though she lives in the same house as her mother, she once went two years without seeing her. When relatives come over, she avoids them, staying up on the third floor of the house, even on Thanksgiving. The one time she left the house--forced to see a doctor--she covered her face with bandages. Eventually, she attempted suicide. "I can't imagine any suffering greater than this. If I had a choice, I'd rather be blind or have my arms cut off. I'd be happy to have cancer." Jane has body dysmorphic disorder, or BDD. In The Broken Mirror, Dr. Katharine Phillips draws on years of clinical practice and detailed interviews with over 200 patients to bring readers the first book on this debilitating disease, in which sufferers are obsessed by perceived flaws in their appearance.
Phillips describes severe cases, such as Jane's, but also a multitude of milder cases, such as Carl, a successful lawyer who uses his work to distract him from his supposedly thinning hair, yet says that he thinks about it constantly. Many sufferers are able to function very well in society, but remain secretly obsessed by their "hideous acne" or "horrible nose," sneaking constant peeks at a pocket mirror, or spend hours at a time redoing makeup. According to Phillips' research, BDD afflicts approximately 2 per cent of the population, or nearly 5 million people. It is not an uncommon disorder, simply a hidden one, since sufferers are often embarrassed to tell even their closest friends about their concerns: one woman, after fifty years of marriage, still felt too uncomfortable to reveal her preoccupation to her husband. Besides the fascinating story of the disease itself, The Broken Mirror is also a literally lifesaving handbook for sufferers, their families, and their doctors. Left untreated, the torment of BDD can lead to psychiatric hospitalization and sometimes suicide. With treatment, many sufferers are able to lead normal lives.
Phillips provides a quick self-assessment questionnaire, helping readers distinguish between normal concern with appearance and the obsession of BDD to determine whether they or someone they know have BDD. She includes warning signs for dermatologists and plastic surgeons, since they are the medical professionals who see BDD sufferers most often as they continually seek to "fix" their looks. Other chapters outline effective treatments for BDD using drugs and cognitive-behavioral therapy, answering often-asked questions about treatments. Finally, Phillips includes a chapter aimed at the friends and families of BDD sufferers. Profoundly affected by the disease themselves, since sufferers often refuse to attend weddings and other family events, or constantly ask loved ones for reassurance about their looks, those who care about someone with BDD will find both helpful advice and reassurance in this indispensable book.
The Broken Mirror--the first book on this underrecognized disorder--is essential reading for the psychiatrists, mental health professionals, and other physicians who see these often undiagnosed patients; for the friends and family concerned and upset by a loved one who won't believe their reassurances; and for the millions who suffer from BDD in silence and secrecy.
- 巻冊次
-
: [hardcover] ISBN 9780195167184
内容説明
Jane is an attractive woman in her mid-thirties, tall, thin and stately. She believes she is breathtakingly ugly. Tormented by what she sees as her huge nose, crooked lip, big jaw, fat buttocks, and tiny breasts, she hasn't left her house in six years. Though she lives in the same house as her mother, she once went two years without seeing her. When relatives come over, she avoids them, hiding in her room, even on Thanksgiving. The one time she left the house -
forced to see a doctor - she covered her face with bandages. Eventually, she attempted suicide. "I can't imagine any suffering greater than this," she said. "If I had my choice, I'd rather be blind or have my arm cut off. I'd be happy to have cancer."
Jane has body dysmorphic disorder, or BDD. In this revised and expanded edition of The Broken Mirror, Dr Katherine Phillips draws on years of scientific research, clinical practice, and detailed interviews with patients to bring readers an updated and expanded book on this troubling and sometimes debilitating disorder, in which sufferers are obsessed with perceived flaws in their appearance. Phillips describes severe cases, such as Jane's, but also milder cases, such as Carl, a
successful lawyer who uses work to distract him from his slightly thinning hair. Many sufferers function well, but remain secretly obsessed by their "hideous acne" or "horrible nose", sneaking constant peaks at a pocket mirror, or spending hours redoing makeup. BDD afflict millions of people. It isn't an
uncommon disorder, simply a hidden one, since sufferers are often embarrassed to tell even their closest friends about their concerns; one woman, after fifty years of marriage, still kept her appearance worries a secret from her husband. This revised and expanded edition of The Broken Mirror provides updated information from recent research that sheds new light on this serious illness.
Besides the fascinating story of the disorder itself, The Broken Mirror is also a lifesaving handbook for sufferers, their families, and their doctors. Left untreated, the torment of BDD can lead to hospitalization and sometimes suicide. With treatment, many sufferers are able to lead normal lives. Phillips provides a quick self-assessment questionnaire, helping readers distinguish between normal appearance concerns and the obsession of BDD to determine whether they or someone they
know have BDD. She includes common clues to BDD - such as frequent mirror checking, covering up with clothing, and excessive exercise. Four new chapters on treatment contain updated information and recommendations on how to effectively treat BDD - as well as frequently obtained treatments that should be
avoided. A revised chapter offers helpful advice and reassurance for friends and families of BDD sufferers. Profoundly affected by the disorder themselves, those who care about someone with BDD will find both helpful advice and reassurance in this indispensable book.
The revised and expanded edition of The Broken Mirror is the most comprehensive book on BDD and is written by the leading expert on this disorder. It is essential reading for psychiatrists, other mental health professionals, dermatologists and plastic surgeons; for the friends and family concerned about a loved one who won't believe their reassurance; and for the millions who suffer from BDD in silence and secrecy.
目次
APPENDIXES
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