Getting Lost in the Details
February 5th, 2010 by Lisa ScheererI recently read an article about a condition called body dysmorphic disorder, another lens on bio-distress, a trend explained in the 2020 Forecast: Creating the Future of Learning. It’s a type of mental illness that causes those afflicted to just see the pieces of their faces–not the overall shape of their faces. Overly obsessed by the imperfections of the pieces, patients often seek multiple plastic surgeries. According to the article, plastic surgery almost never fixes their unhappiness about their appearance: 81 percent are dissatisfied with results of cosmetic treatments.
A study about how these patients literally “see” themselves is being led by Dr. Jamie Feusner psychiatrist at the University of California, Los Angeles. “It turns out that people with this condition have abnormal brain function when it comes to looking at pictures of their own faces…When viewing themselves in photographs, patients with BDD underutilize parts of the brain used in seeing the face’s overall shape and size,” says Feusner.
“The study is ‘groundbreaking’ in its demonstration that patients with BDD are too focused on the details aren’t able to see the whole picture when they see themselves”, said Sabine Wilhelm, director of the BDD Clinic and Research Unit at Massachusetts General Hospital, who was not involved in the study.
I see (at least) two connections to a greater sociological phenomena:
1. Is this illness a symptom of a much larger bio-distress as mentioned in the 2020 Forecast that says. “greater threats to human and environmental health from climate change, pollution, war, extreme urbanization, and other natural and human-made disasters will in the next decade create new stresses on minds and bodies.”
2. I cannot help but be reminded of the systems thinking axiom, “If you optimize the parts of the system, you are guaranteed to sub-optimize the whole (larger) system.” Tinkering with the individual pieces of the system–the details–will not enhance the “whole.” This kind of near-sightedness, that sees only the details and not the interconnections and interrelatedness of whole system, can be attributed to most system failures.
One last intersting thing that the article mentions is that although findings are early, one possibility for patients with BDD is that they be retrained to see their own faces. “What we need to do in cognitive behavioral therapy treatment development is to really enhance efforts at teaching patients how to see the big picture,” Wilhelm said.
Do any of us really see the big picture? Perhaps we have to retrain our ways of thinking and seeing.


