Monkey Business Images/Shutterstock
Source: Monkey Business Images/Shutterstock

I recently took my 10-year-old niece and her cousin shopping for new dresses. As they tried on clothes, my niece commented, "Nothing looks good on me; Sabrina looks good in everything." It surprised me to hear such a young girl expressing such poor body image and comparing herself unfavorably to her cousin. Yet the very next morning I myself was a witness to a similar discussion between two friends of mine. One, a woman who is enviably slim and fit, casually complained about feeling fat and the other, a man with a near-perfect physique, joined in, saying that since he hit 30, his body was getting "soft and round."

Regardless of actual body type or attire, many of us suffer from a barrage of self-critical thoughts.

People's views of their bodies are not only cruel but inaccurate. A friend of mine recently told me how down on herself she feels about getting older and confessed that she continually compares herself negatively to "younger, prettier girls." She showed me an old picture of herself, of the "skinny and youthful" woman she once was. When I asked her how she felt about herself at that time, she remembered that the very day the picture was taken, she'd felt fat, ugly, and full of the same self-hate she felt today. Her perception of herself as a young woman was as flawed as her current self-image. What she really needed to address wasn't wrinkles under her eyes or grays in her hair but the deep-seated feeling of shame that's long kept her from accepting herself as the attractive woman she truly is.

What is the underlying cause for the damaging thoughts that we harbor about our bodies? What is the reason for the discrepancy between the critical way we see ourselves and the realistic view that others have of us? Our basic self-perception is shaped by both positive and negative programming from our past. For example, when a parent or other significant adult persists in looking at a child's face critically, that child will begin to incorporate the thought or believe that that there is something inherently wrong with him or her, particularly his or her physical self.

Early experiences impact our way of seeing ourselves and remain sources for inaccurate self-criticism throughout our lives. People who face issues of low self-esteem can trace them to feelings of humiliation, rejection, or disappointment they suffered in childhood. When young children search for the origin of these feelings, they often look within themselves rather than finding fault with an adult they are dependent on. One of the easiest places for them to lay the blame is on their physical appearance.

Throughout our lives, other experiences can feed into the deep, old sense of shame that stems from as early as our first few years of life. We continue to assign this ongoing feeling of shame to parts of our bodies that we see in a negative light. We can attribute humiliations in front of a classroom, hurtful breakups, career failures, and even minor mistakes to not looking right and add to our inner well of self-hatred.

Too often, we go from feeling negatively about our appearance to actually avoiding certain activities and events, because we don't want to be seen. Thoughts that we are too short, tall, or out of shape can keep us from going out with friends or taking our shirt off at the beach. Negative body image can also keep us from more meaningful courses of action: We may assume someone we're interested in is not attracted to us, or avoid intimacy altogether, because we are insecure about how we look. When we lose confidence in ourselves, we may resign ourselves to familiar activities and situations instead of pursuing what we really want to do; for instance, staying at home and avoiding a party, because we feel like we are not as attractive as other people who are going.

Each of us harbors a unique prescription for self-loathing. Therefore, we're often sheltered in our own bubble of shame, coached by an inner critic that tells us we are different, flawed, and lesser than those around us. We even project these self-attacks onto others and think that they are critical of us or not attracted to us. We may notice that our self-attacks get a lot louder in situations where we become self-conscious of our bodies, like getting out of the shower or going out at night.

This "critical inner voice" instructs us to hide our bodies. It's an internal coach telling us to leave our tank tops on at the beach. It whispers to us that, since we are flawed, we should drive ourselves to excessively pursue perfection—or just give up. Even though it may instruct us to exercise or diet, the same voice lures us to take it easy or have that second cupcake. It then punishes us by calling us "weak" or "failures" in a vicious cycle that perpetuates the process.

Our bodies are often the biggest target of our critical inner voice. No matter where we stand in life, it informs us of our imperfections and keeps us from fully enjoying ourselves or relaxing in our own skin. We can choose to starve or feed, hide or reveal ourselves all based on the faulty advice of this inner critic.

Challenging the "voice" is key to accepting our bodies. But when we do, we can expect to face some serious anxiety. Acting against these thoughts is not just about confronting a few surface criticisms. Rather, it involves awakening a great beast fed on the belief that we are inadequate in some way. This beast may be cruel, but it has also grown familiar to us. Acting against its will by taking our goals seriously and feeling confident in our bodies will rouse the critic, which may get louder for a time.

However, like the Wicked Witch melting in the Wizard of Oz, the voice will eventually fade into the background. So when it tells us to keep our sweater on or to hide in the back of the room, it is important to throw caution to the wind and remember that this act isn't just about shedding layers of fabric. It's about stripping yourself of years of self-hatred, shame, and misplaced criticism that just doesn't belong in the here and now.

To read more from Dr. Lisa Firestone on the "Critical Inner Voice" visit PsychAlive.org

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