"In the West, it is the physical appearance of the body that contributes greatly to the sense of who you think you are: its strength or weakness, its perceived beauty or ugliness relative to others. For many people, their sense of self-worth is intimately bound up with their physical strength, good looks, fitness, and external appearance. Many feel a diminished sense of self-worth because they perceive their body as ugly or imperfect.
"In some cases, the mental image or concept of 'my body' is a complete distortion of reality. A young woman may think of herself as overweight and therefore starve herself when in fact she is quite thin. She cannot see her body anymore. All she 'sees' is the mental concept of her body, which says 'I am fat' or 'I will become fat'."