The lack of a universally accepted definition of body image has impeded our understanding of body image disturbances in children and adolescents. This paper examines the evolution of body image as a multidimensional construct and the difficulties associated with the use of human figure drawing to measure body image. Directions for future research are considered.
References
1.
MachoverK.Personality projection in the drawing of the human figure. Springfield IL: Charles C. Thomas, 1949.
2.
SchilderP.The image and appearance of the human body. London: Kegan Paul, Trench, Trubner and Co, 1935.
3.
DerogatisLR. The unique impact of breast and gynecologic cancers on body image and sexual identity in women: a reassessment. In: VaethJM, ed. Body image, self-esteem, and sexuality in cancer patients, second edition.Basel: Karger, 1986: 1–14.
4.
StoddardFJ. Body image development in the burned child. J Am Acad Child Psychiatry1982; 21(5): 502–507.
5.
GrayDM, PepitoneA.Effect of self-esteem on drawings of the human figure. J Consult Psychol1964: 28(5): 452–455.
6.
LudwigDJ. Self-perception and the Draw-a-Person Test. Journal of Projective Techniques and Personality Assessment1969; 33: 257–261.
7.
SilversteinAB, RobinsonHA. The representation of orthopedic disability in children's figure drawings. J Consult Psychol1956; 20(5): 333–341.
8.
SwensenCH. Empirical evaluations of human figure drawings: 1957–1966. Psychol Bull1968; 70(1): 20–44.
9.
ShontzFC. Body image and its disorders. Int J Psychiatry Med1974; 5(4): 461–472.
10.
GarnerDM, GarfinkelPE. Body image in anorexia nervosa: measurement, theory and clinical implications. Int J Psychiatry Med1981; 11(3): 263–284.
11.
KeetonWP, CashTF, BrownTA. Body image or body images? Comparative, multidimensional assessment among college students. J Pers Assess1990; 54(1,2): 213–230.
12.
CashTF, BrownTA. Body image in anorexia nervosa and bulimia nervosa. Behav Modif1987; 11(4): 487–521.
13.
ThompsonJK, DolceJJ. The discrepancy between emotional versus rational estimates of body size, actual size, and ideal body ratings: theoretical and clinical implications. J Clin Psychology1989; 45(3): 473–478.
14.
ThompsonJK, DolceJJ, SpanaRE, Emotionally versus intellectually based estimates of body size. Int J Eating Disorders1987; 6: 507–514.
15.
ThompsonJK, PsaltisK.Multiple aspects and correlates of body figure ratings: a replication and extension of Fallon and Rozin (1985). Int J Eating Disorders1988; 7(6): 813–817.
16.
WinsteadBA, CashTF. Reliability and validity of the Body-Self Relations Questionnaire: a new measure of body image. Presented at the Southeastern Psychological Association convention, New Orleans, Louisiana, 1984.
CashTF, GreenGK. Body weight and body image among college women: perception, cognition, and affect. J Pers Assess1986; 50(2): 290–301.
19.
NoiesSW, CashTF, WinsteadBA. Body image, physical attractiveness, and depression. J Consult Clin Psychol1985; 53(1): 88–94.
20.
MarsellaAJ, ShizuruL, BrennanJ, Depression and body image satisfaction. Journal of Cross-Cultural Psychology1981; 12(3): 360–371.
21.
McCaulayM, MintzL, GlennAA. Body image, self-esteem, and depression-proneness: closing the gender gap. Sex Roles1988; 18(7): 381–391.
22.
MintzLB, BetzNG. Sex differences in the nature, realism and correlates of body image. Sex Roles1986; 15(314): 185–195.
23.
LishmanWA. Organic psychiatry: the psychological consequences of cerebral disorder.Oxford: Blackwell Scientific, 1987.
24.
GoodenoughFL. Measurement of intelligence by drawings.Yonkers-on-Hudson NY: World Book Company, 1926.
25.
GreenM, LevittEE. Constriction of body image in children with congenital heart disease. Pediatrics1962; 29: 438–441.
26.
PaineP, AlvesE, TubinoP.Size of human figure drawing and Goodenough-Harris scores of pediatric oncology patients: a pilot study. Percept Mot Skills1985; 60: 911–914.
27.
CentersL, CentersR.A comparison of the body images of amputee and non-amputee children as revealed in figure drawings. Journal of Projective Techniques and Personality Assessment1963; 27(2): 158–165.
28.
WysockiBA, WhitneyE.Body image of crippled children as seen in Draw-a-Person Test behavior. Percept Mot Skills1965; 21: 499–504.
29.
SwensenCH. Empirical evaluations of human figure drawings. Psychol Bull1957; 54: 431–466.
30.
PrytulaRE, ThompsonND. Analysis of emotional indicators in human figure drawings as related to self-esteem. Percept Mot Skills1973; 37: 795–802.
31.
CoopersmithS.The antecedents of self-esteem. San Francisco CA: W.H. Freeman, 1967.
32.
PrytulaRE, PhelpsMR, MorrisseyEF. Figure drawing size as a reflection of self-concept or self-esteem. J Clin Psychol1978; 34(1): 207–214.
33.
PiersE, HarrisDG. The Piers-Harris Self-Concept Scale.Nashville TN: Counselor Recordings and Tests, 1969.
34.
KoppitzEM. Psychological evaluation of children's human figure drawings.New York: Grune and Stratton, 1968.
35.
ZuckerKJ, FineganJK, DoeringRW, Human figure-drawings of gender-problem children: a comparison to sibling, psychiatric and normal controls. J Abnorm Child Psychol1983; 11: 237–248.
36.
BrownTA, CashTF, LewisRJ. Body-image disturbances in adolescent female binge-purgers: a brief report of the results of a national survey in the U.S.A. J Child Psychol Psychiatry1989; 30(4): 605–613.
37.
DykensEM, GerrardM.Psychological profiles of purging bulimics, repeat dieters, and controls. J Consult Clin Psychol1986; 54: 283–288.
38.
KatzmanMA, WolchikSA. Bulimia and binge eating in college women: a comparison of personality and behavioral characteristics. J Consult Clin Psychol1984; 52: 423–428.
39.
WilliamsonDA, KelleyML, DavisCJ, Psychopathology of eating disorders: a controlled comparison of bulimic, obese, and normal subjects. J Consult Clin Psychol1985; 53: 161–166.
40.
FreemanRJ, ThomasCD, SolyomL, Body image disturbances in anorexia nervosa: a reexamination and a new technique. In: DarbyPL, GarfinkelPE, GarnerDM, CoscinaDV, eds. Anorexia nervosa: recent developments in research. New York: Liss, 1983: 117–127.
41.
WarahA.Body image disturbance in anorexia nervosa: beyond body image. Can J Psychiatry1989; 34(9): 898–905.
42.
Ben-TovimDI, WalkerMK, MurrayH, Body size estimates: body image or body attitude measures? Int J Eating Disorders1990; 9(1): 57–67.
43.
BowdenPK, TouyzSW, RodriguezPJ, Distorting patient or distorting instrument? Body shape disturbance in patients with anorexia nervosa and bulimia. Br J Psychiatry1989; 155: 196–201.
44.
FisherS.Development and Structure of the body image. Hillsdale NJ: Lawrence Erlbaum Associates, 1986.
45.
BibaceR, WalshME. Development of children's concepts of illness. Pediatrics1980; 66(6): 912–917.
46.
BurbachDJ, PetersonL.Children's concepts of physical illness: a review and critique of the cognitive-developmental literature. Health Psychol1986; 5(3): 307–325.
47.
PerrinEC, GerrityS.There's a demon in your belly: children's understanding of illness. Pediatrics1981; 67(6): 841–849.
48.
NeuhauserC, AmsterdamB, HinesP, Children's concepts of healing: cognitive development and locus of control factors. Am J Orthopsychiatry1978; 48: 335–341.