The Register Citizen (Torrington, CT)

Experts: Zoom meetings could cause body image issues

- By Jordan Fenster

The reliance on Zoom for work and school during the COVID-19 pandemic could be exacerbati­ng serious psychologi­cal issues, experts say.

Specifical­ly, Sherry Pagoto is concerned about people who suffer from body dysmorphic disorder, or BDD.

“One of the characteri­stics of people with BDD is that they do spend a lot of time looking in the mirror, and it's a source of a lot of anxiety,” said Pagoto, a psychologi­st and director of the University of Connecticu­t’s Center for Health and Social Media. “To the extent that Zoom has become an all-day mirror, I don't think that's a great mix.”

A cousin of obsessive compulsive disorder, people with body dysmorphic disorder focus on a specific perceived flaw in their physical appearance.

“Maybe they think their ears are too big, or something's funny about them, or their arms are too long and then they become really hyper-focused on that thing,” said Karen SteinbergG­alluci, a clinical psychologi­st and associate professor of psychiatry at UConn Health.

It’s not just a casual dislike of an aspect of one’s appearance. The disorder is diagnosed when that dislike becomes an obsession, and the patient compulsive­ly tries to fix or hide that perceived flaw, which Pagoto called “camouflagi­ng.”

“Whereas, the average person might get up in the morning, they might look in the mirror or brush their teeth and put on some makeup or wash their face, five, 10 minutes and they're out the door,” she said. “Someone with body dysmorphic disorder may get a little bit stuck in the mirror trying to do the camouflagi­ng, and some people could be spending hours a day within that particular behavior.”

It becomes a problem, said Steinberg-Galluci, when the obsession with a perceived

flaw interferes with a patient’s daily life.

“So, you want to see: How much is it interferin­g? How much are their thoughts preoccupie­d with this particular thing? Are their behaviors or compulsion­s related to it? Are they doing compulsive exercising or not eating? Are they getting surgeries, trying to do things that could be costly or, or harmful to them to try to try to create some perfect image that they want to achieve?”

One of the treatments for the disorder, Pagoto said, is to encourage patients to stay away from mirrors, to break that hyper-focus on that perceived flaw.

“For someone with BDD, particular­ly if the perceived imperfecti­on was visible in your Zoom box, it would be a very anxiety-provoking experience,” Pagoto said. More, in fact, than being in class or at a party, in-person.

It’s not just that you are staring at yourself for hours a day, but that people are staring at you.

“Because, the thought that ‘Everybody's staring at me, everybody can see this thing.’ It's basically a social interactio­n, but it's very focused on how everybody's staring at your face,” she said. “Whereas, maybe if you were in the room with people, you might not feel like everybody's staring at you right now. But on Zoom, it might even feel a little bit more like people are staring at you, especially if you're talking.”

Another problem is that Zoom and other video-conferenci­ng tools don’t offer a precise mirror. The image you see in the window is not an accurate representa­tion of how you look.

On one hand, unless you have profession­al lighting and the best camera, “When you're on Zoom or whatever, it actually doesn't look like a mirror, it looks not as good,” Steinberg-Galluci said.

But then there are filters, ways the programs allow you to appear with touched-up eyebrows or altered skin tone.

“It's like technology camouflagi­ng, so I don't need to put all kinds of makeup on my face, because the only way people are seeing me is through these filters that are doing it for me better than I can ever do it myself,” Pagoto said.

But that only makes the reality of your appearance more stark, encouragin­g yet more focus on any perceived flaw.

“Then I look at my regular self, and I'm like, ‘Oh, I didn't think I looked that bad, but now compared to the beauty that it gave me, I look awful,’” Pagoto said. “I almost worry that even people who may not be prone to something like body dysmorphic disorder, something that severe, if it's all nudging us towards having more body image issues, because now we get to see before and after pictures of us very unrealisti­c to what we usually are.”

Schools often require students to keep their cameras on when in remote learning. It’s a way to make sure students are engaged and not, for example, asleep.

But Steinberg-Galluci said one idea is camera breaks, giving students a chance to not be seen if they don’t want to be.

“I know from the perspectiv­e of being an educator. That's kind of hard to teach and feel like you're interactin­g with people,” she said. “I think it is important for teachers to feel like the student is really there, is getting this material. But it's not good for us to just be constantly staring at a screen and whether it's the teacher or ourselves or other students that’s not good for your eyes. It's really draining after a while.”

NEW YORK (AP) — Jeffrey Epstein’s former girlfriend claimed through her lawyer Tuesday that a guard physically abused her at a federal lockup in Brooklyn, and then she was punished for complainin­g about it.

Attorney Bobbi Sternheim wrote in a letter to a Manhattan federal judge that the abuse occurred recently at the Metropolit­an Detention Center as Ghislaine Maxwell was undergoing a pat down search in her isolation cell.

The lawyer said the British socialite asked that a camera be used to capture what was occurring, but a guard “replied ‘no.’”

“When Ms. Maxwell recoiled in pain and when she said she would report the mistreatme­nt, she was threatened with disciplina­ry action,” Sternheim said.

Days later, Maxwell was retaliated against for reporting the abuse when a guard ordered her into a shower to clean, sanitize and scrub the walls with a broom, the lawyer said. She added that Maxwell was denied a request that the encounter with the guard in the tight space be recorded.

A spokespers­on for prosecutor­s declined comment. A message seeking comment was sent to the federal Bureau of Prisons.

Maxwell, 59, is awaiting a July trial on charges that she recruited three teenage girls for Epstein to sexually abuse in the 1990s and committed perjury during 2016 deposition­s in a civil case. She has pleaded not guilty.

She has remained incarcerat­ed without bail since July, when she was arrested almost exactly a year after Epstein was arrested to face sex traffickin­g charges. Epstein killed himself in a Manhattan jail a month after his arrest.

In late December, a judge rejected a $28.5 million bail proposal for Maxwell, saying she was a risk to flee and was not forthcomin­g with authoritie­s about her finances after her arrest.

As part of the bail proposal, lawyers said Maxwell had about $22.5 million in assets with her husband and had set aside over $7 million for her defense.

In Tuesday’s letter, Sternheim repeated assertions made before that Maxwell is being subjected to onerous conditions that include repeated searches and being awakened every 15 minutes by a light flashed into her cell when she sleeps. The lawyer said the prison is reacting to Epstein’s suicide.

Sternheim said Maxwell has been physically searched approximat­ely 1,400 times in the last seven months and no contraband has ever been found despite hundreds of physical searches of the cell where she lives alone as well as her locker, legal papers, and personal effects.

She said her client is under 24-hour surveillan­ce by two-to-six guards and approximat­ely 18 cameras, not including a hand-held camera trained on her when she is moved outside the cell.

Meanwhile, harsh treatment that includes food so poorly prepared that it sometimes cannot be eaten has taken a toll, the lawyer said.

“She is withering to a shell of her former self — losing weight, losing hair, and losing her ability to concentrat­e,” Sternheim wrote. “In addition to the many difficulti­es impacting her review of electronic discovery materials, the over-management and stress are impacting her stamina and effectiven­ess in preparing her defense and conferring with counsel.”

 ?? John Moore / Getty Images ?? Teacher Shira Mandel instructs first-grade students during a remote learning class at Stark Elementary School in Stamford on Sept. 16, 2020.
John Moore / Getty Images Teacher Shira Mandel instructs first-grade students during a remote learning class at Stark Elementary School in Stamford on Sept. 16, 2020.

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