Body representation is an essential part of a person’s self-concept and also shapes how we see the world. A disturbed body representation also plays a role in clinical conditions such as eating disorders or stroke. So far, a major hurdle for research was the lack of ecologically valid body stimuli. Psychological and medical research so far relies on indirect experimental tasks (e.g. estimated reach) or on questionnaires that assess explicit body attitudes. In this project, we cooperate with partners from the Max-Planck-Institute for Biological Cybernetics and the University Hospital Tübingen to develop ecologically valid methods for the assessment of body representation.
As a next level of existing experimental setups, we created a virtual reality mirror scenario [ ]. Based on a 3D body scan and a statistical body model learned from the CAESAR dataset, we generate individual avatars of the participants that can be distorted in terms of weight. Through texture manipulations, we are able to vary the identity of the displayed person. As a major improvement to the existing artist generated figural drawing scales, we also created a biometric figure rating scale [ ] and a desktop tool. In different projects, we assessed >100 participants from the general population as well as > 30 women with anorexia nervosa.
Our results in [ ] show that in the general population, the accuracy of own body size estimation is predicted by personal BMI, such that participants with lower BMI underestimated their body size and participants with higher BMI overestimated their body size. Critically, these biases suggest that people tend to perceive their weight in an even exaggerated way, while there was no hint of a general denial in underweight or overweight persons. The same underestimation bias also occurred in women with anorexia nervosa. Further, we consistently observed that women with anorexia nervosa favored a much thinner body as ideal weight than healthy women. This observation has major clinical impact, because it questions the common idea that misperception of body dimensions may be a maintaining mechanism of this eating disorder. Rather, it suggests that treatment should support patients in accepting a healthy body weight for their own.