Cookies on this website

We use cookies to ensure that we give you the best experience on our website. If you click 'Accept all cookies' we'll assume that you are happy to receive all cookies and you won't see this message again. If you click 'Reject all non-essential cookies' only necessary cookies providing core functionality such as security, network management, and accessibility will be enabled. Click 'Find out more' for information on how to change your cookie settings.

A preliminary exploration of metacognition in Body Dysmorphic Disorder (BDD) was undertaken. The study investigated how 18 patients with BDD controlled, corrected, regulated, and appraised their thinking, in relation to a mental image of their concerns with appearance. Verbal thoughts related to these concerns were also investigated. A semistructured interview was administered. Patients reported attempts to distract themselves from their (invariably distressing) images, which had few advantages and many disadvantages. Images increased self-consciousness and decreased self confidence. Some patients sought to counter their distress by recalling past positive memories. All patients made negative self-judgments as a result of having these images. They thought that they were unattractive, ugly, inferior, and worthless. Looking in the mirror was a common source of evidence for these judgments, together with reactions from others. Examination of the verbal thoughts produced similar findings. Some tentative implications are discussed. © 2007 Springer Publishing Company.

Original publication




Journal article


Journal of Cognitive Psychotherapy

Publication Date





148 - 155