Skip to main content
Log in

Extending the Negative Consequences of Media Internalization and Self-Objectification to Dissociation and Self-Harm

  • Original Article
  • Published:
Sex Roles Aims and scope Submit manuscript

Abstract

Self-objectification is often understood as a consequence of internalizing unrealistic media ideals. The consequences of self-objectification have been well studied and include depression and self-harm. We argue that body surveillance, a component of self-objectification that involves taking an observer’s perspective on oneself, is conceptually related to dissociation, a variable related to depression and self-harm. We hypothesized that the normative experience of self-objectification may increase the risk that young women dissociate in other contexts, providing an additional indirect path between self-objectification, depression, and self-harm. Snowball sampling begun with postings on Facebook was used to recruit 160 women, believed to be primarily from the U.S., to complete an online survey about the effects of media on young women. All participants ranged in age from 18–35 (M = 23.12, Median = 22, Mode = 21). Using this sample, we tested a path model in which internalization of media ideals led to body surveillance and body shame, body surveillance led to dissociation and body shame, body shame and dissociation led to depression, and dissociation and depression led to self-harm. This model, in which we controlled for the effects of age, had good fit to the data. Our findings suggest that self-harm and dissociation, both outcomes associated with the literature on trauma, are related to self-objectification. These relationships are discussed in terms of conceptualizing objectification and self-objectification as a form of insidious trauma or microaggression. Clinical implications are also discussed.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1

Similar content being viewed by others

References

  • American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (4th ed., text rev.). Washington, DC: Author.

  • American Psychological Association & Task Force on the Sexualization of Girls. (2007). Report of the APA task force on the sexualization of girls. Washington, DC: American Psychological Association. Retrieved from www.apa.org/pi/women/programs/girls/report.aspx.

  • Aubrey, J. S. (2006a). Effects of sexually objectifying media on self-objectification and body surveillance in undergraduates: Results of a 2-year panel study. Journal of Communications, 56, 366–386. doi:10.1111/j.1460-2466.2006.00024.x.

    Article  Google Scholar 

  • Aubrey, J. S. (2006b). Exposure to sexually objectifying media and body self-perceptions among college women: An examination of the selective exposure hypothesis and the role of moderating variables. Sex Roles, 55, 159–172. doi:10.1007/s11199-006-9070-7.

    Article  Google Scholar 

  • Bernstein, E. M., & Putnam, F. W. (1986). Development, reliability, and validity of a dissociation scale. The Journal of Nervous and Mental Disease, 174, 727–735. doi:10.1097/00005053-198612000-00004.

    Article  PubMed  Google Scholar 

  • Breslau, N. (1985). Depressive symptoms, major depression, and generalized anxiety: A comparison of self-reports on CES-D and results from diagnostic interviews. Psychiatry Research, 15, 219–229. doi:10.1016/0165-1781(85)90079-4.

    Article  PubMed  Google Scholar 

  • Briere, J. (2006). Dissociative symptoms and trauma exposure: Specificity, affect dysregulation, and posttraumatic stress. The Journal of Nervous and Mental Disease, 194, 78–82. doi:10.1097/01.nmd.0000198139.47371.54.

    Article  PubMed  Google Scholar 

  • Briere, J., & Gil, E. (1998). Self-mutilation in clinical and general population samples: Prevalence, correlates, and functions. American Journal of Orthopsychiatry, 68, 427–432. doi:10.1037/h0080369.

    Article  Google Scholar 

  • Calogero, R. M., & Thompson, J. K. (2009). Potential implications of the objectification of women’s bodies for women’s sexual satisfaction. Body Image, 6, 145–148. doi:10.1016/j.bodyim.2009.01.001.

    Article  PubMed  Google Scholar 

  • Calogero, R. M., Davis, W. N., & Thompson, J. K. (2005). The role of self-objectification in the experience of women with eating disorders. Sex Roles, 52, 43–50. doi:10.1007/s11199005-11929.

    Article  Google Scholar 

  • Capodilupo, C. M., Nadal, K. L., Corman, L., Hamit, S., Lyons, O. B., & Weinberg, A. (2010). The manifestation of gender microaggressions. In D. W. Sue (Ed.), Microaggressions and marginality: Manifestation, dynamics, and impact (pp. 193–216). Hoboken: John Wiley & Sons.

    Google Scholar 

  • Carlson, E. B., & Putnam, F. W. (1993). An update on the dissociative experiences scale. Dissociation, 6, 16–26.

    Google Scholar 

  • Chen, F. F., & Russo, N. F. (2010). Measurement invariance and the role of body consciousness in depressive symptoms. Psychology of Women Quarterly, 34, 405–417. doi:10.1111/j.1471-6402.2010.01585.x.

    Article  Google Scholar 

  • Chu, J. A., & Dill, D. L. (1990). Dissociative symptoms in relation to childhood physical and sexual abuse. American Journal of Psychiatry, 147, 887–892.

    PubMed  Google Scholar 

  • Claes, L., Soenens, B., Vansteenkiste, M., & Vandereycken, W. (2012). The scars of the inner critic: Perfectionism and nonsuicidal self-injury in eating disorders. European Eating Disorders Review, 20, 196–202. doi:10.1002/erv.1158.

    Article  PubMed  Google Scholar 

  • Conley, T. D., & Ramsey, L. R. (2011). Killing us softly? Investigating portrayals of women and men in contemporary magazine advertisements. Psychology of Women Quarterly, 35, 469–478. doi:10.1177/0361684311413383.

    Article  Google Scholar 

  • Connors, R. (1996). Self-injury in trauma survivors: 1. Functions and meanings. American Journal of Orthopsychiatry, 66, 197–206. doi:10.1037/h0080171.

    Article  PubMed  Google Scholar 

  • De Klerk, S., van Noorden, M. S., van Giezen, A. E., Spinhoven, P., den Hollander-Gijsman, M. E., Gittay, E. J., et al. (2011). Prevalence and correlates of lifetime deliberate self-harm and suicidal ideation in naturalistic outpatients: The Lieden routine outcome monitoring study. Journal of Affective Disorders, 133, 257–264. doi:10.1016/j.jad.2011.03.021.

    Article  PubMed  Google Scholar 

  • Flett, G. L., Goldstein, A. L., Hewitt, P. L., & Wekerle, C. (2012). Predictors of deliberate self-harm behavior among emerging adolescents: An initial test of a self-punitiveness model. Current Psychology: Research & Reviews, 31, 49–64. doi:10.1007/s12144-012-9130-9.

    Article  Google Scholar 

  • Fliege, H., Lee, J.-R., Grimm, A., & Klapp, B. F. (2009). Risk factors and correlates of deliberate self-harm behavior: A systematic review. Journal of psychosomatic Research, 66, 477–493. doi:10.1016/j.jpsychores.2008.10.013.

    Article  PubMed  Google Scholar 

  • Foote, B., Smolin, Y., Kaplan, M., Legatt, M. E., & Lipschitz, D. (2006). Prevalence of dissociative disorders in psychiatric outpatients. American Journal of Psychiatry, 163, 623–629. doi:10.1542/peds.103.3.e36.

    Article  PubMed  Google Scholar 

  • Fredrickson, B. L., & Roberts, T.-A. (1997). Objectification theory: Toward understanding women’s lived experiences and mental health risks. Psychology of Women Quarterly, 21, 173–206. doi:10.1111/j.1471-6402.1997.tb00108.x.

    Article  Google Scholar 

  • Grabe, S., Hyde, J. S., & Lindberg, S. M. (2007). Body objectification and depression in adolescents: The role of gender, shame, and rumination. Psychology of Women Quarterly, 31, 164–175. doi:10.1111/j.1471-6402.2007.00350.x.

    Article  Google Scholar 

  • Gratz, K. L. (2001). Measurement of deliberate self-harm: Preliminary data on the Deliberate self-harm inventory. Journal of Psychopathology and Behavioral Assessment, 23, 253–263. doi:10.1023/A:1012779403943.

    Article  Google Scholar 

  • Gratz, K. L. (2007). Targeting emotion dysregulation in the treatment of self-injury. Journal of Clinical Psychology: In Session, 63, 1091–1103. doi:10.1002/jclp.20417.

    Article  PubMed  Google Scholar 

  • Gratz, K. L., Conrad, S. D., & Roemer, L. (2002). Risk factors for deliberate self-harm among college students. American Journal of Orthopsychiatry, 72, 128–140. doi:10.1037/0002-9432.72.1.128.

    Article  PubMed  Google Scholar 

  • Heath, N. L., Toste, J. R., Nedecheva, T., & Charlebois, A. (2008). An examination of nonsuicidal self-injury among college students. Journal of Mental Health Counseling, 30, 137–156.

    Google Scholar 

  • Hurt, M. M., Nelson, J. A., Turner, D. T., Haines, M. E., Ramsey, L. R., Erchull, M. J., et al. (2007). Feminism: What is it good for? Feminine norms and objectification as the link between feminist identity and clinically relevant outcomes. Sex Roles, 57, 355–363. doi:10.1007/s11199-007-9272-7.

    Article  Google Scholar 

  • Kearney-Cooke, A., & Striegel-Moore, R. H. (1994). Treatment of childhood sexual abuse in anorexia nervosa and bulimia nervosa: A feminist psychodynamic approach. International Journal of Eating Disorders, 15, 305–319. doi:10.1002/eat.2260150402.

    Article  PubMed  Google Scholar 

  • Kerr, P. L., Muehlenkamp, J. J., & Turner, J. M. (2010). Nonsuicidal self injury: A review of current research for family medicine and primary care physicians. The Journal of the American Board of Family Medicine, 23, 241–259. doi:10.3122/jabfm.2010.02.090110.

    Article  Google Scholar 

  • Klonsky, E. D., Oltmanns, T. F., & Turkheimer, E. (2003). Deliberate self-harm in a nonclinical population: Prevalence and psychological correlates. American Journal of Psychiatry, 160, 1501–1508. doi:10.1176/appi.ajp.160.8.1501.

    Article  PubMed  Google Scholar 

  • Knauss, C., Paxton, S. J., & Alsaker, F. D. (2008). Body dissatisfaction in adolescent boys and girls: Objectified body consciousness, internalization of the media body ideal and perceived pressure from media. Sex Roles, 59, 633–643. doi:10.1007/s11199-008-9474-7.

    Article  Google Scholar 

  • Laugharne, J., Lillee, A., & Janca, A. (2010). Role of psychological trauma in the cause and treatment of anxiety and depressive disorders. Current Opinion in Psychiatry, 23, 25–29. doi:10.1097/YCO.0b013e3283345dc5.

    Article  PubMed  Google Scholar 

  • Maaranen, P., Tanskanen, A., Hintikka, J., Honkalampi, K., Haatainen, K., Koivumaa-Honkanen, H., et al. (2008). The course of dissociation in the general population: A 3-year follow-up study. Comprehensive Psychiatry, 49, 269–274. doi:10.1016/j.comppsych.2007.04.010.

    Article  PubMed  Google Scholar 

  • Mahadevan, S., Hawton, K., & Casey, D. (2010). Deliberate self-harm in Oxford University students, 1993–2005: A descriptive and case–control study. Social Psychiatry and Psychiatric Epidemiology, 45, 211–219. doi:10.1007/s00127-009-0057-x.

    Article  PubMed  Google Scholar 

  • Mazzeo, S. E., Trace, S. E., Mitchell, K. S., & Gow, R. W. (2006). Effects of a reality TV cosmetic surgery makeover program on eating disordered attitudes and behaviors. Eating Behaviors, 8, 390–397. doi:10.1016/j.eatbeh.2006.11.016.

    Article  PubMed  Google Scholar 

  • McKinley, N. M., & Hyde, J. S. (1996). The objectified body consciousness scale. Psychology of Women Quarterly, 20, 181–215. doi:10.1111/j.1471-6402.1996.tb00467.x.

    Article  Google Scholar 

  • Menard, S. (1995). Applied logistic regression analysis. Sage university paper series on quantitative applications in the social sciences, 07–106. Thousand Oaks: Sage.

    Google Scholar 

  • Moradi, B., Dirks, D., & Matteson, A. V. (2005). Roles of sexual objectification experiences and internalization of standards of beauty in eating disorder symptomatology: A test and extension of objectification theory. Journal of Counseling Psychology, 52, 420–428. doi:10.1037/0022-0167.52.3.420.

    Article  Google Scholar 

  • Moradi, B., & Huang, Y.-P. (2008). Objectification theory and psychology of women: A decade of advances and future directions. Psychology of Women Quarterly, 32, 377–398. doi:10.1111/j.1471-6402.2008.00452.x.

    Article  Google Scholar 

  • Muehlenkamp, J. J., Claes, L., Havertape, L., & Plener, P. L. (2012). International prevalence of adolescent non-suicidal self-injury and deliberate self-harm. Child and Adolescent Psychiatry and Mental Health, 6, 1–9. doi:10.1186/1753-2000-6-10.

    Article  Google Scholar 

  • Muehlenkamp, J. J., Claes, L., Smits, D., Peat, C. M., & Vendereycken, W. (2011). Non-suicidal self-injury in eating disordered patients: A test of a conceptual model. Psychiatry Research, 188, 102–108. doi:10.1016/j.psychres.2010.12.023.

    Article  PubMed  Google Scholar 

  • Muehlenkamp, J. J., & Saris-Baglama, R. (2002). Self-objectification and its psychological outcomes for college women. Psychology of Women Quarterly, 26, 371–379. doi:10.1111/1471-6402.t01-1-00076.

    Article  Google Scholar 

  • Muehlenkamp, J. J., Swanson, J. D., & Brausch, A. M. (2005). Self-objectification, risk taking, and self-harm in college women. Psychology of Women Quarterly, 29, 24–32. doi:10.1111/j.1471-6402.2005.00164.x.

    Article  Google Scholar 

  • Murray, C. D., & Fox, J. (2005). Dissociational body experiences: Differences between respondents with and without prior out-of-body experiences. British Journal of Psychology, 96, 441–456. doi:10.1348/000712605X49169.

    Article  PubMed  Google Scholar 

  • Muthén, L. K., & Muthén, B. O. (1998–2010). Mplus user’s guide (6th ed.). Los Angeles, CA: Muthén & Muthén.

  • Myers, R. (1990). Classical and modern regression with applications (2nd ed.). Boston: Duxbury.

    Google Scholar 

  • Myers, T. A., & Crowther, J. H. (2008). Is self-objectification related to interoceptive awareness? An examination of potential mediating pathways to disordered eating attitudes. Psychology of Women Quarterly, 32, 172–180. doi:10.1111/j.1471-6402.2008.00421.x.

    Article  Google Scholar 

  • Nelson, A., & Muehlenkamp, J. J. (2012). Body attitudes and objectification in non-suicidal self-injury: Comparing males and females. Archives of Suicide Research, 16, 1–12. doi:10.1080/13811118.2012.640578.

    Article  PubMed  Google Scholar 

  • Peat, C. M., & Muehlenkamp, J. J. (2011). Self-objectification, disordered eating, and depression: A test of meditational pathways. Psychology of Women Quarterly, 35, 441–450. doi:10.1177/0361684311400389.

    Article  Google Scholar 

  • Polk, E., & Liss, M. (2007). Psychological characteristics of self-injurious behavior. Personality and Individual Differences, 43, 567–577. doi:10.1016/j.paid.2007.01.003.

    Article  Google Scholar 

  • Polk, E., & Liss, M. (2009). Exploring the motivations behind self-injury. Counseling Psychology Quarterly, 22, 233–241. doi:10.1080/09515070903216911.

    Article  Google Scholar 

  • Radloff, L. S. (1977). The CES-D Scale: A self-report depression scale for research in the general population. Applied Psychological Measurement, 1, 385–401. doi:10.1177/014662167700100306.

    Article  Google Scholar 

  • Root, M. P. P. (1992). Reconstructing the impact of trauma on personality. In L. S. Brown & M. Ballou (Eds.), Personality and psychopathology: Feminist reappraisals (pp. 229–265). New York: The Guildford Press.

    Google Scholar 

  • Ross, S., Heath, N. L., & Toste, J. R. (2009). Non-suicidal self-injury and eating pathology in high school students. American Journal of Orthopsychiatry, 79, 83–92. doi:10.1037/a0014826.

    Article  PubMed  Google Scholar 

  • Sanders, B., & Giolas, M. H. (1991). Dissociation and childhood trauma in psychologically disturbed adolescents. The American Journal of Psychiatry, 148, 50–54. doi:10.1111/j.1744-6163.1991.tb00350.x.

    PubMed  Google Scholar 

  • Schumaker, J. F., Warren, W., Carr, S., Schreiber, G. S., & Jackson, C. (1995). Dissociation and depression in eating disorders. Social Behavior and Personality, 23, 53–57. doi:10.2224/sbp.1995.23.1.53.

    Article  Google Scholar 

  • Shaw, S. N. (2002). Shifting conversations on girls’ and women’s self-injury: An analysis of the clinical literature in historical context. Feminism & Psychology, 12, 191–219. doi:10.1177/0959353502012002010.

    Article  Google Scholar 

  • Sornberger, M. J., Heath, N. L., Toste, J. R., & McLouth, R. (2012). Nonsuicidal self-injury and gender: Patterns of prevalence, methods, and locations among adolescents. Suicide and Life-Threatening Behavior, 42, 266–278. doi:10.1111/j.1943-278X.2012.00088.x.

    Article  PubMed  Google Scholar 

  • Sue, D. W. (2010). Microaggressions in everyday life: Race, gender, and sexual orientation. Hoboken: John Wiley & Sons.

    Google Scholar 

  • Sue, D. W., & Capodilupo, C. M. (2008). Racial, gender, and sexual orientation microaggressions: Implications for counseling and psychotherapy. In D. W. Sue & D. Sue (Eds.), Counseling the culturally diverse: Theory and practice (5th ed., pp. 105–130). Hoboken: John Wiley & Sons.

    Google Scholar 

  • Sypeck, M. F., Gray, J. J., & Ahrens, A. H. (2004). No longer just a pretty face: Fashion magazines’ depictions of ideal female beauty from 1959–1999. International Journal of Eating Disorders, 36, 342–347. doi:10.1002/eat.20039.

    Article  PubMed  Google Scholar 

  • Szymanski, D. M., & Henning, S. L. (2007). The role of self-objectification in women’s depression: A test of objectification theory. Sex Roles, 56, 45–53. doi:10.1007/s11199-006-9147-3.

    Article  Google Scholar 

  • Thompson, J. K., van den Berg, P., Roehrig, M., Guarda, A. S., & Heinberg, L. J. (2004). The Sociocultural Attitudes Towards Appearance Scale-3 (SATAQ-3): Development and validation. International Journal of Eating Disorders, 35, 293–304. doi:10.1002/eat.10257.

    Article  PubMed  Google Scholar 

  • Tiggemann, M., & Kuring, J. K. (2004). The role of self-objectification in disordered eating and depressed mood. British Journal of Clinical Psychology, 43, 299–311. doi:10.1348/0144665031752925.

    Article  PubMed  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, 243–252. doi:10.1037/0012-1649.37.2.243.

    Article  PubMed  Google Scholar 

  • Tiggemann, M., & Slater, A. (2001). A test of objectification theory in former dancers and non dancers. Psychology of Women Quarterly, 25, 57–64. doi:10.1111/1471-6402.00007.

    Article  Google Scholar 

  • Tiggemann, M., & Williams, E. (2012). The role of self-objectification in disordered eating, depressed mood, and sexual functioning among women: A comprehensive test of objectification theory. Psychology of Women Quarterly, 36, 66–75. doi:10.1177/0361684311420250.

    Article  Google Scholar 

  • Tolmunen, T., Rissanen, M. L., Hintikka, J., Maaranen, P., Honkalampi, K., Kylma, J., et al. (2008). Dissociation, self-cutting, and other self-harm behavior in a general population of Finnish adolescents. Journal of Nervous and Mental Disease, 196, 768–771. doi:10.1097/NMD.0b013e3181879e11.

    Article  PubMed  Google Scholar 

  • Tylka, T. L., & Hill, M. S. (2004). Objectification theory as it relates to disordered eating among college women. Sex Roles, 51, 719–730. doi:10.1007/s11199-004-0721-2.

    Article  Google Scholar 

  • van der Kolk, B. A., Perry, J. C., & Herman, J. L. (1991). Childhood origins of self-destructive behaviors. American Journal of Psychiatry, 148, 1665–1671.

    PubMed  Google Scholar 

  • Waller, G., Ohanian, V., Meyer, C., Everill, J., & Rouse, H. (2001). The utility of dimensional and categorical approaches to understanding dissociation in eating disorders. British Journal of Clinical Psychology, 40, 387–397. doi:10.1348/014466501163878.

    Article  PubMed  Google Scholar 

  • Wenninger, K., & Heiman, J. R. (1998). Relating body image to psychological and sexual functioning in child sexual abuse survivors. Journal of Traumatic Stress, 11, 543–562. doi:10.1023/A:1024408830159.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Mindy J. Erchull.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Erchull, M.J., Liss, M. & Lichiello, S. Extending the Negative Consequences of Media Internalization and Self-Objectification to Dissociation and Self-Harm. Sex Roles 69, 583–593 (2013). https://doi.org/10.1007/s11199-013-0326-8

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11199-013-0326-8

Keywords

Navigation