Narcissism, Perfectionism, and Interest in Cosmetic Surgery
Bibliographic record
Abstract
Sir: Cultural commentators argue that we live amid an “age of narcissism,” where narcissistic self-absorption and perfectionistic striving encourage interest in cosmetic surgery.1 Case studies and media reports also suggest that narcissism (vanity, exhibitionism, superiority, and entitlement) and perfectionism (ceaselessly demanding perfection of oneself) foster interest in cosmetic surgery.2 Such observations, although provocative, have yet to be subjected to empirical scrutiny. To address this shortcoming, we recruited 305 undergraduate women (mean ± SD age, 19.48 ± 3.26 years) who completed reliable and valid self-report questionnaire measures of narcissism,3 perfectionism,4 and interest in cosmetic surgery.5 Our study was approved by an institutional ethics committee, and participants provided informed consent in writing. A moderated multiple regression analysis predicting interest in cosmetic surgery explained a moderate amount of variance (R2 = 0.05, p < 0.05) and indicated that narcissism (β = 0.07, p > 0.05) and perfectionism (β = 0.10, p > 0.05) were unrelated to interest in cosmetic surgery. However, narcissism interacted with perfectionism (β = 0.14, p < 0.05) such that interest in cosmetic surgery was greatest among individuals with high levels of both narcissism and perfectionism (Fig. 1).Fig. 1.: Individuals characterized by high levels of both narcissism and perfectionism appear especially interested in cosmetic surgery.Our results lend credence to observations implicating narcissism and perfectionism in cosmetic surgery1,2 and refine this literature by suggesting that a synergistic relation between narcissism and perfectionism may underlie and motivate interest in cosmetic surgery. Narcissistic perfectionists (individuals characterized by extreme levels of both narcissism and perfectionism) may strive to perfect their bodies through cosmetic surgery in an effort to garner attention, demonstrate superiority, or augment a grandiose but unstable sense of self.3,4 Although not all cosmetic surgery patients are narcissistically pursuing bodily perfection, important implications for cosmetic surgeons nevertheless arise from our results. Narcissistic perfectionists may be particularly challenging and potentially hostile patients. Indeed, a vain, entitled, and grandiose patient demanding a perfect (and therefore unrealistic) outcome may be nearly impossible to satisfy—even if an objectively successful and aesthetically pleasing surgical outcome is obtained. Pairing surgical procedures with psychological interventions may assist narcissistic perfectionists in overcoming barriers to a satisfying surgical experience. Skye Fitzpatrick Simon Sherry, Ph.D. Nikola Hartling Paul Hewitt, Ph.D. Gordon Flett, Ph.D. Dayna Sherry, Ph.D. Department of Psychology Dalhousie University Halifax, Nova Scotia, Canada
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.002 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.000 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.000 | 0.001 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.001 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".