![]() Today this imposing red-brick building on a shallow hill is surrounded by smaller units – they take up a city block alongside a railway line – and it’s in one of these squat buildings at the back that I wait for doctors Laura Bowyer and Bruce Clark. The Maudsley, in London, is the world’s oldest psychiatric institution. And that’s when the Maudsley hospital gets involved. But it is the point at which these concerns become an obsession – when the worry interferes with a person’s life, when they can’t leave the house because they’re stuck looking in the mirror, when relationships fail and work falters, that’s when it becomes a disorder. We like to be seen from particular angles, and profess to hate our arms. We make small adjustments, conceal, straighten. Walking to work, reflective surfaces distract us. Self-surgery is one of the hallmarks of body dysmorphic disorder (BDD), where a person has a distorted view of how they look. ![]() Across the world people are standing in bathrooms with knives, quietly hating themselves. Somebody cut the ends of their fingers off. In America a man took a hammer to his face. Finally, he thought, he’d feel so much better. ![]() His aim was to remove the cartilage and replace it with that of a chicken. A man took a razor blade and very carefully cut open his nose lengthways. ![]()
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