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Sculpting the Body Beautiful: Attachment Style, Neuroticism, and Use of Cosmetic Surgeries

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Abstract

Use of cosmetic surgeries has increased steadily over the last decade, and continues to rise in young and old alike. The purpose of present research was to investigate the relationship of personality to use of cosmetic procedures of various kinds. It was expected that adult attachment style, in particular attachment anxiety, would be positively related to use of cosmetic procedures. “Attachment anxiety” involves excessive approval seeking and concern over achieving and maintaining the love of significant others (such as romantic relationship partners). Such concerns could, in turn, lead to use of a variety of strategies for maintaining positive regard, including cosmetic surgeries to enhance physical appearance. Results supported this hypothesis, particularly among women. Neuroticism was also related to some procedures, though the relationships were generally weaker than those for attachment anxiety, and largely disappeared in regression analyses that controlled for the separate influence of the two variables.

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REFERENCES

  • Ainsworth, M. D. S., Blehar, M. C., Waters, E., & Wall, S. (1978). Patterns of attachment. Hillsdale, NJ: Erlbaum.

    Google Scholar 

  • American Academy of Cosmetic Surgery. (2002). 2001 Procedural Statistics. Retrieved from http://www.cosmeticsurgery.org/ Media Center/stats/2001statistics/01procdstats.html

  • Bowlby, J. (1973). Attachment and loss: Separation, anxiety and anger. New York: Basic Books.

    Google Scholar 

  • Bowlby, J. (1980). Attachment and loss: Vol. 3. Loss: Sadness and depression. New York: Basic Books.

    Google Scholar 

  • Bowlby, J. (1982). Attachment and loss: Attachment (Rev. ed.). New York: Basic Books. (Original work published 1969)

    Google Scholar 

  • Brennan, K. A., Clark, C. L., & Shaver, P. R. (1998). Self-report measurement of adult attachment: An integrative overview. In J. A. Simpson & W. S. Rholes (Eds.), Attachment theory and close relationships (pp. 46-76). New York: Guilford Press.

    Google Scholar 

  • Buss, D. M. (1998). The psychology of human mate selection: Exploring the complexity of the strategic repertoire. In C. B. Crawford & D. L. Krebs (Eds.), Handbook of evolutionary psychology: Ideas, issues, and applications (pp. 405-429). Mahwah, NJ: Erlbaum.

    Google Scholar 

  • Buss, D. M. (2001). The strategies of human mating. In P. W. Sherman & J. Alcock (Eds.), Exploring animal behavior: Readings from American Scientist (3rd ed., pp. 240-251). Sunderland, MA: Sinauer Associates.

    Google Scholar 

  • Buss, D. M., & Schackelford, T. K. (1997). From vigilance to violence: Mate retention tactics in married couples. Journal of Personality and Social Psychology, 72, 346-361.

    Google Scholar 

  • Buss, D. M., & Schmitt, D. P. (1993). Sexual strategies theory: An evolutionary perspective on human mating. Psychological Review, 100, 204-232.

    Google Scholar 

  • Cole-Detke, H., & Kobak, R. (1996). Attachment processes in eating disorder and depression. Journal of Consulting and Clinical Psychology, 64, 282-290.

    Google Scholar 

  • Collins, M. A., & Zebrowitz, L. A. (1995). The contributions of appearance to occupational outcomes in civilian and military settings. Journal of Applied Social Psychology, 25, 129-163.

    Google Scholar 

  • Costa, P. T., Jr., & McCrae, R. R. (1985). The NEO Personality Inventory. Odessa, FL: Psychological Assessment Resources.

    Google Scholar 

  • Cutchin, C. (2001, August 16). Plastic perfection. Reno News and Review, pp. 13-15.

  • Davis, D. (1991). Facing justice and judging faces: What do they have in common? From The Mind's Eye, 1, 1-7.

    Google Scholar 

  • Davis, D. (2000, May 16). May to December: Relationship motivation and behavior throughout the lifespan. Invited address, Psychology Department, University of California, Davis, CA.

    Google Scholar 

  • Davis, D., Shaver, P. R., & Vernon, M. L. (in press). Physical, emotional, and behavioral reactions to breaking up: The roles of gender, age, emotional involvement, and attachment style. Personality and Social Psychology Bulletin.

  • Dion, K. L., Dion, K. K., & Keelan, J. P. (1990). Appearance anxiety as a dimension of social-evaluative anxiety: Exploring the ugly duckling syndrome. Contemporary Social Psychology, 14, 220-224.

    Google Scholar 

  • Dutton, D. G. (1998). The abusive personality. New York: Guilford Press.

    Google Scholar 

  • Feeney, J. A. (1999). Adult romantic attachment and couple relationships. In J. Cassidy & P. R. Shaver (Eds.), Handbook of attachment: Theory, research, and clinical applications (pp. 355-377). New York: Guilford Press.

    Google Scholar 

  • Fraley, R. C., & Shaver, P. R. (1999). Loss and bereavement: Attachment theory and recent controversies concerning “grief work” and the nature of detachment. In J. Cassidy & P. R. Shaver (Eds.), Handbook of attachment: Theory, research, and clinical applications (pp. 735-759). New York: Guilford Press.

    Google Scholar 

  • Fredrickson, B. L., & Roberts, T. (1997). Objectification theory: Toward understanding women's lived experiences and mental health risks. Psychology of Women Quarterly, 21, 173-206.

    Google Scholar 

  • Friedberg, N. L., & Lyddon, W. J. (1996). Self-other working models and eating disorders. Journal of Cognitive Psychotherapy, 10, 193-203.

    Google Scholar 

  • Gilman, S. L. (1999). Making the body beautiful. Princeton, NJ: Princeton University Press.

    Google Scholar 

  • Greer, A., & Buss, D. M. (1994). Tactics for promoting sexual encounters. Journal of Sex Research, 31, 185-201.

    Google Scholar 

  • Haiken, E. (1997). Venus envy: A history of cosmetic surgery. Baltimore: Johns Hopkins University Press.

    Google Scholar 

  • Hamernik, H. B. (1996). Attachment theory, and social and self-evaluation concerns in the development of disordered eating patterns. Dissertation Abstracts International: Section B: Sciences and Engineering, 56, 7093.

    Google Scholar 

  • Hatfield, E., & Sprecher, S. (1986). Mirror, mirror...: The importance of looks in everyday life. Albany, NY: State University of NewYork Press.

    Google Scholar 

  • Hazan, C., & Shaver, P. R. (1987). Romantic love conceptualized as an attachment process. Journal of Personality and Social Psychology, 59, 511-524.

    Google Scholar 

  • Huebner, D. M., & Fredrickson, B. L. (1999). Gender differences in memory perspectives: Evidence for self-objectification in women. Sex Roles, 41, 459-467.

    Google Scholar 

  • Mikulincer, M., & Florian, V. (2001). Attachment style and affect regulation-Implications for coping with stress and mental health. In G. Fletcher & M. Clark (Eds.), Blackwell handbook of social psychology: Interpersonal processes (pp. 537-557). Oxford: Blackwell.

    Google Scholar 

  • Mikulincer, M., Gillath, O., & Shaver, P. R. (2002). Activation of the attachment system in adulthood: Threat-related primes increase the accessibility of mental representations of attachment figures. Journal of Personality and Social Psychology, 83, 881-895.

    Google Scholar 

  • Noll, S. M., & Fredrickson, B. L. (1998). A mediational model linking self-objectification, body shame, and disordered eating. Psychology of Women Quarterly, 22, 623-636.

    Google Scholar 

  • O'Kearney, R. (1996). Attachment disruption in anorexia nervosa and bulimia nervosa: A review of theory and empirical research. International Journal of Eating Disorders, 20, 115-127.

    Google Scholar 

  • Passman, V. F. (1995). Attachment, coping, and adjustment to aging in elderly women. Dissertation Abstracts International: Sciences and Engineering, 56(4-B), 2371.

    Google Scholar 

  • Sarwer, D. B., Wadden, T. A., Pertschuk, M., & Whitaker, L. A. (1998). The psychology of cosmetic surgery: A review and reconceptualization. Clinical Psychology Review, 18, 1-22.

    Google Scholar 

  • Schmitt, D. P., & Buss, D. M. (2001). Human mate poaching: Tactics and temptations for infiltrating existing mateships. Journal of Personality and Social Psychology, 80, 894-917.

    Google Scholar 

  • Shaver, P. R., & Brennan, K. A. (1992). Attachment styles and the “big five” personality traits: Their connections with each other and with romantic relationship outcomes. Personality and Social Psychology Bulletin, 18, 536-545.

    Google Scholar 

  • Shaver, P. R., & Clark, C. L. (1994). The psychodynamics of adult romantic attachment. In J. M. Masling & R. F. Bornstein (Eds.), Empirical perspectives on object relations theories (pp. 105-156). Washington, DC: American Psychological Association.

    Google Scholar 

  • Siebert, C. (1996, July 7). The cuts that go deeper. New York Times Magazine, pp. 6, 20.

  • Suldo, S. M., & Sandberg, D. A. (2000). Relationship between attachment styles and eating disorder symptomatology among college women. Journal of College Student Psychotherapy, 15, 59-73.

    Google Scholar 

  • Tiggemann, M., & Lynch, J. E. (2001). Body image across the life span in adult women: The role of self-objectification. Developmental Psychology, 37, 243-253.

    Google Scholar 

  • Ward, A., Ramsay, R., & Treasure, J. (2000). Attachment research in eating disorders. British Journal of Medical Psychology, 73, 35-51.

    Google Scholar 

  • Weinfield, N. S., Sroufe, L. A., Egeland, B., & Carlson, E. A. (1999). The nature of individual differences in infant-caregiver attachment. In J. Cassidy & P. R. Shaver (Eds.), Handbook of attachment: Theory, research, and clinical applications (pp. 68-88). New York: Guilford Press.

    Google Scholar 

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Davis, D., Vernon, M.L. Sculpting the Body Beautiful: Attachment Style, Neuroticism, and Use of Cosmetic Surgeries. Sex Roles 47, 129–138 (2002). https://doi.org/10.1023/A:1021043021624

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