The thesis determined predominant themes that surround the topic of cosmetic surgery. On the basis of the findings a thematic counselling framework for cosmetic surgery clinical practice is proposed. A mixed methods design was chosen for this study. A thematic analysis was used to ascertain themes. A quasi-numerative approach was also utilised to establish the relative incidence of themes. Sources of data were media, internet message boards and interviews with men and women about cosmetic surgery. Two overarching themes emerged within the coding process. These were factors that might persuade someone to have and factors that might dissuade someone from having cosmetic surgery. A number of persuading and dissuading sub-themes were identified. Quantitative results demonstrated that within the two overarching themes 58% of the talk was persuasive of, whilst 42% was dissuasive of having cosmetic surgery. Some of the sub-themes found in the thesis were considered to compete with one another. This is evidence that patients have to negotiate conflicting information about cosmetic surgery. The findings of the dissertation are interpreted within a theoretical context. Through applying theories of decision-making and cognitive dissonance, suggestions are made about how health professionals might proceed clinically in counselling with cosmetic surgery patients or those considering having a procedure. The thematic counselling framework proposed within this thesis is intended to assist patients and clinicians with the numerous messages from our social community (societal messages) that shape their relationship to cosmetic surgery. To the author’s knowledge, it is the first clinical framework to do so. / Thesis (Ph.D.) - University of Adelaide, School of Medicine, 2009

The literature survey reports that persons electing cosmetic plastic surgery for aesthetic or medical reasons, or those persons not electing any form of surgery, often experience physical, psychological and socio-cultural problems. The complexity among the associated variables, body images, identity status, fashionable clothing behaviour and social self-consciousness were investigated comparatively, using a biopsychosocial approach. The samples consisted of cosmetic surgery patients (n=25), Black and White female fashion participants (n=60) and breast oncology case studies (n=3). The research methods included descriptive and inferential statistics. A maximum of six questionnaires was administered per individual. The results indicated that a positive body image perception was related to identity integrity, fashionable dressing and a sense of social acceptance. Insight into the importance placed on the body as a means of self-expression can contribute to successful cosmetic and breast oncology surgery and also promote intercultural harmony, by reducing body-based prejudice. / Psychology / M.A. (Psychology)

The literature survey reports that persons electing cosmetic plastic surgery for aesthetic or medical reasons, or those persons not electing any form of surgery, often experience physical, psychological and socio-cultural problems. The complexity among the associated variables, body images, identity status, fashionable clothing behaviour and social self-consciousness were investigated comparatively, using a biopsychosocial approach. The samples consisted of cosmetic surgery patients (n=25), Black and White female fashion participants (n=60) and breast oncology case studies (n=3). The research methods included descriptive and inferential statistics. A maximum of six questionnaires was administered per individual. The results indicated that a positive body image perception was related to identity integrity, fashionable dressing and a sense of social acceptance. Insight into the importance placed on the body as a means of self-expression can contribute to successful cosmetic and breast oncology surgery and also promote intercultural harmony, by reducing body-based prejudice. / Psychology / M.A. (Psychology)