I believe that everyone has suffered from the feeling of poor self-image at some time during his or her life. This negativity can affect confidence and self-esteem, both of which relate to all aspects of one’s relationships and sexuality. This chapter contains a sampling of diverse problems relating to self-image, ranging from a woman whose large breasts made her feel self-conscious to an obsessive man who believed that mastering sexual techniques would improve his self-image. I hope you will gain new insight from my prescribed strategies which helped turn these self-image, self-worth and shame disorders into positive and productive behaviors.
CONFESSION: Well beyond puberty, Rita found that her breasts continued to grow, causing her to be very self-conscious. The way men looked at her chest all the time made her very uncomfortable. Comparing her figure to those of other young women, Rita felt her breasts were just too large. She knew that breast reduction could help, but the idea of undergoing the elective surgery did not appeal to her.
CONSEQUENCE: The consequences of Rita’s fears were inhibitory. This caused her to express her self-dissatisfaction with a presentation that projected a negative self-image. Convinced that her breasts were too big, she would probably dress shabbily or unattractively, consigning herself to potential loneliness.
STRATEGY: My strategy was to improve Rita’s image of her body by realistically reminding her that most women are dissatisfied with some aspect of their bodies, well founded or not. I was able to improve her self-esteem by working on her positive body image.
SOLUTION: I had Rita look at men’s magazines, female fashion magazines, advertisements and related media, to see how much value has been ascribed to her natural assets. The fact that she was naturally well endowed should be much appreciated. I strongly advised her against breast reduction surgery, as the operation is fraught with risks and may leave a woman both physiologically and psychologically scarred. I encouraged her to recognize that her large breasts were a benefit to her. With all the attention she attracted, she could expect to have a wider field of potential beaus from which to choose. As long as her breasts did not grow to a magnitude which impeded other physical symptoms, giving her a bad back, for example, there was no need for alarm.
BENEFITS: Our work together resulted in a better self-image and increased Rita’s sense of desirability and self-worth. This, in turn, would translate itself into self-confidence and a beneficial assertiveness.
CONFESSION: The complete opposite of Rita, Tina thought her breasts were too small. Whenever she looked in a mirror, she thought her figure was out of proportion, her clothes didn’t fit right and she felt dissatisfied. She contemplated having breast augmentation, but had heard so many horror stories about implants that she wondered if it were worth the risk. In addition, she imagined she would dread hearing the ensuing chatter of her co-workers as she walked in to the office one day, with bigger breasts. They would immediately know she’d had them done.
CONSEQUENCE: The consequences of Tina’s dissatisfaction were that by focusing on what she perceived as a liability, her self-image had suffered. Because of her neurosis over her perceived lack of breast size, she was concerned about the implants and the negative effects of her reaction. Adding fuel to the fire, Tina did not allow herself to enjoy sex because of her feelings of inadequacy due to her small breasts.
STRATEGY: The successful resolution of Tina’s problem involved a thorough discussion of the pros and cons of implants as well as her true motivation. Tina insisted she was going to do it for herself, not for any man. She considered it necessary for her positive self-image. I reminded her of the example of a famous model/actress whose implants resulted in disfigurement and the loss of her career. Mistakes can be made. If she were truly doing this for herself, then the reaction of her co-workers would be irrelevant.
SOLUTION: Tina decided to go for the implantation as she felt larger breasts would contribute to the betterment of her self-image. She said she would feel less inhibited with the physical enhancement. I gave her a list of reputable surgeons specializing in breast augmentation and suggested she get at least three professional opinions before making a final decision. Tina consulted only one surgeon prior to her breast augmentation. While there was an initial buoyancy and positive personality change after the operation, my professional opinion was that her inner sense of personal inadequacy would manifest itself later in life.
BENEFITS: The benefit of this strategy was that it allowed Tina to make an informed decision. It enabled me to assess the sincerity of her motivation and to determine if the implants would give more than temporary relief to her sense of inadequacy.
This is an excerpt from Confessions to a Sexologist: Peeking into the Sexual Secrets of America by Dr. Ava Cadell, Ph.D., Ed.D. Visit Dr. Ava’s bookstore at Loveology University — http://www.loveologyuniversity.com/BookStore.aspx?a_aid=sward