Gary Elliott 
Bigorexia. When ‘big’ isn’t big enough. [PDF ebook] 

Seminar paper from the year 2010 in the subject Psychology – Miscellaneous, ( Atlantic International University ), language: English, abstract: The term ‘bigorexia nervosa’, along with another synonym ‘reverse anorexia’, are nicknames for muscle dysmorphia. Muscle dysmorphia is deemed to be a sub-type of body dysmorphic disorder. It is seen primarily in men who usually perceive themselves as puny, or not muscular enough. The man or boy with muscle dysmorphia is bombarded with obsessive thoughts that their muscles aren’t big enough and feel small and weak, even though, in many cases, they may actually have large, strong muscles.
The Diagnostic and Statistical Manual of Mental Disorders, fourth edition (DSM-IV) describes body dysmorphic disorder (BDD) as a preoccupation with a defect in appearance. The defect is either imagined or minor, but if a defect is present, the individual’s concern about the defect is markedly excessive in comparison with the severity of the defect (Claiborn & Pedrick: 2002). Sufferers of Muscle Dysmorphia, like others with BDD, see parts of their body as defective. This excessive preoccupation with body size and muscularity causes the sufferer to feel small when they’re actually big.
In Paterson (2008), muscle dysmorphia is defined as a syndrome seen in both men and boys who feel dissatisfied with their bodies; not believing they are muscular enough. Morgan (2008) explains that at the ‘root’ of muscle dysmorphia is a distortion of body image. Body dysmorphia occurs almost exclusively in males and is a condition that consists of believing that one cannot be big enough (Andersen et al: 2000). In the Psychology Today magazine of 1997, it was reported that 43% of men interviewed were dissatisfied with their overall appearance; this is a dramatic increase form 15% in 1972 and 34% in 1985; so much so that Claiborn & Pedrick (2002) suggest that male body image dissatisfaction is catching up with that of women. Andersen et al. (2000) purports that more men than ever are dissatisfied with their weight, but unlike women, half of them want to get heavier, almost always in the form of increased muscle. In Phillips (2009) we discover that approximately one-quarter of men with body dysmorphic disorder are preoccupied with their overall body build.
Morgan (2008) suggests that muscle dysmorphia exists at the end of a spectrum of behaviours designed to reshape the body. A strong parallel with body dysmorphic disorder is the ‘imagined’ status of the defect in appearance; the brain of the bigorexic sufferer sees a perfectly normal body shape…