The chapter describes the main strategies and procedures of the Body Image module designed to reduce the predominance of weight and shape in self-evaluation (i.e., the over-evaluation of shape and weight). Key interventions include identifying the over-evaluation of shape and weight and its consequences, developing an extended personal formulation, strengthening alternative domains of self-worth, and addressing shape-checking, shape-avoidance behaviours, and spikes in body image concern. Beyond clinical techniques, the chapter also situates body image disturbance within a broader sociocultural context. It examines the impact of weight stigma and internalized weight bias, particularly among people in larger bodies. It critiques the pervasive influence of diet culture and the weight-loss narrative, both of which equate thinness with health, self-control, and social superiority. These external pressures reinforce over-evaluation of shape and weight, thereby intensifying body image concerns and complicating treatment. By integrating cognitive, behavioural, and sociocultural perspectives, the body image module equips therapists with practical, evidence-informed strategies to challenge weight stigma, reduce body image disturbance, and promote a body-neutral stance. Together, these approaches support patients in building a more balanced and sustainable basis for self-worth, thereby enhancing long-term recovery in CBT-E.

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Body Image Module

  • Riccardo Dalle Grave

摘要

The chapter describes the main strategies and procedures of the Body Image module designed to reduce the predominance of weight and shape in self-evaluation (i.e., the over-evaluation of shape and weight). Key interventions include identifying the over-evaluation of shape and weight and its consequences, developing an extended personal formulation, strengthening alternative domains of self-worth, and addressing shape-checking, shape-avoidance behaviours, and spikes in body image concern. Beyond clinical techniques, the chapter also situates body image disturbance within a broader sociocultural context. It examines the impact of weight stigma and internalized weight bias, particularly among people in larger bodies. It critiques the pervasive influence of diet culture and the weight-loss narrative, both of which equate thinness with health, self-control, and social superiority. These external pressures reinforce over-evaluation of shape and weight, thereby intensifying body image concerns and complicating treatment. By integrating cognitive, behavioural, and sociocultural perspectives, the body image module equips therapists with practical, evidence-informed strategies to challenge weight stigma, reduce body image disturbance, and promote a body-neutral stance. Together, these approaches support patients in building a more balanced and sustainable basis for self-worth, thereby enhancing long-term recovery in CBT-E.