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爱得太丑(第三部分)

整个纪录片可以免费购买,请访问http://www.thebddfoundation.org/患有身体畸形障碍(BDD)的人经常隐藏或否认他们病情的真实本质。他们可能会在咨询心理健康专家之前,就拼命地向整形外科医生或皮肤科医生寻求缓解。他们可能不好意思告诉别人他们的经历,因为害怕被认为是虚荣或“疯狂”。BDD可能非常严重,会增加自毁思想或行为的风险。这种情况还与社会和情绪适应方面的各种问题有关,这些问题加剧了这一问题。从技术上讲,BDD是一种躯体形式障碍,根据《精神障碍诊断与统计手册》第四版,文本修订(DSM IV-TR)。它特别涉及对一个或多个身体特征的过度关注。虽然这种情况被归类为躯体形式障碍,但它与强迫症有许多相似之处,因为患有这两种疾病的人都会对自己的外表感到痴迷和强迫。beplay手机app下载例如,患有BDD的人可能会强迫自己反复检查镜子里自己鼻子的样子。患有BDD的人要么对自己外表上的想象缺陷着迷,要么对别人认为无关紧要的缺陷夸大其词。 Unique to BDD, the obsession or preoccupation regarding this imaginary or exaggerated defect predominates any other obsession. Even more than with Obsessive Compulsive Disorder, the belief in the defect is very strongly held. Individuals with BDD may believe so strongly in the defect that they can appear virtually delusional. BDD was once thought of as "imagined ugliness" but it is more about perfectionism or, in other words, believing that appearance should be flawless. BDDers may become extraordinarily concerned about most any body part although some are more typical to have issues about than others. The shape of their head, their breasts, their genitals, skin, teeth, nose, and hair are some examples of possible problem areas. Further examples of imagined or exaggerated physical defects include that one's body is disfigured, that one's body has scars or marks, that their body is aging extraordinarily fast, that a body part is too large or too small, or that body parts are asymmetrical. Individuals with BDD also engage in compulsive behaviors that are performed in an attempt to reduce the discomfort aroused by the obsessive belief in a perceived defect in their appearance. People diagnosed with BDD may repetitively seek reassurance from others about their appearance, have multiple surgeries to alter their appearance, or attend many doctor's appointments to address their appearance. Unfortunately, these behaviors typically only serve to reduce the discomfort temporarily. In fact, BDD may become reinforced and worsened because this temporary relief creates a vicious cycle. Over time, individuals with BDD encounter many difficulties due to their strong belief in a defect in their appearance and the associated compulsions done to reduce the discomfort related to the obsession. They may learn to avoid interacting with people due to negative feelings elicited by their belief in the physical defect. Not only do these individuals tend to avoid socializing, their obsessions and compulsions may consume an enormous amount of time, thus, limiting their ability to carry out even common everyday activities such as caring for their home and working. Young people with BDD often cannot function effectively in school or participate in extracurricular activities. It is no surprise that BDDers often are frustrated and anxious as well as depressed. Treatment for BDD is focused upon reducing body-focused obsessions and compulsions, re-structuring erroneous and self-defeating thought patterns, and improving the ability to function in life despite appearance concerns. Addressing the emotional distress of these individuals is also essential. Both psychotherapy and medications may be used in the treatment of BDD. Teaching family members and friends to understand and cope with someone who has BDD is often very helpful, as is attending support groups. However, it needs to be recognized that when BDD is very severe intensive treatment may be the only realistic option. Despite the difficulties presented by BDD there are many who can make improvements in treatment. Sometimes the most important steps are the first- willingness to accept that BDD is the problem and keeping an open mind about therapeutic interventions