Body Dysmorphic Disorder: Advances in Research and Clinical Practice

ISBN : 9780190254131

Katharine Phillips
528 ページ
216 x 279 mm

This landmark book is the first comprehensive edited volume on body dysmorphic disorder (BDD), a common and severe disorder. People with BDD are preoccupied with distressing or impairing preoccupations with non-existent or slight defects in their physical appearance. People with BDD think that they look ugly - even monstrous - although they look normal to others. BDD often derails sufferers' lives and can lead to suicide. BDD has been described around the world since the 1800s but was virtually unknown and unstudied until only several decades ago. Since then, research on BDD has dramatically increased understanding of this often-debilitating condition. Only recently, BDD was considered untreatable, but today, most sufferers can be successfully treated. This is the only book that provides comprehensive, in-depth, up-to-date information on BDD's clinical features, history, classification, epidemiology, morbidity, features in special populations, diagnosis and assessment, etiology and pathophysiology, treatment, and relationship to other disorders. Numerous chapters focus on cosmetic treatment, because it is frequently received but usually ineffective for BDD, which can lead to legal action and even violence toward treating clinicians. The book includes numerous clinical cases, which illustrate BDD's clinical features, its often-profound consequences, and recommended treatment approaches. This volume's contributors are the leading researchers and clinicians in this rapidly expanding field. Editor Katharine A. Phillips, head of the DSM-V committee on BDD, has done pioneering research on many aspects of this disorder, including its treatment. This book will be of interest to all clinicians who provide mental health treatment and to researchers in BDD, anxiety disorders, eating disorders, and other obsessive-compulsive and related disorders. It will be indispensable to surgeons, dermatologists, and other clinicians who provide cosmetic treatment. Students and trainees with an interest in psychology and mental health will also be interested in this book. This book fills a major gap in the literature by providing clinicians and researchers with cutting-edge, indispensable information on all aspects of BDD and its treatment.



Part I: Patients, History, and Classification of BDD
1. Introduction
Katharine A. Phillips
2. Three Patients with Body Dysmorphic Disorder: Cases and Commentary
Katharine A. Phillips, Rachel Simmons, and Joseph Donahue
3. Body Dysmorphic Disorder Over the Past Century
Laurence Jerome
4. Classification of Body Dysmorphic Disorder and Relevance for Patient Care
Katharine A. Phillips
5. Prevalence and Underrecognition of Body Dysmorphic Disorder
Andrea S. Heartmann and Ulrike Buhlmann

Part II: Phenomenology and Epidemiology of BDD
6. Core Clinical Features of Body Dysmorphic Disorder: Appearance Preoccupations, Negative emotions, Core Beliefs, and Repetitive and Avoidance Behaviors
Rachel A. Simmons and Katharine A. Phillips
7. Muscle Dysmorphia
Nina Sreshta, Harrison G. Pope, Jr., James I. Hudson, and Gen Kanayama
8. Body Dysmorphic Disorder by Proxy
Jennifer L. Greenberg, Katherine E. Limoncelli, and Sabine Wilhelm
9. Insight and Delusional Beliefs in Body Dysmorphic Disorder
Katharine A. Phillips
10. Age at Onset and Clinical Course of Body Dysmorphic Disorder
Andri S. Bjornsson
11. Comorbidity and Personality in Body Dysmorphic Disorder
Ashley S. Hart and Martha A. Niemiec
12. Psychosocial Functioning and Quality of Life in Body Dysmorphic Disorder
Megan M. Kelly, Megan E. Brault, and Elizabeth R. Didie
13. Suicidality and Aggressive Behavior in Body Dysmorphic Disorder
Katharine A. Phillips
14. Body Dysmorphic Disorder in Children and Adolescents
Katharine A. Phillips
15. Gender and Body Dysmorphic Disorder
Denise Gazzarrini and Giulio Perugi
16. Cultural, Racial, and Ethnic Aspects of Body Dysmorphic Disorder and Treatment Implications
Louise Dixson and Luana Marques
17. Assessment of Body Dysmorphic Disorder: Screening, Diagnosis, Severity, and Insight
Katharine A. Phillips
18. Differentiating BDD from Normal Appearance Concerns and Other Mental Disorders
Katharine A. Phillips
19. Evolutionary Psychiatry and Body Dysmorphic Disorder
Dan J. Stein
20. Neurobiology of Body Dysmorphic Disorder: Heritability/Genetics, Brain Circuitry, and Visual Processing
Danyale McCurdy-McKinnon and Jamie D. Feusner
21. Environmental Factors in Body Dysmorphic Disorder
Fugen Neziroglu and Nicole Barile
22. Cognitive and Emotional Processing in Body Dysmorphic Disorder
Ulrike Buhlmann and Andrea S. Hartmann
23. The Self as an Aesthetic Object: Body Image, Believes about the Self, and Shame in a Cognitive-Behavioral Model of Body Dysmorphic Disorder
Emma Baldock and David Veale
24. Challenges in Assessing and Treating Patients with Body Dysmorphic Disorder and Recommended Approaches
David Veale, Katharine A. Phillips, and Fugen Neziroglu
25. Pharmacotherapy and Other Somatic Treatments for Body Dysmorphic Disorder
Katharine A. Phillips
26. Cognitive-Behavioral Therapy for Body Dysmorphic Disorder
Jessica Rasmussen, Angelina F. Gomez, and Sabine Wilhelm
27. Treating a Patient with Body Dysmorphic Disorder Using Medication and Cognitive-Behavioral Therapy: An Illustrative Case Example
Katharine A. Phillips and Rachel A. Simmons
28. Treating Children and Adolescents with Body Dysmorphic Disorder
Jennifer L. Greenberg, Alexandra Sullivan, and Sabine Wilhelm
29. The Family and Body Dysmorphic Disorder: Impact, Responses, and a Suggested Family-Based Treatment Approach
Barbara van Noppen and Sean Sassano-Higgins
30. Cosmetic Medical and Surgical Treatments and Body Dysmorphic Disorder
Canice E. Crerand, David B. Sarwer, and Margaret Ryan
31. Evaluation of Body Dysmorphic Disorder in Patients Seeking Cosmetic Surgery and Minimally Invasive Treatments
David B. Sarwer and Canide E. Crerand
32. A Dermatologist's Perspective on Body Dysmorphic Disorder and Recommendations for Dermatologists
Caroline S. Koblenzer
33. A Surgeon's Perspective on Body Dysmorphic Disorder and Recommendations for Surgeons and Mental Health Clinicians
Farhad B. Naini
34. The Relationship of Body Dysmorphic Disorder to Obsessive-Compulsive Disorder and the Concept of the Obsessive-Compulsive Spectrum
Jessica Simberlund and Eric Holander
35. The Relationship Between Body Dysmorphic Disorder and Social Anxiety Disorder
Megan M. Kelly and Mark Kent
36. The Relationship Between Body Dysmorphic Disorder and Eating Disorders
Jon E. Grant, Eric W. Leppink, and Sarah A. Redden


Katharine A. Phillips, M.D., is internationally renowned for her pioneering medical research and clinical expertise on body dysmorphic disorder (BDD). She has more than 300 scientific publications, has treated thousands of patients with BDD, and has received numerous honors and awards for her research and clinical work on this severe and common condition. Dr. Phillips has done hundreds of media interviews on BDD, including for the New York Times, the London Times, the Los Angeles Times, the Washington Post, the Boston Globe, Time Magazine, and National Public Radio, and she has appeared on the Oprah Winfrey Show, 20/20, Dateline NBC, the Today Show, and Good Morning America.