CHAPTER I THE PROBLEM AND THE RESEARCH DESIGN INTRODUCTION Rationale Why Can't I See Me? I look at her From head to toe. From her ashy dry hair, To her carbuncled toes. I turn up my nose. I shook my head. 'How on earth can she stand herself.' That made me smile. 'She can't,' I thought, She detests the sight of her. She hates that her hair can't be tamed. That her eyes are slightly crossed. That her ears troop off the sides of her head. And her nose! Oh, that nose. No words will do it justice. Hairs on her chin. She dislikes her man-like shoulders, And her sinewy arms that dangle there. Her flat chest. Her disappearing hips. She turns around to check her back; Can't find her derriere. Hairy legs, Sticking up from over-sized feet. And wonders, She wonders what she's doing right. By: Loi-Renee Few numbers of people find themselves ugly and unattractive physically. There might be some reasons of
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CHAPTER I
THE PROBLEM AND THE RESEARCH DESIGN
INTRODUCTION
Rationale
Why Can't I See Me?
I look at herFrom head to toe.
From her ashy dry hair,To her carbuncled toes.
I turn up my nose.I shook my head.
'How on earth can she stand herself.'That made me smile.'She can't,' I thought,
She detests the sight of her.
She hates that her hair can't be tamed.That her eyes are slightly crossed.
That her ears troop off the sides of her head.And her nose!Oh, that nose.
No words will do it justice.Hairs on her chin.
She dislikes her man-like shoulders,And her sinewy arms that dangle there.
Her flat chest.Her disappearing hips.
She turns around to check her back;Can't find her derriere.
Hairy legs,Sticking up from over-sized feet.
And wonders,She wonders what she's doing right.
By: Loi-Renee
Few numbers of people find themselves ugly and
unattractive physically. There might be some reasons of
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unsatisfied physical attributes and characteristics. Reasons
of failure to accept oneself physically which also
contributes to the emotional, social and psychological
aspect of the person. They might be unable to accept who
they are and what they really are. In this sense, selected
people in our country try to compensate their own perception
of themselves through aesthetic upgrading.
Aesthetic upgrading refers to the enhancement of one’s
physical attribute to look good and feel good about them.
Supposedly, this procedure is legally done by experts and
licensed surgeons but circumstances tell that some people
exercise beauty enhancement procedure without legal
processing or procedures of the papers in the authority. The
researcher considers the practice of beauty enhancement as
cosmetic surgery and facial aesthetics which may include the
following: breast enlargement/augmentation, nose reshaping,
etc.), and medication taking like pills to modify one’s
hormones to have conversion of certain parts of the body.
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This medical procedure is intended to enhance a person’s
appearance of physical feature, irregularities and defect
rather than health concerns. The success of this procedure
might bring add confidence to a person’s self-image and
self-concept; and as to how the person sees oneself.
Nowadays, numbers and statistics aside, the decision to
get surgery has as much to do with physical reasons as the
psychological reasons. This is surely related to the self.
On the cognitive level, what does it mean that more and more
people are getting cosmetic surgery? Who are they trying to
impress and what "problems" are they trying to fix? Who are
they rejecting themselves in favor of?
People considering beauty enhancement procedures should
know that choosing the right surgeon to visit or right
medication to take is the single most important decision
they will make. In this sense, they are also responsible to
whatever effect that they might get. In the society, the
practice of illegal aesthetic upgrading does exist and it
does contribute harm to the patients physically,
emotionally, mentally and psychologically. Moreover, it
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might contribute factors that could affect how the person
sees himself, how the people perceive him and how the
society would interpret as such incident of failure of
beauty enhancement procedure exist.
In connection, the main focus of the study is to know
the possible reasons of people getting interested and
engaged in beauty enhancement procedure that would possibly
add awareness to these people and society which could give
help in understanding them and their situations. Moreover,
it examines how these people handled the experience of not
being able to get what they wanted to happen in the context
of beauty enhancement – unsatisfied.
The current study is entitled A Beautiful Disaster
which refers to a person undergone unsuccessful beauty
enhancement procedure more likely to be considered a
disastrous experience. However, remains to be beautiful
inside despite of the imperfections of the physical
attributions. Thus, this would represent the idea of the
research subjects’ experience.
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Conceptual Framework
“Your appearance is judged to be an important part of
who you are.” Few people might believe on this on this
principle which leads them to have a beauty enhancement
procedure. These factors are to be determined that might
have influence to the conclusion of upgrading the physical
aspect of few people.
This study focuses on the basic reason why some people
undergone a procedure of enhancing oneself physically. These
individuals will be studied according to the characteristics
and their personality before and after the incident. It is
necessary to look at the different aspects of the research
subject to have a strong and firm data to be collected. This
would also help the researcher in attaining a level of
understanding about the experience of the subjects and how
it does affect in their lives. In this way, a level of
congruence between the researcher and the subjects will
exist which is very necessary in conducting this research.
Examination of one’s self-image, self-esteem, self-
confidence and self-concept must also be given focus. From
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the experience of not being able to satisfy the need to be
beautiful and be upgraded, the effects are also intended to
study and examine. This would stress the different coping
mechanisms that each of the research subjects is utilizing
towards the self and to the situation itself.
The research involves examining and determining their
current state as victims of the unsuccessful aesthetic
upgrading. The subjects’ perception and interpretation of
the incident is very important in this study since they are
the ones who have an experience and possibly, they get
learning from the incident itself.
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Figure 1. Conceptual Framework
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This study has a procedure to be followed in order to
get the necessary information, to have a strong basis of
foundation, to have a proper and legal process to be pursued
and to be exercised. In this sense, the researcher would be
able to analyze the data gathered and could have an output
basing from the collected information.
Theoretical Background
The study is based on the theory of Self-Theory by Carl
Rogers (1902-1987) which states that the organism has one
basic tendency and striving - to actualize, maintain, and
enhance the experiencing organism. This theory or the
Person-Centered theory focuses about self-actualization
process. Behavior is the “goal-oriented attempt” of the
organism to meet its needs as it perceives them (Rogers,
1951). This goal-oriented behavior is accompanied by
emotions that, unless they are excessive or inappropriate,
facilitate the behavior. Fully experiencing one’s emotions
facilitates growth, whereas the denial or distortion of
emotions may permit them to raise havoc in our lives. Rogers
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suggested that actualization occurs most freely when the
person is open and aware of all experiences, be the sensory,
visceral, or emotional. Our inner experiences are
intrinsically growth-producing. An organismic valuing
process subconsciously guides us toward productive growth
experiences provided that it has not been overlaid with the
external rules and societal values that preclude healthy
self-actualization (1964).
Out of the interaction of the organism and the
environment, and in particular the interaction with
significant others, there gradually emerges a structure of
self, or a concept of “who I am” (Adler,1951). Those
experiences that appear to enhance one’s self are valued and
incorporated into one’s self-image; those experiences that
appear to threaten the self are denied and rendered foreign
to the self.
The self-concept is a portion of the phenomenal field
that has gradually become differentiated. It is composed of
those conscious perceptions and values of “me” or “I”, some
of which are result of the organism’s own valuing of its
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experiences and some of which have been introjected or taken
from important others. Because the self-concept comes in
part through others, the potential for dissociation or
estrangement exists (and usually occurs to some degree). As
a result, the actualizing tendency may be perverted into
behaviors that do not lead to actualization. The self-
concept, then, is an object of perception. It is the person
as she or he perceives herself or himself. Thus we have a
distinction between the organism or real self in the process
of actualization, and the self as perceived, or object. The
“self” that forms may be a variance with the real experience
of one’s organism because it includes values that are taken
over from other people rather than actual experiences of the
organism.
The experiences that occur in our lives are symbolized,
ignored, denied, or distorted. If an experience is
symbolized, it is accepted into conscious, perceived, and
organized into a relationship with the self. Experiences are
denied or distorted if they appear to be inconsistent with
the self-structure.
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Carl Rogers also introduced the concept of congruence
and incongruence. There is a need for the self as perceived
and the self, the organism, to be congruent. A state of
congruence exists when a person’s symbolized experiences
reflect all of the actual experiences of the organism. When
one’s symbolized experiences do not represent all of the
actual experiences, or if they are denied or distorted,
there is a lack of correspondence between the self as
perceived and the real self. In such a situation, there is
incongruence and possible maladjustment. Diagrammatically,
we can show this with overlapping circles distinction
between the real self and the ideal self.
Display 1. The Total Personality
Rogers believed that a person is free from inner
tension and is psychologically adjusted when the self-
concept is congruent with the experience. Diagram a depicts
a state of psychic tension. Diagram b depicts a state of
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relative congruence, wherein most elements of experience are
integrated into the self.
When an individual denies or distorts significant
sensory and visceral experiences, certain basic tensions
arise. The self-perceived, which is primarily governs
behavior, is not adequate representative of the true
experiences of the organism. It becomes increasingly
difficult for the self to satisfy the organism’s needs.
Tension develops and is felt as anxiety or uncertainty. The
theory will be a guide in determining the possible reason
why people tend to change their physical attributes. It
might be because there is an incongruence with their real
self and ideal self.
In the concept of self-esteem, identity is an
individual's ability to know himself or herself, and self-
esteem is the value that an individual places on himself or
herself. Self-esteem is a salient component of identity
development and maintenance as individuals construct their
identity based on interpersonal relationships, group
affiliations, and other cultural influences. Some experts
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think self-esteem is central to human existence from being
an innate longing in the subconscious, to a conscious need
that must be met by planning, motivation, and determination,
all of which influence the thoughts and behaviors of
individuals and groups.
Several other theories are utilized in this study such
as the Individual Psychology by Alfred Adler, Psychogenic
Need Theory by Henry Murray, Social Learning Theory of
Albert Bandura, Psychoanalytic Theory by Sigmund Freud and
Logotherapy by Viktor Frankl.
Individual Psychology by Alfred Adler is leading
concept of his psychology is his emphasis on the importance
of human culture and society. Human society is crucial not
simply for the development of an individual personality, but
also for the orientation of each and every behavior and
emotion in a person’s life.
Human beings are driven by certain innate instincts,
drives, or needs, such as the impulses to maintain life.
This shaping of instinctual expression in terms of one’s
attitude toward the environment suggests that underlying all
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other instincts and needs is the innate characteristic of
social interest (Adler, 1939). Social interest refers to
that urge in human nature to adapt oneself to the conditions
of the social environment. It expresses itself subjectively
in one’s consciousness of having something in common with
other people and of being one of them. It expresses itself
objectively in cooperation with others toward the betterment
of human society. While common to all, social interest does
not automatically emerge, nor does it invariably find
constructive expression. It must be nurture and cultivated.
Adler suggested that the psyche has its primary
objective the goal to superiority. This is the ultimate
fictional finalism for which all human beings strive, and it
gives unity and coherence to the personality. The essential
dynamic of human nature lies in its striving for
superiority. The drive for superiority involves the desire
to be competent and effective in whatever one strives to do.
This is considered to be innate and part of the struggle for
survival as human beings. This entails adapting oneself to
and mastering the environment.
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Inferiority feelings begin in childhood and continue to
crop up now and then throughout adulthood. They occur when
someone does better than you, criticizes you, shows
authority over you, hurts you, or otherwise gains advantage
over you. Inferiority feelings are normal and even
beneficial, because they lead to a compensating drive to
become superior or improve yourself to avoid such feelings
in the future. They show their low self-esteem in all
possible ways: with facial expression, tone of voice,
posture, choice of clothing, and choice of activities. They
avoid challenge because they are sure they will fail.
The research subjects might strive for superiority to
have a higher level of positive perception towards self.
This theory will help us trace the influences within the
self in changing one’s physical attributes for
attractiveness.
This study also nailed on the Henry Murray’s
Personology- his term for the study of individual “human
lives and the factors that influence their course” (1938)-
Murray emphasized the understanding of normal individuals in
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natural settings. To attain the level of understanding, he
defined need as a construct representing force in the brain
that organizes our perception, understanding, and behavior
in such a way as to change an unsatisfying situation and
increase our satisfaction. He constructed a list of twenty
basic needs which he believed as hierarchy of needs.
Table 1. Murray’s Table of Needs
Dominance To govern and directDeference To respect and conformAutonomy To behave independentlyAggression To attack and fightAbasement To yield and surrenderAchievement To succeed at a hard taskSex To be eroticSentience To find joy in sensuousnessExhibition To show off an attract
attentionPlay To have funAffiliation To relate to othersRejection To exclude othersSuccorance To seek helpNurturance To give helpInfavoidance To guard against
embarrassment
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Defendance To protect one’s self from
abuseCounteraction To face failure with
continued effortHarm Avoidance To stay away from dangerOrder To organize thingsUnderstanding To seek comprehension
To characterize an individual’s behavior simply on the
basis of needs is to give a one-sided portrait. Stimuli that
arouse needs motivate us to look for or avoid certain press-
forces from the environment that hinders the person to reach
the goals.
This would probably help the researcher to find out
what kind of need that the research subject wants to attain
and have. It would give an understanding about stimuli that
might affect the behavior of people who have gone for
physical upgrading.
This study is also anchored on Social Learning Theory
of Albert Bandura. Bandura conceives of human agency as the
ability to act and make things happen. Personal agency
occurs within a larger network of socio-cultural influences
Personal (cognitive, affective, & biological) determinants
Environmental determinantsBehavioral determinants
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in which people construct and are constructed by social
systems (2001). Both producers and products of their
environment, people have cognitive, vicarious, self-
regulative, and self-reflective capacities that influence
behavior and provide some measure of control over it. Human
agency entails intentionally, which enables us to behave
purposefully; forethought, which permits us to anticipate
outcomes; self-reactiveness, which allows us to motivate and
regulate actions, behaving in ways that give us satisfaction
and avoiding behaviors that bring self-censure; and self-
reflectiveness, which gives us the ability to reflect on our
thoughts and behavior and make changes as needed. We can
exercise our agency individually, collectively, or by proxy
when we authorize others to act on our behalf.
Bandura’s perspective is reflected in his concept of
triadic reciprocal causation (1978, 196a), the regulation of
human behavior by the interplay of behavioral, cognitive,
and environmental factors. The tree types of factors operate
as “interlocking determinants” of one another. The diagram
below describes the process of each factor.
Environmental determinantsBehavioral determinants
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Environmental stimuli influence our behavior, but
individual personal factors such as beliefs and expectation
also influence how we behave. The outcomes of our behavior
change the environment. Many psychologists have agreed with
Bandura that behavior arises from the interactions of a
person and the environment rather than from either factor
alone. However, some earlier conceptualization saw the
person and situation as separate agents that combine to
produce behavior, or they considered the behavior that the
person and situation produce to be a by-product that does
not enter into the causal process. Bandura believes that his
concept is significant because it emphasizes the reciprocal
nature of the interaction among all three factors.
Figure 2. A Diagram of Triadic
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Bandura emphasizes the power and pervasiveness of
social modeling and the process of learning through
observation or by example. In his one of the famous study
together with his colleagues demonstrated three factors that
influence modeling:
1. Characteristics of the model. People are more likely to be
influenced by someone who they believe is similar to
themselves than by someone who is different. Simpler
behaviors are more readily emulated than complex
ones, and certain kinds of behavior seem more prone
to learning through observation than others. Hostile
and aggressive behaviors are readily learned through
modeling.
2. Attributes of the observer. People who are lacking in self-
esteem or who are incompetent are especially prone
to follow the structure and style of a model. A
highly motivated individual will also emulate a
model in order to master a desired behavior.
3. Reward consequences associated with a behavior. People are
more likely to emulate a behavior if they believe
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that such actions will lead to positive short-or
long-term results. Bandura believes that this
variable is stronger than the other ones.
Learning through observation is not simple matter
of imitation. It is an active judgmental and
constructive process. Learning from the environment
contributes big factor that influences the drive to
change physical characteristics of selected people.
These people believe that the desired outcome will
happen to have a better presentation of their self.
In these sense, we could track their way of thinking
and perceiving themselves.
This study also anchored on the Psychoanalytic Theory
of Sigmund Freud. On his concept of defense mechanism, he
made a distinction among three kinds of anxiety. Reality anxiety
refers to fear of real danger in the external world. Neurotic
anxiety refers to fear that one’s inner impulses cannot be
controlled. Moral anxiety is fear of the retributions of one’s
own conscience. All have their basis in reality anxiety. In
order for an individual to cope with the anxiety, the ego
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develops defense mechanisms, procedures that ward off
anxiety and prevent our conscious perception of it. Defense
mechanisms share two features: They occur on an unconscious
level so that we are not aware of what we are doing, and
they deny or distort reality so as to make it less
threatening. Defense mechanisms are not necessarily
maladaptive; indeed, we cannot survive without them. They
must created to assist the developing ego in carrying out
its functions. However, should their distortion of reality
become too extreme or should they be used to exclusion of
other, more effective means of dealing with reality, defense
mechanisms may become maladaptive and destructive,
preventing further personal and social growth. Some of the
more common defense mechanisms are as follows.
Table 2. Coping Mechanisms
MECHANISM CHARACTERISTIC
RepressionBlocking a wish or desire from conscious
expression
Denial Refusing to accept an unpleasant reality
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ProjectionAttributing an unconscious impulse, attitude,
behavior or another
Reaction
FormationExpressing an impulse by its opposite
RegressionReturning to an earlier form of expressing an
impulse
Rationalizat
ion
Dealing with tan emotion intellectually to
avoid emotional concern
Identificati
on
Modeling one’s behavior after the behavior of
someone else
Displacement Satisfying an impulse with a substitute object
SublimationRechanneling an impulse into a more socially
desirable outlet
Repression involves blocking a wish or desire from
expression so that it cannot be experienced consciously or
expressed directly in behavior. It is an involuntary act
that prevents us from being aware of many of our own
anxiety-producing conflicts or remembering certain traumatic
emotional events from our past. The repressed emotion seeks
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an alternative outlet, and resistance is required to prevent
its emergence into consciousness. Nevertheless, once formed,
repressions are difficult to eliminate.
Denial entails refusing to acknowledge an unpleasant
reality of life. Many people who indulge in activities that
is undesired deny the certain cause that might hurt them.
They may see it affect other people, but they think, “That’s
not going to happen to me.”
Projection refers to the unconscious attribution of an
impulse, attitude, or behavior onto someone or something
else in the environment. An individual who unconsciously
feels hostile toward someone may project the hostility onto
the other person. Such a defense reduces anxiety by placing
its source in the external world, which makes it seem easier
to handle. Further, it permits us to defend ourselves
aggressively against our opponent and thereby indirectly
express our impulses.
Reaction formation expresses an impulse by its
opposite. Hostility, for example, may be replaced by
friendship. Frequently, however, the substitution is
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exaggerated, thereby calling into question the genuineness
of the feeling.
In regression the person moves backward in time to a
stage that was less anxious and had fewer responsibilities.
Regression frequently occurs following traumatic experience.
Rationalization involves dealing with an emotion or
impulse analytically and intellectually in order to avoid
feeling it. As the term implies, it involves faulty
reasoning, since the problem remains unresolved on the
emotional level.
In identification, we reduce anxiety by modelling our
behavior on that someone else. By assuming the
characteristics of a model who appears more successful in
gratifying needs, we can believe that we also possess those
attributes. We may also identify with an authority figure
that is resented and feared. Such identification may assist
us in avoiding punishment.
If an object that would satisfy an impulse of the id id
unavailable, we may shift our impulse onto another object.
Such substitution is called displacement. The substitute
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object, however, is rarely as satisfying as the original
object. Thus displacement does not bring complete
satisfaction but leads to a buildup of undischarged tension.
Sublimation rechannels an unacceptable impulse into a
more socially desirable outlet. It is a form of displacement
that redirects the impulse itself rather than the object.
Freud suggested that sublimation was a crucial to the
development of culture and civilization. It is clear from
biographical studies that sublimation was a defense commonly
used by Freud.
In this sense, the researcher could verify as to what
defense mechanisms the research subjects were or are using
in connection to their experience of not being able to
achieve the desired goal to enhance themselves physically.
In a broad theory of Existential Psychotherapy, this
study makes use of this. Viktor Frankl developed
Logotherapy, which means “therapy through meaning”. Frankl’s
philosophical model shed light on what it means to be fully
alive. “To be alive encompasses the ability to take hold
life day by day as well as to find meaning in suffering.”
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The central themes running through his works are life has
meaning, under all circumstances; the central motivation for
living is the will to meaning; the freedom to find meaning
in all that we think; and the integration of body, mind and
spirit. According to Frankl, the modern person has the means
to live but often has no meaning to live for. The
therapeutic process is aimed at challenging individuals to
find meaning and purpose through among other things,
suffering, work and love (Frankl, 1965).
Viktor Frankl talks of two different meanings: (1.)
Ultimate meaning: A meaning we can never reach but just
glimpse at the horizon... It can be God, but also science as
the search for truth, nature, and evolution for those who do
not believe in God. (2.) Meaning of the moment: People have
all the time to answer the questions life asks us and,
therefore, it is important to understand the meaning of each
moment by fulfilling the demands life places on them.
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Display 2. Logotherapy Map
In the diagram below, it emphasizes how an individual
finds meaning. When an individual fails to see meaning in
his life, that’s when life has no meaning. It becomes empty.
We live in what Frankl calls an "existential vacuum." It is
a state of inertia, boredom, and apathy experienced by many.
If this state persists, it progresses into existential
frustration, and eventually becomes a "noogenic neurosis."
We try to fill the existential vacuum with drugs, violence,
also with food, over-work, sports, etc., yet remain
unfulfilled.
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This can be compared to Freud’s ego defense mechanism
when an individual tries to find ways to avoid certain
things that enables them to see their failures, struggles
and difficulties. In relation to the current study, this
theory finds the researcher to seek realizations and lessons
from the experience of the research subjects of not being
able to achieve what they have desired to have.
In the concept of holism from the Gestalt Therapy
Theory which means a whole or completion, or a form that
cannot be separated into parts without losing its essence.
All nature is seen as a unified and coherent whole, and the
whole is different from the sum of its parts. Because
Gestalt therapists are interested in the whole person, they
place no superior value on a particular aspect of the
individual. Emphasis may be on a thoughts, feelings,
behaviors, body, memories, and dreams. Emphasis may be on a
figure (those aspects of the individual’s experience that
are most salient at any moment) or the ground (those aspects
of the client’s presentation that are often out of his or
her awareness).
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In connection with this, to grasp the figure and the
ground of an individual lead to determine and evaluate the
holism, wholeness of the person’s aspects in mind, body, and
spirit.
Survey of Related Literature
Social psychologists have attempted to explain why
individuals like certain other individuals. Research
indicates that there are three major influences on
interpersonal attractiveness: proximity, similarity and
physical attractiveness. In general, physical attractiveness
has been found to be the main determinant of whom to get to
know better. An experiment being published showing that
physically attractive people are perceived to have more
socially desirable traits and are expected to be more
successful in life than are unattractive people. The
research suggests that people stereotype physically
attractive people as having the best of all worlds. The
experiment shows that attractive stimulus persons were
assumed to have better prospects for happy social and
professional lives. They were expected to have more total
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happiness on their lives than those lesser attractiveness.
It is evident that the subjects assumed that the attractive
stimulus persons were more likely to find acceptable partner
than those of lesser attractiveness and were expected to
marry earlier and to be less likely to remain single. The
results suggested that a physical attractiveness stereotype
exists and that its perfectly compatible with the “What is
beautiful is good” thesis. Not only are physically
attractive persons assumed to possess more socially
desirable personalities than those of lesser attractiveness,
but it is presumed that their lives will be happier and more
successful.
Many people believe that good things happen to good
people and bad things happen to bad people. In other words,
people get what they deserve. Facial beauty is easier to
recognize than to define. It is widely agreed that beauty is
an evolutionary adoption for ensuring the survival of the
species, because physical attractiveness is rated as more
vital in mate selection. It includes a combination of
qualities, starting from the grace of form to the charm of
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the colours that delight the sight and other senses. It does
not have any norms however individual or societal assessment
of attractiveness is greatly influenced by cultural
standards. Several soft and hard tissue surgical procedures
are therefore performed around the world each year. In this
12 years study from 1992 to 2004 the types of orthognathic
surgical procedures performed and their psychological impact
on the patients' well-being have been evaluated. By
carefully structured interviews and psychosomatic
evaluations It has been clinically demonstrated that
psychological analysis is as important as soft and hard
tissue parameters for patients undergoing surgical
procedures to enhance facial beauty.
Obsession with a youthful appearance has become
commonplace in modern society and has resulted in an upswing
in cosmetic procedures trying to reverse the aging process.
Modern western society is obsessed with achievement, youth,
and beauty. Since the latter half of the 20th Century there
has been an increasing focus on the body as a vehicle for
identity and self-expression, with a greater recognition of
33
the role of appearance and the desire for self-improvement.
Youth has become valued and privileged above age and life
experience. Beauty is the apparent new indicator of social
worth. This contrasts with cultures where age is revered and
elders are deferred to with respect.
However, the desire for beauty is not purely a late
20th Century phenomenon. Well documented beauty practices
date back as far as Cleopatra’s milk baths, the use of kohl
to darken and enhance the eyes, vegetable dyes on cheeks and
lips, and hair adornments. Historically, people have often
undergone extreme discomfort and risk to conform to
culturally prescribed modes of beauty including binding of
the feet, ritual tattooing, and body scarification.
A contributing factor to the 21st Century obsession
with beauty and perfection has been the significant
development over the past two decades of the ways in which
the body (particularly female) has been presented by the
mass media and portrayed in advertising. The media is a
significant force in convincing women, especially, that they
are inadequate unless they package and present themselves in
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certain culturally sanctioned ways (Ring 2000). This has
promoted increasingly impossible standards of beauty, which
have progressively become more unrealistic and unattainable.
Although beauty practices have mainly been the domain
of women, both sexes historically went to great lengths to
beautify themselves. For example, in pre-Revolution 18th
Century France, the Parisian lady and her male counterpart
both wore heavily powdered faces, painted lips, false hair
and wigs, and high heeled shoes.
Haiken (1997) has suggested that North American society
became increasingly visual with heightened values attached
to women’s looks over the period since the Second World War.
The emergence of Hollywood movie stars and the presence of
fashion models in film, television, and the print media
served to make “ideal” images accessible to greater numbers
of people and to have a greater impact on the public
consciousness. Appearance became a focal point for women and
the pursuit of beauty was worth the time, money, and in some
the city by beauty parlors, proclaiming their high-risk
beauty treatments can bring magic to people's looks.
The so-called magic therapies are enough to make your
head spin, ranging from Botox injections, liposuction,
facelifts, double-eyelid surgery, laser, breast enhancement
to stem cell therapy, you name it. Despite the obviously-
high health risks posed by these procedures, and many
plastic surgery failures, all along the government has
turned a blind eye to the unscrupulous practices of beauty
parlors or private clinics.
And still over the years women are all willing to
surrender their cash to pursue their beauty-enhancement
dreams and fight aging. But when these beauty practices have
gone to the point of endangering people's lives, it is time
for the government to discard its laissez-faire approach,
and impose a stringent regulatory regime on these beauty
treatments and therapies.
In Philippine context, one of the most famous beauty
enhancement clinics is the Belo Medical Group. It matters
who does, says Dr. Vicki Belo (in a recent press meet to
45
tackle beauty issues), reminding the public that extra care
should be taken in choosing where to go for beauty
enhancement, maintenance, and restoration, otherwise suffer
the ill-effects of mistreatment
Not a few cases of mistreatment have surfaced in her clinic
Belo Medical Group for repair or reconstruction, she
reveals, which she has had to turn down because the damages
are simply irreparable. Dr. Belo cites a woman who suffered
deformity after liquid collagen had been injected into her
face. “You see, “she explains, “these things blend and grow
into the muscles and complications arise. Sometimes the
damage is so severe that you have to strip the whole muscle
to make repairs… iisa isahin mo. And that’s the danger of going
for a beauty procedure… kasi mas mura. You really must go to
your trusted clinic. “ Twenty-two years in business, the
Belo Medical Group busts beauty issues concerning the face,
skin, and body, using the most complete and advanced beauty
products, tools, and technology (132 lasers, 63 RF machines,
26 phototherapy units, and 8 ultrasound treatments). Dr.
Belo, founding officer of the Philippine Society of
46
Liposuction Surgery, has affiliates to prestigious groups of
doctors including American Academy of Dermatology, American
Society of Dermatologic Surgery, American Academy of
Cosmetic Surgery, among others. Surgical cases go through
meticulous preparations physically and psychologically
before undergoing the prescribed procedures, just like
renowned radio-TV personality Grace Lee did before she had
Smart Liposuction to trim her flabby arms (she needed to
conquer her fear of needles) and model-TV host-actress
Phoemela Baranda prior to breast augmentation.
Their services and treatments, surgical and otherwise,
Dr. Belo admits, may be expensive, especially as she is
requested to do surgery herself, but they are safe and sure
to produce quick and desirable results.
“I’m more con dent now wearing sleevelessfiand haltered dresses. Kahit ano’ng damit nga bagay!”Grace raves. For breast augmentation, Belo used onPhoemela the ultra-safe cohesive silicone gelprosthesis with minimal post-surgery. The implantis made under the muscles (not under the skin assome would have it ) giving the breasts a morenatural look and feel, lessening the risk ofdeformity, and allowing for breastfeeding fornursing mothers. How long it lasts, you may ask.“For life, without repeat surgery,“ Dr. Belo
47
beams. “Kaya you may be 85 years old pero firm parin ang breasts mo.“ “I wanted to improve myproportions, to be more confident of how I look.”Phoemela reveals. With her new body, she has gonebeyond modelling to take on acting and hostingprojects, too. Both Grace and Phoemela, not tomention Jennylyn Mercado and Coco Martin, amongother celebrities, entrusted their bodies to Beloand marvelled at the results. How about you?Incidentally, one doesn’t have to be a celebrityto enjoy the Belo beauty treatment. Dr. Beloreveals, only 10 percent of their clientele arecelebrities. The rest are ordinary people wantingto improve their looks (Online, 2012).
As cited in the previous pages, there are different
kinds of beauty enhancement procedures to undergo in order
to upgrade the physical attributes of an individual.
Different perspective reasons why undergo such procedure. It
might be rooted from the low self-esteem and to somehow
compensate the imperfections, they tend to experience such
method to gain confidence, pride and attractiveness.
THE PROBLEM
Statement of the Problem
48
This study seeks to explore the motivation and effects of
the existing issue of unsuccessful beauty enhancement
procedures on selected individuals in Visayas with the
intention of knowing their situation and letting the community
be aware. The following questions shall serve as guide posts
in the execution of the study:
1. What are the personal backgrounds of the individuals who
2. What is the lifestyle of these people before experiencing
the effects of the incident?
3. What are the factors influencing the existence of this
unsuccessful beauty enhancement procedures according to:
1.1 Interest;
1.2 Attitude towards the expected outcome; and
1.3 Attitude towards the cosmetic procedures?
49
4. What are the psychological effects of the experience to
the research subjects in terms of:
1.1 Self-esteem;
1.2 Self-Concept; and
1.3 Behavior?
5. What are the social effects of the unsuccessful procedure
to the research subjects according to:
1.1. Relationship towards family and friends; and
1.2. Involvement towards the societal environment?
6. What are the emotional aspects affecting the selected
subjects according to:
1.1 Depression;
1.2 Embarrassment;
1.3 Frustration; and
1.4 Stress?
7. What are the coping mechanisms of the individuals who
undergone unsuccessful beauty enhancement procedure as
healing process in their personal situation?
50
8. Based on the findings of the study, what counselling
program may be proposed to help the subjets cope with
their situation?
Significance of the Study
The study of unsuccessful beauty enhancement procedure as
one of the social issues that exist in our society can help
and promote the proper health care that people should get.
This is of significance to the aspect of people’s experiences
on cosmetic surgeries, silicone or glutathione injections,
taking cosmetic medications, etc. that would lead them to
intervention of which could probably help themselves; this
will also give concern to the community for the awareness of
this existing issue and will serve as a step to prevent this
phenomenon; this is a great help for the victims letting them
to thwart for the societal rights and protection.
Dissemination of the learning from the output of this study
would benefit entities involve in this unresolved issue.
51
The following sectors shall stand to benefit in the
conduct of the study. Specifically, the following are the
intended beneficiaries:
The Individuals Undergone Unsuccessful beauty
Enhancement. The subjects who are the focus of the study will
help them gain more knowledge about the effects and the
outcome brought to them by this traumatic event. This will
help them reform and prevent this phenomenon of happening
again in their lives and would definitely teach them how to
draw positive reaction, accept and do their desired actions to
do for their own satisfaction. Real awareness of their
experience will proceed towards spontaneous organismic flow of
human nature.
The researcher. As one of the concerned and interested
individuals, the researcher herself will get benefit from this
study. She will be aware of the environment and the nature of
the traumatic experience that caused victims problems
personally, socially psychologically and emotionally. While
the study is progressing, the researcher would get information
about the more precise, specific and particular effects
52
towards these people. She can also prevent this phenomenon to
happen to an innocent entity and promote the proper heath care
that individual must receive from health practitioner. And in
such way, she will have the grasp of possible ways to help
these victims to cope with the traumatic incident and
facilitate them to live with a meaningful life by the proposed
counselling program.
The general public. This will help in giving more
attention to this issue that our society is facing. The
problem with this is that it occurs far too often. This study
intends to let the public be aware of this certain
circumstances. This unresolved issue might be rare but the
harm that could bring to the victims is intensively
disturbing, frustrating and stressing. The researcher will
help deliver the effects and the dangers of such enhancement
procedure leading them to have more extra care of engaging
with beauty enhancement experts who are credible, responsible
and licensed.
Promotion of proper health care. This study will improve
the quality of health care that each practitioner must
53
practice. Proper procedures and methods must take into
considerations in this field for it indeed necessary for no
laws that are in favor of harming individual. Respecting the
rights, social justice and equity are important above all
things.
The beauty enhancements experts. Beauty enhancement
experts will get knowledge about brief and specific effects of
this existing matter. This knowledge will let them realized
how dangerous and traumatic to become a victim of such
incident. This will able them to be more sensitive and more
careful about their duties that dominate the protection and
sake of their patients; being ethical and being a follower of
the standard rule helper of humans who need beauty
satisfaction.
The government agencies. The first line of security is
the law making body which also get benefit from this study.
They will become aware and alert of this existing issue in our
society to achieve their goal as protector and defender of
human rights. They might have to execute action regarding this
54
to be watchful to strengthen the prevention and to minimize
the continuation of this concern.
The faculty and counselors. As individuals who are in
practice of dealing with people with diverse situations,
perspective and beliefs, they will be able to have
intervention and conduct possible solution that will serve as
their additional knowledge which are useful in handling
information to students and clients. They might become more
open-minded, willing and enthusiastic to help people as
psychologists. By this arrangement, this will illustrate a
model of good guiding counselors and educators in school.
The future researchers. This study will help the future
researcher to develop and improve the existing study for the
more it will develop, the more entities will get beneficiaries
and benefits from it. This will help them grasp more about the
study to gain deeper understanding and to help people behind
this problem.
The researcher is optimistic and hopeful to be a great
help of this social issue and health care opportunity in the
55
community. By this, the researcher can impart knowledge and
allow it to be a vehicle of protection against human harms.
THE RESEARCH DESIGN
In attaining the objectives of the research design study,
the researcher made the use of qualitative and quantitative
method through problem conceptualization, data analysis, and
the output.
In this study, the researcher sought to explore the kinds
of coping of victims of medical malpractice. Theories and
concepts were used to explore coping mechanism/s used by these
victims in response to the stressful event of experiencing
unsuccessful beauty enhancement procedure. The researcher
gathered information about the subject and once sufficient
data are noted, the researcher may look for variables from the
researcher’s inferences. Variables of the study were selected
so as to determine the methods used. After the problem
conceptualization, the instrument used for the study was
determined. The methods used were qualitative and
quantitative. In the qualitative method, the researcher made
use of the interview schedule and observation guide. In the
56
quantitative method, the researcher gives further explanation
to the study through interview and checklist.
The final part of the research design was the output. In
this study, a counseling program for the victims of
unsuccessful beauty enhancement procedure is proposed.
PROBLEM CONCEPTUALIZATION
DATA ANALYSISOUTPUT
THEORIES and CONCEPTS: SELF-THEORYINDIVIDUAL PSYCHOLOGYPSYCHOGENIC NEED THEORYSOCIAL LEARNING THEORYPSYCHOANALYTIC THEORYLOGOTHERAPYGESTALT THEPARY
VARIABLES: LIFESTYLESTRUGGLE AND COPING
RESEARCHER’S INFERENCES:Victims have difficulty in coping.Perception towards the situation and people involved in an operationDistrust to the operation & people involveSensitivity towards physical enhancement operations
QUALITATIVE DATA ANALYSIS: Semi-structured Interview DocumentationObservation
QUANTITATIVE DATA ANALYSIS:Impact of Event ScaleSorensen Self-Esteem TestBig Five Personality TestSelf-Perception Test
Proposed Counselling program
for Victims of Unsuccessful Beauty
Enhancement
CONCLUSIONAND
GENERALIZATION
57
Figure 3: The Research
Design
58
Research Methodology
This study is a multi-method research that used
qualitative and quantitative approach which data were
presented in a descriptive manner in assessing the effects
towards the victims of medical malpractice and developing a
counselling program for the subjects.
Under qualitative method, the researcher refers to verbal
summaries of findings without the use of statistical analysis.
This also includes documentation, semi-structured interview
technique. The main instrument used in collecting data was the
interview schedule. It was supported by a follow-up interview
to deeply understand the answers to the study and for
clarification purposes. Observation of non-verbal responses
was also noted and interpretations will be done afterwards.
Under the quantitative method, the following instruments
were used to assess the personality, emotional state and the
stress of the victim of medical malpractice:
Impact of Event Scale
Sorensen Self-Esteem Test
Big Five Personality Test
59
Self-Perception Test
Research Environment
The research environment of the study is Cebu City. The
victims of unsuccessful aesthetic upgrading have their place
of abound in different section of Cebu City. This is the
chosen environment as to the accessibility and convenience of
the researcher. Cebu City often called the “Queen City of the
South” and the Seath of Christianity in the Philippines. Cebu
is the country’s oldest city. Exploring Cebu City, one
encounters a rich historic past. Cebuanos are extremely proud
of their cultural and historical heritage, a legacy which has
endured through the centuries from the time the great explorer
Ferdinand Magellan, first planted the cross on Cebu’s shore.
Time has been kind to Cebu from Zubu, the busy trading part in
1521, has evolved into a highly urbanized metropolitan center
which now serves as a focal point of growth and development in
Southern Philippines. With its 6 cities, Cebu, Danao, Lapu-
Lapu, Mandaue, Toledo and Talisay and its 47 smaller towns.
Cebu has more than kept a pace with the nation’s progress.
Today the island province leads in traditional and non-
60
traditional exports and has the highest economic growth rate
anywhere in the country. Likewise, recent indicators pointed
out that Cebu has become the country’s favorite tourist
destinations. In contrast to the busting metropolis, the rest
of Cebu’s 167 islets and islands are lined with idyllic white
sandy beaches and pristine clear waters. Cebu has gained wide
popularity for fantastic diving ground evidence by the
proliferation of resorts which offer luxurious accommodations;
excellent dive facilities and the services of competent dive
masters and dive guides. Cebu’s strategic location makes it
ideal for those who wish to travel to other islands and the
provinces by plane, boat or bus. No plane could be too far
from Cebu.
61
Sampling Technique
Figure 4. Map of CebuCity
62
The particular sampling method used was the purposive
sampling. The subjects were chosen by purpose. Only those
victims of aesthetic upgrading were taken as subjects in the
study as the nature of the study calls for it.
A selection of subjects was based on the availability and
convenience. The researcher identifies and analyzes the
differences and similarities of the nature of medical
malpractice, the coping styles and healing processes.
Research Subjects
The following are the subjects’ qualification for this
study:
1. A male/female individual regardless of sexual identity
who undergo beauty enhancement procedure;
2. Beauty enhancement pertains to non-surgical/ surgical
procedures;
3. Married/unmarried;
4. The subject must be aged between 20-45 years old;
5. He/she must be living in Cebu City;
63
6. Have permanent effect physically; may be internally of
externally due to the bad effects brought by the
unsuccessful procedure.
Through the purposive technique, the researcher
identified the subjects who met the previously-mentioned
criteria.
Subjects of the Study
Display 3. Research Subjects
Code Names Description
Aphrodite A 23 year-old woman who took
Diane pills to have a bigger
size of breasts.
Venus A 39 year-old woman who
undergone collagen injection on
her nose.
Research Gate Keepers
64
Gatekeepers contributed significantly in this study. They
are the people who helped the researcher in the identification
and location of the subjects in the study. The following table
showed each subject’s gatekeepers.
Display 4. Research Gate Keepers
Code Names Gate Keepers Qualification
Aphrodite Relyn A school friend of
Aphrodite
Romm A long time best-
friend of of Vittoria
Venus Rich A long time neighboor
of Venus
Mond A friend of Venus
Research Key Informants
In order to validate the subject’s responses, research
key informants of the study were also interviewed. They were
the people who have direct contact and relationship with the
subjects. These key informants provided supplement information
65
on the subjects’ whereabouts. The table below showed each
subject’s two key informants.
Display 5. Research Key Informants
Code Names Key Informants Qualification
Aphrodite Luth A college batch mate
Rel A close friend
Mel A boyfriend of Aphrodite
Venus Chir A close neighboor
Ram A company of Venusduring upgrading session
Ralf A cousin living in thesame house
Research Instrumentation
The qualitative approach to this study used the following
research instruments:
a. Semi-structured interview. This method used a
combination of pre-set open and close ended questions
(Wright, 2001). It allowed new questions to be brought
up the interview as a follow-up to what the interview
has said. With the flexibility of this method, the
66
researcher obtained unexpected significant
information, other than answers to the pre-set
questions.
b. Questionnaire. This method comprised a series of
To better achieve a unified concept and understanding
about the study, the following terms used in the study are
therefore operationally defined:
Aesthetic This refers to a sense of beauty.Pills This refers to a medication taken to
attain desired effect regarding the
physical beauty.Self-concept This refers to notion, idea or
conception of oneself.Self-confidence This refers to a sense of reliability
to oneself; a good feeling of
trustworthiness to oneself.Self-esteem This refers to respect and admiration
to oneself.Self-perception This refers to how an individual sees
himself internally and externally.Surgical Enhancement This refers to a process of treatment
done with manual or operative
procedure.Unsuccessful Beauty
Enhancement
This refers to a beauty procedure that
has undesirable and unsatisfied
outcome.Upgrading This refers to a process of enhancing
78
one’s attribution to attain
development and progress.Vital Statistics This refers to an ideal body
measurement of women.
CHAPTER II
PRESENTATION, ANALYSIS AND INTERPRETATION OF DATA
This chapter presents analyses and interprets the data
based on the problems that were set at the beginning of the
study.
THE CASE OF KEYSHAWN: THE BEAUTY PERFECTIONIST
stated.
Profile
Keyshawn was born on November 11, 1987. He is now a 25
year-old and is engaged with his male partner. He is a
graduate of Business Administration in one of the
universities in Cebu. Originally, he came from the province
79
of Leyte. However since the day that he was sent in Cebu to
study his high school level until the date of the interview,
he never went home back. He is just living alone in an
apartment located in Mandaue City Cebu. His parents are in
Leyte together with her 6 siblings. Keyshawn is the 3rd son
among her all boy siblings.
His apartment was just enough for her. The personal
interview was conducted in his apartment. He appeared happy
and gay at the initial interaction. He was approachable and
hospitable. He was so open about his various experiences on
the unsuccessful beauty procedure.
Keyshawn answered the Big Five Personality Test
administered by the researcher to determine and examine the
type of person she is. The following context below is the
interpretation of the Big Five Personality Test from
outofservice.com.
Results
Closed-Minded
Open to New Experiences
Disorganized
Conscientious
Introverted
Extraverted
80
Disagreeable
Agreeable
Calm /Relaxed
Nervous / High-Strung
Openness to Experience/IntellectRelatively open to new experiences.
(Percentile: 76)
ConscientiousnessYou are well-organized, and are reliable.
(Percentile: 69)
ExtraversionYou tend to shy away from social situations.
(Percentile: 37)
AgreeablenessYou are good-natured, courteous, and supportive.
(Percentile: 93)
NeuroticismYou aren't particularly nervous, nor calm.
(Percentile: 55)
Figure6. Keyshawn’s Big Five Personality Test Result
Motivation/Intention of Aesthetic Upgrading
Keyshawn already desired to enhance his physical
attribution since he was in high school. He wanted to do
something about her beauty. He wanted to feel attractive
because he felt before that those guys at school weren’t
81
looking up to him. At his young age, he felt the need to be
beautiful and be attractive.
“Ani ni siya, sauna, naa ba gyud ng crush-rush gud inday.Siyempre, ako naa gayud ko crush sauna sa among skul ngagwapo. Dato, taas, puti ug bright pa gayud, higher year to namosiya. Ambot lang ato day ah, kay maningkamot ko nga iya kopansinon. Pero dili man gyud. Haha. Luoy kaayo ko sauna gud kaydili gayud ko gwapa mao dili siya mopasin nako.” (It likethis, before I usually had a crush at school whowas handsome, rich and smart. I didn’t know beforebut I was trying hard to get her attention but Ifailed. Haha. I felt pity because I was notbeautiful at all that’s why he can’t notice me.)
According to him, he tried to beautify herself by
putting make-ups on his face. He used to stare at the
mirror and tells himself that he was too ugly. He
perceived himself negatively because of the thought
that he wasn’t too attractive to those guys out there
he mostly admired.
During her early years in college, she used to
wear make-up at school everyday. She said, “Maghatag ko
ug usa ka oras para magpagwapa. Pananglitan, alas 7 ako klase, inig
alas 6, mag-andam nako daan. Bisan unsa pa kasayo, wa gyud
makapugong nako ug pagwapa.” (I gave an hour to beautify
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myself. Example, If I had class at 7am, I started to
prepare at 6am. No matter how early my class was, I
still managed to beautify.) He continuously made extra
effort in making himself attractive to all the boys he
got along with.
After achieving his degree course, he used to go
to different disco bars and had party with people. He
found it enjoyable and fun where he can meet people and
socialize. Drink and talk to gain more friends and
extend connections.
“Ato nga panahona kay naglaag-laag pako ugmaayo. Inom diri, inom didto kauban ang mga kaila ug dilikaila. Naa pud ko mga kauban nga mga bayot pareha nako.Malingaw ko gayud ko kay pareha man mo ug pamati ugganahan.” (That time, I was into partying.Drink here and there with people I knew and Ididn’t. I also had gay companions. I enjoyedit because we had same feelings and wants.)
His gay companions were taking medications to enhance
their physical attributions. Some of them also even
undergone surgeries and sex change. According to him, he was
influenced by them. Knowing that most of them undergone such
83
procedure, he even thought of trying such procedure. He
said,
“Kana gani day nga imong mga kauban, nagbuhat na anaunya ako nalang wala. Ma-pressured pud ko usahay kay muragmahulog nga ako ra ang lahi nila, ug lain ko nila. Nakahunahunapud ko nga ganahan man sad ko mogwapa nga mura ug babayetan-awon. Pero kuan, tinud-anay, naglisod ko ug decide.Hangtud nga niabot gayud ang panahon nga nidecide ko ngamosulay.” (It was like all your companions aredoing it except me. I felt pressured sometimesbecaue somehow it went like I am differentcompared to them. I was thinking that I wantedalso to be beautiful to look llike a real woman.But actually, I was having hard time deciding totry or not. Until time came that I decided to tryit.)
Keyshawn also took a Self-Perception Test. Below is the
interpreted result from www.learnmyself.com. Figure 7 shows
the figural interpretation of the test.
Figure7. Keyshawn’s Self-Perception Test Result
According to the result, Keyshawn is strongly invested
in his appearance and feel like he needs to look good to
feel good. In times where he finds himself not attractive,
he feels uncomfortable and uneasy. He has tendency of
counting on the comments and criticisms of people. He tends
to be somewhat of an emotional person and care very much
about how people see him. If something occurs that makes him
feel unattractive it can make him feel stressed and
fatigued. For him, it is important to project attraction to
the people surrounding him.
Keyshawn engaged in various types of beauty enhancement
procedure. He first took pills to have an initial
enhancement. He wanted to experience procedures slowly and
surely. He said, “Ang ako una gisulayan kay ang pills una kay dili man
kaayo siya grabe nga pamaagi. Dili hadlok,dili pud kanang kaayo gasto.” (I
did try first the pills because it was just simple way. Its
not dangerous and not too expensive.) He was still 21 years
old that time. He mentioned that he wanted to enhance first
his skin and the tone of hi skin. He took the mostly taken
pills which is Diane. “Ang Diane nga pills gud day. Kanang, daghan
kaayo nag.inom ana run. Para mamukol ang totoy sa mga laki. Aron pud nindot
ang panit gane day.” (It was the Diane pills. Many are taking
that kind of pills for them to form breasts and to have nice
85
skin.) According to the web, pinoyexhacnge.com, Diane pills
are breast enhancing pills that are mixtures of estrogen and
progesterone. It could produce small, pingpong shaped
breasts. However, this is dangerous if it is done by self-
medication since it changes the hormonal composititon of
their bodies to something closer to females. Pills should
never be used casually.
However, for Keyshawn’s case, the taking f pills was
successful. For span of months he has taken the pills, he
achieved the desired breasts he had.
“Kanang, sobra ka lipay kaayo ko ato day uy. Kana ganengnaa na makumot-kumot gane day ug kanang nindot na tan-awonkay naa nay bungtod-bungtod sa ako atubangan. Nindot kaayoako pamati kay mura gane ug majustify na akoang pagsul-o ugbra.” (I was too happy that time. I already hadsomething to squeeze and it looked nice because ithad somewhat hills. The feeling was nice for itjustified when I wear bra.)
When asked about his financial status that time,
he answered,
“Kung kadtong sa pills, gisuportaan pako ato sa akoginikanan sa karta. Pero actually, wala sila nakahibalo ato nganagtake nako ug pills para modako ang totoy. Kay kanangpaghuman gayud nako ug eskwela, gisuportaa gihapon ko nilapero wala ko nikoyug nila didto sa among probinsiya.” (When Itook the pills, I was financially supported by my
86
parents but actually, they didn’t know that I tookthose to widen my breasts. Right after graduation,they still supported me but I didn’t go with themin our province.)
After experiencing the desired effects of pills, he
looked for a job to work with to finance his own needs and
and wants especially when he started spending money for his
aesthetic upgrading. Most of all, his parents didn’t know
his desirs he wanted to achieve in his life.
Nature of the Unsuccessful Beauty Enhancement Procedure
The success of his initial enhancement procedure did
motivate him a lot to try another aesthetic process. After
years of being employed, he decided to undergo the procedure
so called chin and cheek augmentation. As defined from
augmentation, also known as genioplasty or mentoplasty, is a
surgical procedure designed to strengthen the appearance of
a receding chin by increasing its projection. This procedure
improves facial profile by creating a better balance between
the chin and other facial features. Chin implants are made
in various shapes and sizes, and are made out of both solid
87
and semi-solid materials. Cheek augmentation, or otherwise
known as malar augmentation, is another surgical procedure
designed to enhance the contours of the face. Augmentation
of the cheekbones is achieved by placing a specially
designed implant over them, resulting in a fuller, more
sculpted look. Facial implants provide a permanent and
predictable result while bringing the chin or cheekbones
into balance with the rest of the face.
Keyshawn wanted to improve his facial attributes. He
wanted it for how many years of his life for he longed to
have acceptance and avoid rejection. His desire to improve
his facial feature made her decide to undergo the procedure.
“Beynta-dos ako edad ato day nga ni.undergo ko ato. Ako nakat-unan ang clinic
sa ako ra pud kaila nga nakahibalo ato nga clinic didto dapit, one day rato nga
operation day.” (I was 24 years old when I underwent the
procedure. I learned the clinic from my friend who knew it.
The operation only took for a day.) It was November 2011
daysright after his birthday.
“Paghuman ato, mga semana nga niagi day, nihubag, nag-sore siya.
Wala ko kasabot sa ako gibati ato. Nihubag gayud to ug maayo akong nawng.”
88
(Weeks after the operation, my face was swelling and
soaring. I didn’t understand how I felt before.) He
experienced discomfort and soreness on his face. “Kuan pud
day, naminhod siya ug maaayo. Ingon ang doctor na nag.opera nako nga
kanang normal ra daw kung makabati ko ug in-ani. Mao nga wala lang kaayo
nako gipangitaan ug paagi unsaon ni.” (It did also numb. The doctor
said that it was normal feeling this way. So I didn’t find
ways how to get rid of it. )
During the swelling and numbness of his face, he was
forced to stop working. He only stayed at home and limited
himself from going out. He said that the swelling disturbed
him so much.
“Niabot ang swelling ug usa ka bulan kapin. Nahadlok nako kaywala naman siya’y hiyos-hiyos. Nagtumar man unta ko sa tambal gihatagsa doctor. Ako gibuhat ato kay nisulay ko ug tawag sa doctor pero di nakokacontact niya. Nisamot ko kahadlok ato day uy. Akong huna-huna atokay basin ba, basin gane nailad ko atong doctora kay murag uso naraba na karun.” (
Psychological Effects
Social Effects
Emotional Effects
Coping Mechanisms
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Case Analysis
According to Carl Roger’s Person-Centered Theory, out
of the interaction of the organism (person) and the
environment, and in particular the interaction with
significant others, there gradually emerges a structure of
self, or a concept of “who I am” (1951). Those experiences
that appear to enhance one’s self are valued and
incorporated into one’s self-image; those experiences that
appear to threaten the self are denied and rendered foreign
to the self. Events occur in people’s lives play a great
role in actualizing their self-concept. In the case of
Aphrodite, she considered that having undergone beauty
enhancement procedure could perfect her self-image. She
thought that the size of her breasts is the one that needs
to be improved and enhanced. She was capable of experiencing
things for her satisfaction and self. In addition, the
theory stated above helps in determining the possible reason
why people tend to change their physical attributes. It
might be because there is an incongruence with their real
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self and ideal self. However, upon experiencing the side
effects of the pills she took which threatened her life,
made her somehow denied and tried to forget it.
Human beings are driven by certain innate instincts,
drives, or needs, such as the impulses to maintain life.
This shaping of instinctual expression in terms of one’s
attitude toward the environment suggests that underlying all
other instincts and needs is the innate characteristic of
social interest (Adler, 1939). Aphrodite was driven by her
urge to have more desirable body. She mentioned that she
liked swim wears (two-piece) every summer that would
possibly attached people’s perspective that she is sexy and
attractive. It can be connected to the need of exhibition
from the hierarchy of needs formulated by Henry Murray which
is to show off an attract attention. There might be the need
to needy and it could attain through social interest. This
is more likely address that the need to be attractive is the
fear of rejection by people. Most likely individuals want to
attain the ideal mage that everybody idolizes and admires.
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Aphrodite also mentioned that she learned the beauty
enhancement process form one of her colleagues. From
ExtraversionShe tends to shy away fromsocial situations.
(Percentile: 22)
AgreeablenessShe is neither extremely forgiving nor irritable.
(Percentile: 50)
NeuroticismShe isn’t particularly nervous, nor calm.
(Percentile: 49)
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Figure8. Venus’ Big Five Personality Test Result
Venus got high scores on Conscientiousness factor of
the personality test which describes that she tends to be
reliable and careful on things. It also illustrates that she
is a well-organized person with self-disciplined. On the
other hand, she is introverted and reserved. She tends to be
quiet and shy in certain circumstances. She can also be
considered to be conventional. She has tendency to be
uncreative because she seems to have narrow perception
towards an interest. She is also down to earth person and
has tendency of being withdrawn.
Motivation/Intention of Aesthetic Upgrading
“Wala ra, kuan ra nga mausab ba unta ang atong gamay,ma-enhance unta atong ilong gamay, mausab atong dagwaygamay. Pero daghan kaayo nisulti nako nga maayo pa ug walanalang kono kay ganahan sila sa akong ilong nga taguytuy.” (Ijust want to have little changes, to have littleenhancement on the nose, to have little change ofmy face. But many said it was better if I didn’tundergo such because they liked my small nose.)
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Venus was greatly motivated with her desire to change
the size of her nose. She was eager to attain the ideal
picture of a perfect nose. She said, “Aw, gusto ra gyud na ko ba
nga motaas-taas lang gyud gamay. “ (I just want my nose to be
longer a bit.), she added. She wanted to improve her facial
attributes by increasing the size of her nose which she
thought to be valuable and effective. She thinks that it
would make her feel good about herself and that it she could
have the interest of people around her. Other factor
contributed her execution was her friend. She also said,
“Pirmiro, akong friend ba kay nagpa.collagen injection ba, unya nindot
man kaayo. Suya-suya ba mao to.” (At first, it was my friend who
had tried collagen injection and it was very nice. That’s
it, envy.) She admitted that she was envy of the outcome of
her friend’s (expired) procedure which drove her to try and
do such. Her friend’s procedure was successful which also
her basis to be exposed to such procedure.
“Ganahan pud baya ko magtan-aw tan-aw ug mgamaanindot ug kana ganing elegante nga sinina ug make-up day sainternet ug sa mall. Hilig gayud na nako. Ganahan ko ngakada lakaw nako kay gwapa ko kay maulaw man ko molakaw kungdili nako feel ang ako gisul-ob ug ang make-up pud.” (I also
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like to watch nice and elegant clothes and make-uponline and even at malls. I really like that. Ilike to go outside beautiful because I feelashamed if I don’t feel my clothes and my make-up.)
To determine other motivational factors that drove
Venus’ execution towards the beauty process, she completed
the Sorensen Self-Esteem Test administered by the
researcher. Based from the statistical scaling of the said
test, Venus’ checked items 22 statements which were
interpreted from www.counseling.ufl.edu as having severely
low self-esteem. This representation of herself thus played
a role that led her to experience the beauty enhancement
process. Low self-esteem profile makes her not feel good
about herself. She is envious about others especially on the
aspects of beauty and enhancement of the self.
“Madala-dala raman unta ako panagway day. Puti gud koug kuan, arangan gud. Pero giganahan gayud ko nga mausab angporma sa ako-ang ilong kay kini laging uso unya ako-ang mgaamiga pud kay mga gwapa. Mura gane ug ma-influence pud konila kay sige man mi ug koyug-kuyog sa mga lakaw gud. Mao nasiya day.” (My physical feauture is enough. I havewhite skin however I wanted to change the form ofmy nose because It was trending and my friends arealso beautiful individuals. It seemed like I was
100% it can affect her quite strongly and create stress and
fatigue.
Nature of Unsuccessful Beauty Enhancement
Venus underwent three types of beauty enhancement
procedures. On April 2010, she had a collagen injection on
her nose. A collagen injection is a cosmetic procedure that
can soften some signs of aging on the face. That time, she
still had fair skin however, she still wanted something
more. She said, “Primiro gyud sa nag-inject kanang happy ko kay na-
enhance unya nausab, ninidot gyud ba pirmiro to.” (On my first
injection, I was happy because it did enhance and had
changes. It went good.) On the first injection, she felt
good about the outcome of the said procedure. However, she
was not yet contented. She had another same procedure. She
said, “Pag-ikaduha na kayug murag nagsugod na siya iswelling ug
nakapaguol gayud to nako.” (However, on the second injection,
the swelling started and it made me feel sad.) She mentioned
that the one who did her first injection was the one who was
televised on the regional news being arrested and was
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accused to be a fake doctor just near her place. She then
acknowledged herself as one of the many victims of the
accused. She still underwent another collagen injection on
her nose with the different “injector”. She was still eager
to continue the collagen injection process because of what
she has achieved the first time. Unfortunately, it went
unexpectedly. The swelling got worst on November 2010.
“Nagswelling ko ato uy grabe pula gayud ako ato unya ni kuan sad to niburot
sad.” (The swelling was in serious condition. The infected
skin was so red and it also bulged.) When asked about the
cause of the swelling, she answered, “Ang kadto siyang swelling,
mao to siya silbi infection na tungod tingale to sa nga ang gitira sa ako kay dili
disinfect ba.” (The swelling was the infection brought by the
injected collagen which was not disinfectant.) She was not
really aware of the mixture of the injected dose. To
mention, she thought that the “injector” was of under of a
license and of legal procedure to conduct such injection.
Being asked about the how she handled it, she said,
“Bisag unsa nalang akong nahuna-hunaan nga tambal. Dako kaayo ko ug gasto
ato uy mag-ointment diha pero way epek” (I thought of any
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medicine. I spent big amount of money for ointment but it
was ineffective.) She already spent large amount of money as
an investment to sure the swelling of her nose. Despite of
the availability of money she had, she did complain about
the amount of money she already spent for treatment
purposes.
After a year, she had another procedure which was the
treatment of the swelling through injection. It was one way
to decrease the amount of swelling Venus had. She maintained
it for a year until now to control and avoid the swelling of
her nose. She said, “Ang ako gud sauna ato nga maghuwat nalang ko
maayo akong swelling. Unya akong mama man sigeg ingon nga sige na, pa-ayu
nalang para dili naka maulaw.” (I was thinking before that I will
only wait until the swelling will discontinue but my mother
was telling me to do something about it for me not feel
ashamed anymore.)
“Ang kadtong pa-inject sa swelling, every month to siya. Unya
dayon, pag-after ana mga seven ka inject kay gi-rhinoplasty na gyud ko. Gi-
cuttan ni siya dinhi dapit para mogamay.” (The injection for the
swelling was every month. After seven injects, the
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rhinoplasty followed. It was being cut to decrease its
size.)
According to her, to have an assurance of being cured
and treated she undergone another procedure which was the
rhinoplasty. As defined in thefreedictionary.com, the term
rhinoplasty means "nose molding" or "nose forming." It
refers to a procedure in plastic surgery in which the
structure of the nose is changed. The change can be made by
adding or removing bone or cartilage, grafting tissue from
another part of the body, or implanting synthetic material
to alter the shape of the nose. Due to the effects of the
swelling, she had to undergo such procedure last September
2011, this time to the licensed doctor.
The rhinoplasty process achieved her goal to lessen and
stop the swelling though she still needs to maintain
treatment to prevent the swelling. It re-formed her nose
into a different one with unnatural substance placed in it.
However, the scars and remains of the swelling can still be
seen.
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“Naa gayud gihapon ang mga pula-pula sa akoangdagway day uy. Murag maulaw gihapon ko pero maayo nalangkay di naman siya burot. Murag maklaro man gud nga ni-agi koug kanang dili natural nga pamaagi sa pagpagwapa day ba.Maulaw gihapon ko. Pero di nalang kaayo ko magpadala sakaulaw. Naa naman ni. Ako pud ning binuhatan day. Kanangdawaton nalang.” (The redness on my face is stillvisible which would make me feel ashamed. It isstill obvious that I have undergone unnatural wayof beauty enhancement. I’m still shy. But I wontlet that shyness to drive me. It is also theconsequence of my act so I need to accept it.)
EFFECTS OF THE INCIDENT
Psychological Effects
Due to the swelling of her nose, it greatly affects her
perception and feeling towards herself. She even refused to
face in the mirror. “Kulba kaayo grabe. Mura ko ug na.down gyud. Mura
ko ug di nako ganahan manamin.” (I felt nervous, I was like so
down. It was like I didn’t want to face the mirror.) She
added, “Mura man gud ug monster.” (I can be likening to a
monster.) For five months, she stopped going out from her
house because of the great shame she felt. Psychologically,
she felt anxiety. “Dili nako magpakita. Usahay dili nako motuo. Di nako
ganahan makig-mingle nila.” (I don’t want to be seen. Sometimes I
didn’t believe. I didn’t want to mingle with others.) Venus
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thought of many possible remedies during the swelling of her
nose. She lost the confidence she had before. She didn’t
even talk with other people. She was too paranoid and
anxious of the people surrounding her making not to trust
them easily. She also felt regret. She said, “Naka.realize ko
nga unta mayta nga wa nalang to nako buhata nga na-ingon ato ko nga nagpa-
enhance ko sa akong ilong. Pagmahay.” (I realized I’d better didn’t
enhanced my nose. I feel regret.)
Social Effects
Venus’ Mother
The initial reaction of her family when the swelling
started was shocked due to the allergy existed. One of the
many questions being asked to her was: why did she undergo
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such procedure? Even her husband got mad about it. Venus
said, “Ngano daw kono nagpa-ana. Dili naman daw kono makontento ana.”
(Why I did undergo such and why I was still not contented?)
However, she got most out of the support from her family
especially her mother who was the one who pushes her to
treat the swelling. “Maayo nalang kay nisuport pud sila nako sa ato nga
experience.”, she declared. (It was good enough since they
supported me on that experience.) She considers her mother
to be understanding who was always on her side during happy
and hard times. Her friends gave her advises months later
when she tried to mingle again about her struggles. They
were the ones who she considered to be her sources of
positivism. “Mas nindot nuon kay sigeg pangutana ug kumusta naka.”, she
added. (It was nicer because they frequently asked if how
was me.) She continued, “Ni-ana sila nga kinanghanglan gyud
nga moadto ko sa doctor. Mohatag lang ug tambag ba.” (They
said that I needed to go to the doctor. They only gave
advises.) When asked if her husband knew about her incident,
she asked, “Ang nahibaw-an sa akong bana kay nagpa-inject rako sa
treatment. Wala siya kahebalo nga nagparhinoplasty ko.” (My husband
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knew only about the injection of the treatment. He doesn’t
know that I underwent rhinoplasty.) When her husband knew
about the collagen injection, he got mad. She added, “Maayo
gane akong bana wala. Akong bana naa sa gawas kay pag.abot niya na-ayo-ayo
naman (ang swelling).” (It was good my husband was not around. He
was in abroad. When he came home, the swelling was slightly
cured.) Her neighbours were also asking about the details of
the incident and she wasn’t hesitating to share those
specific things.
Venus’ family did support her emotionally and
financially. They stays close to each other no matter what
happen. She said, “Nagpasalamat gyud day kay ngano, wala gayud ko nila
sila labina akoa nga bana pud.” (I am thankful that they never left
me when I did experience it. Though they were disappointed,
they were still there especially my husband.)
Emotional Effects
Her thoughts were about how she could possibly treat
herself. “Ako ato nag-sige ko research. Nangita ko ug maayo ug doctor unya
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niadto ko ug dermatologist naa nag-guide nako nga maong doktora. Didto gyud
kog Banilad gane kanang daghan aesthetic clinics didto.” (I did some
research. I looked for good doctors and went to
dermatologist who guided me to whom doctor will I go. I even
went to Banilad where there’s a lot of aesthetic clinic.)
She was emotionally depressed and frustrated toward the
outcome of her beauty enhancement process. She mentioned
that during the immediate reaction, she only stayed at home
and never went out. She said that she was too afraid to
trust other people again for she considered herself as a
victim. However, when asked about her current emotional
state, she answered,
“Okay-okay naman ko day. Kanang madala-dala na dinaman kaayo grabe gud. Naay pagmahay pero unsaon paman ngpagmahay day nga kanang mao naman gayud ning dagwaya.Dawat lang gayud. Kay ako ra pud ang magsakit ang dughan day.Salig lang gayud pud.” (I am okay. I can handle itbecause it’s not anymore grave. There is regretbut what can I do, this is my face. Just Accept.Because it will be just me who could get heartache.)
Venus also took an Impact of Event Scale that the
researcher admisitered from http://www.psychotherapy-
1. What were other beauty enhancements you undergo prior
to the unsuccessful enhancement?
2. What was the outcome of the prior enhancement procedure
you experienced?
3. What were the reactions of your family, and friends?
Motivation/ intention of aesthetic upgrading
1. What motivated you to undergo beauty enhancement
procedure?
173
2. What were your expectations during the execution of
the method?
3. Where you stable financially?
4. Did your family and friends support you in this
matter?
5. What were the factors that contributed to your
decision to upgrade your beauty?
6. How eager were you to do such procedure?
7. From whom did you get the most of the support?
8. What good did you see in enhancing your physical
appearance?
Nature of the Unsatisfactory Beauty Enhancement Procedure
1. What were the specific happenings that take place
during the enhancement procedure?
2. What was your quick response upon experiencing the
effect of the procedure?
3. What was the first thing you did?
4. How did you handle the experience?
5. To whom did you first tell the incident?
174
6. What were your thoughts upon experiencing the effect of
the procedure?
7. How did you feel about the unexpected incident?
8. What were the realizations you get from the experience?
9. What were your thoughts about the comments of other
people?
10. How did they react to your situation?
Perception about Oneself
1. How do you see yourself physically before you had
experienced the procedure?
2. How do you feel towards yourself?
3. What is making you happy and feel satisfied?
4. How do you relate yourself with others?
5. What are the things you consider are important about
you?
Impact of the unsuccessful beauty enhancement procedure to
the ff:
a. Self:
1. What can you say about your current situation?
2. How do you see yourself after the incident?
175
3. What are the thoughts you are planning to do?
4. What can you possibly think that you will do about the
incident?
5. What aspects in your life that was affected after the
incident?
6. What learning did you get from your experience?
b. Family
1. How did the incident affect your relationship with your
family?
c. Friends
1. How did the incident affect your relationship with
your friends?
d. Other individuals:
1. How did the incident affect your relationship with
other people surrounding you?
e. Aesthetic Upgraders:
1. How did the incident affect your perception towards
authorized or unauthorized people involve in beauty
enhancement procedure?
f. Coping Mechanism
176
1. How are you coping with the experience of
being unsatisfied of the aesthetic upgrading?
APPENDIX B: INTERVIEW SCHEDULE FOR KEY INFORMANTS
PERSONAL INFORMATION SHEET
Name:
Date of Birth:
Gender:
Civil Status:
Residence:
Years of Residence:
177
Relation to the Subject:
Years of Acquaintance with the subject:
INTERVIEW PROPER
Beauty Enhancement History
1. What were other beauty enhancements that the subject
undergo prior to the unsuccessful enhancement?
2. What was the outcome of the prior enhancement procedure
that the subject experienced?
3. What were the effects of the prior enhancements to the
subject, his/her family, and friends?
Motivation/ intention of aesthetic upgrading
1. What motivated the subject to undergo beauty
enhancement procedure?
2. What were the subjects’ expectations during the
execution of the method?
3. Was the subject stable financially?
4. Did people surround the subject supported?
5. What were the factors that contributed to the subjects’
decision to upgrade your beauty?
178
6. How eager was the subject to do such procedure?
7. From whom did the subject get the most of the support?
8. What do you think was the good thing that t he subject
see in enhancing his/her physical appearance?
Nature of the Unsatisfactory Beauty Enhancement Procedure
1. What were the specific happenings that take place
during the enhancement procedure?
2. What was your quick response upon knowing the effect
of the procedure?
3. What was the first thing that the subject did?
4. How did the subject handle the experience?
5. To whom did the subject first tell the incident?
6. What were the subject’s thoughts upon experiencing
the effect of the procedure?
7. How did the subject feel about the unexpected
incident?
8. What were the realizations that the subject get from
the experience?
9. What were the subject’s thoughts about the comments
of other people?
179
10. How did the people react to your situation?
Perception about Oneself
1. How do you think the subject sees herself/himself
physically before you he/she experienced the
procedure?
2. How does the subject feel towards oneself after the
incident?
3. What is making the subject happy and feel satisfied?
4. How does the subject relate with others?
5. What are the things that the subject considers
important about him/her?
Impact of the unsuccessful beauty enhancement procedure to
the ff:
1. How do you know the subject?
2. From your observation, what made the subject decide to
have a beauty enhancement procedure?
3. Did the subject possess traits that lead him/her to
experience upgrading?
4. Was there a time where in the subject recall the
incident happened?
180
5. What was the effect to the subject when he/she recalls
the incident?
6. What can you say about the subjects’ current
situation?
7. How do you think the subject see himself/herself after
the incident?
8. What do you know about the plans of the subject?
9. What aspects in the subjects’ life that were affected
after the incident?
10. How did the incident affect the subject’s
relationship with his/her family?
11. How did the incident affect the subject’s
relationship with his/her friends?
12. How did the incident affect the subject’s
relationship with other people surrounding him/her?
13. How did the incident affect the subject’s
perception towards authorized or unauthorized people
involve in beauty enhancement procedure?
181
APPENDIX C: THE BIG FIVE PERSONALITY TEST
DIRECTIONS: The following statements concern your perceptionabout yourself in a variety of situations. Your task is to indicate the strength of your agreement with each statement,utilizing a scale in which 1 denotes strong disagreement, 5 denotes strong agreement, and 2, 3, and 4 represent intermediate judgments. In the boxes after each statement, click a number from 1 to 5 from the following scale:1. Strongly disagree2. Disagree3. Neither disagree nor agree4. Agree5. Strongly agreeThere are no "right" or "wrong" answers, so select the number that most closely reflects you on each statement. Take your time and consider each statement carefully.
I see myself as someone who...
1. ...Is talkative
Strongly
Disagree1 2 3 4 5
Strongly
Agree
2. ...Tends to find fault with others
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Strongly
Disagree1 2 3 4 5
Strongly
Agree
3. ...Does a thorough job
Strongly
Disagree1 2 3 4 5
Strongly
Agree
4. ...Is depressed, blue
Strongly
Disagree1 2 3 4 5
Strongly
Agree
5. ...Is original, comes up with new ideas
Strongly
Disagree1 2 3 4 5
Strongly
Agree
6. ...Is reserved
Strongly
Disagree1 2 3 4 5
Strongly
Agree
7. ...Is helpful and unselfish with others
Strongly
Disagree1 2 3 4 5
Strongly
Agree
8. ...Can be somewhat careless
Strongly
Disagree1 2 3 4 5
Strongly
Agree
183
9. ...Is relaxed, handles stress well
Strongly
Disagree1 2 3 4 5
Strongly
Agree
10. ...Is curious about many different things
Strongly
Disagree1 2 3 4 5
Strongly
Agree
11. ...Is full of energy
Strongly
Disagree1 2 3 4 5
Strongly
Agree
12. ...Starts quarrels with others
Strongly
Disagree1 2 3 4 5
Strongly
Agree
13. ...Is a reliable worker
Strongly
Disagree1 2 3 4 5
Strongly
Agree
14. ...Can be tense
Strongly
Disagree1 2 3 4 5
Strongly
Agree
15. ...Is ingenious, a deep thinker
184
Strongly
Disagree1 2 3 4 5
Strongly
Agree
16. ...Generates a lot of enthusiasm
Strongly
Disagree1 2 3 4 5
Strongly
Agree
17. ...Has a forgiving nature
Strongly
Disagree1 2 3 4 5
Strongly
Agree
18. ...Tends to be disorganized
Strongly
Disagree1 2 3 4 5
Strongly
Agree
19. ...Worries a lot
Strongly
Disagree1 2 3 4 5
Strongly
Agree
20. ...Has an active imagination
Strongly
Disagree1 2 3 4 5
Strongly
Agree
21. ...Tends to be quiet
Strongly
Disagree1 2 3 4 5
Strongly
Agree
185
22. ...Is generally trusting
Strongly
Disagree1 2 3 4 5
Strongly
Agree
23. ...Tends to be lazy
Strongly
Disagree1 2 3 4 5
Strongly
Agree
24. ...Is emotionally stable, not easily upset
Strongly
Disagree1 2 3 4 5
Strongly
Agree
25. ...Is inventive
Strongly
Disagree1 2 3 4 5
Strongly
Agree
26. ...Has an assertive personality
Strongly
Disagree1 2 3 4 5
Strongly
Agree
27. ...Can be cold and aloof
Strongly
Disagree1 2 3 4 5
Strongly
Agree
28. ...Perseveres until the task is finished
186
Strongly
Disagree1 2 3 4 5
Strongly
Agree
29. ...Can be moody
Strongly
Disagree1 2 3 4 5
Strongly
Agree
30. ...Values artistic, aesthetic experiences
Strongly
Disagree1 2 3 4 5
Strongly
Agree
31. ...Is sometimes shy, inhibited
Strongly
Disagree1 2 3 4 5
Strongly
Agree
32. ...Is considerate and kind to almost everyone
Strongly
Disagree1 2 3 4 5
Strongly
Agree
33. ...Does things efficiently
Strongly
Disagree1 2 3 4 5
Strongly
Agree
34. ...Remains calm in tense situations
Strongly 1 2 3 4 5 Strongly
187
Disagree Agree
35. ...Prefers work that is routine
Strongly
Disagree1 2 3 4 5
Strongly
Agree
36. ...Is outgoing, sociable
Strongly
Disagree1 2 3 4 5
Strongly
Agree
37. ...Is sometimes rude to others
Strongly
Disagree1 2 3 4 5
Strongly
Agree
38. ...Makes plans and follows through with them
Strongly
Disagree1 2 3 4 5
Strongly
Agree
39. ...Gets nervous easily
Strongly
Disagree1 2 3 4 5
Strongly
Agree
40. ...Likes to reflect, play with ideas
Strongly
Disagree1 2 3 4 5
Strongly
Agree
188
41. ...Has few artistic interests
Strongly
Disagree1 2 3 4 5
Strongly
Agree
42. ...Likes to cooperate with others
Strongly
Disagree1 2 3 4 5
Strongly
Agree
43. ...Is easily distracted
Strongly
Disagree1 2 3 4 5
Strongly
Agree
44. ...Is sophisticated in art, music, or literatureStrongly Disagree 1 2 3 4 5
APPENDIX D: THE BIG FIVE PERSONALITY TEST- VISAYAN VERSION
GIYA SA PAGTUBAG: Isuwat ang imong pag-uyon o dili pag-uyonsa kada pangutana gamit ang gibutang na mga kapilian diinang numero uno (numero 1) nagpakita na kusog imongpagtutuol, and numero singko (numero 5) nagpakita sa imongkusog na pag-uyon, ug ang numero dos, tres ug kwatro (numero2,3,4) nagpakita na ang imong tubag naa sa kabutngaan.Sirkoli ang numero sa imong tubag nga nagpakita sa imongkinaiya.
1- Kusog nga pagtutol
2- Sakto lang ang pagtutol
3- Dili ka mo-uyon ug dili ka mo-tutol
4- Sakto lang ang pag-uyon
5-Kusog na pag-uyon
Akong nakita ang akong kaugalingon nga…
1. .. tabian
Kusog nga 1 2 3 4 5 Kusog sa
190
pagtutol pag-uyon
2. .. mangita ug sayop sa uban
Kusog nga
pagtutol1 2 3 4 5
Kusog sa
pag-uyon
3. .. ganid motrabaho sa trabahuon
Kusog nga
pagtutol1 2 3 4 5
Kusog sa
pag-uyon
4. .. magul-anon
Kusog nga
pagtutol1 2 3 4 5
Kusog sa
pag-uyon
5. .. makahuna-huna ug mga bag-o nga ideya
Kusog nga
pagtutol1 2 3 4 5
Kusog sa
pag-uyon
6. .. konserbatibo
Kusog nga
pagtutol1 2 3 4 5
Kusog sa
pag-uyon
7. .. matinabangon ug dili hakog
Kusog nga
pagtutol1 2 3 4 5
Kusog sa
pag-uyon
8. .. danghag usahay
Kusog nga 1 2 3 4 5 Kusog sa
191
pagtutol pag-uyon
9. .. kalamado, maayo modala ug kakapoy
Kusog nga
pagtutol1 2 3 4 5
Kusog sa
pag-uyon
10. .. ganahan makahibalo sa mga bisan unsa nga butang
Kusog nga
pagtutol1 2 3 4 5
Kusog sa
pag-uyon
11. .. puno ug kusog
Kusog nga
pagtutol1 2 3 4 5
Kusog sa
pag-uyon
12. .. mag una-una ug pangaway sa lain
Kusog nga
pagtutol1 2 3 4 5
Kusog sa
pag-uyon
13. .. masaligan sa trabaho
Kusog nga
pagtutol1 2 3 4 5
Kusog sa
pag-uyon
14. .. dali makuyawan
Kusog nga
pagtutol1 2 3 4 5
Kusog sa
pag-uyon
15. .. lalum ug huna-huna
192
Kusog nga
pagtutol1 2 3 4 5
Kusog sa
pag-uyon
16. .. makadala ug alegre
Kusog nga
pagtutol1 2 3 4 5
Kusog sa
pag-uyon
17. .. dali magpasaylo
Kusog nga
pagtutol1 2 3 4 5
Kusog sa
pag-uyon
18. .. dali mawad-an ug konsentrasyon
Kusog nga
pagtutol1 2 3 4 5
Kusog sa
pag-uyon
19. .. sige ug kabalaka
Kusog nga
pagtutol1 2 3 4 5
Kusog sa
pag-uyon
20. .. paspas ang imahinsayon
Kusog nga
pagtutol1 2 3 4 5
Kusog sa
pag-uyon
21. .. hilumon
Kusog nga
pagtutol1 2 3 4 5
Kusog sa
pag-uyon
193
22. .. dali mosalig
Kusog nga
pagtutol1 2 3 4 5
Kusog sa
pag-uyon
23. .. tapulan
Kusog nga
pagtutol1 2 3 4 5
Kusog sa
pag-uyon
24. .. Sali mahiubos
Kusog nga
pagtutol1 2 3 4 5
Kusog sa
pag-uyon
25. .. hilig mag-imbento
Kusog nga
pagtutol1 2 3 4 5
Kusog sa
pag-uyon
26. .. kusog ug personalidad
Kusog nga
pagtutol1 2 3 4 5
Kusog sa
pag-uyon
27. .. pwede ra mag-inusara
Kusog nga
pagtutol1 2 3 4 5
Kusog sa
pag-uyon
28. .. kugihan hangtod mahuman ang trabaho
Kusog nga 1 2 3 4 5 Kusog sa
194
pagtutol pag-uyon
29. .. mag-usab-usab ang buot
Kusog nga
pagtutol1 2 3 4 5
Kusog sa
pag-uyon
30. .. hilig ug mga arte/ sining
Kusog nga
pagtutol1 2 3 4 5
Kusog sa
pag-uyon
31. .. uasahay manggi-uwawon
Kusog nga
pagtutol1 2 3 4 5
Kusog sa
pag-uyon
32. .. buotan ug maayo sa isig katawo
Kusog nga
pagtutol1 2 3 4 5
Kusog sa
pag-uyon
33. .. epektibo motrabaho
Kusog nga
pagtutol1 2 3 4 5
Kusog sa
pag-uyon
34. .. kalmado bisan lisod na ang sitwasyon
Kusog nga
pagtutol1 2 3 4 5
Kusog sa
pag-uyon
195
35. .. ganahan motrabaho na na-andan na
Kusog nga
pagtutol1 2 3 4 5
Kusog sa
pag-uyon
36. .. hilig makig-halibilo sa ubang tawo
Kusog nga
pagtutol1 2 3 4 5
Kusog sa
pag-uyon
37. .. usahay madaog-daogon sa uban tawo
Kusog nga
pagtutol1 2 3 4 5
Kusog sa
pag-uyon
38. .. mobuhat ug plano ug mosunod sa plano
Kusog nga
pagtutol1 2 3 4 5
Kusog sa
pag-uyon
39. .. dali makulbaan
Kusog nga
pagtutol1 2 3 4 5
Kusog sa
pag-uyon
40. .. hilig mamalandong
Kusog nga
pagtutol1 2 3 4 5
Kusog sa
pag-uyon
41. .. dili kayo hilig ug art
Kusog nga 1 2 3 4 5 Kusog sa
196
pagtutol pag-uyon
42. .. ganahan nga naay koopersayon sa uban
Kusog nga
pagtutol1 2 3 4 5
Kusog sa
pag-uyon
43. .. dali samokan
Kusog nga
pagtutol1 2 3 4 5
Kusog sa
pag-uyon
44. .. kaantigo sa arts, musika o literature
Kusog nga
pagtutol1 2 3 4 5
Kusog sa
pag-uyon
45. .. liberal ang panglantaw sa politika
Kusog nga
pagtutol1 2 3 4 5
Kusog sa
pag-uyon
197
APPENDIX E: SORENSEN SELF-ESTEEM TEST
DIRECTION: Place a check next to the number of each
statement that you find to be true.
1. _____ I generally feel anxious in new social situations
where I may not know what is expected of me.
2. _____ I find it difficult to hear criticism about myself
3. _____ I fear being made to look like a fool
4. _____ I tend to magnify my mistakes and minimize my
successes.
5. _____ I am very critical of myself and others.
6. _____ I have periods in which I feel devastated and/or
depressed.
7. _____ I am anxious and fearful much of the time.
8. _____ When someone mistreats me I think that I must have
done something to deserve it.
9. _____ I have difficulty knowing who to trust and when to
feel.
10._____ I often feel like I don’t know the right thing to
do or say.
11._____ I am very concerned about my appearance.
12._____ I am easily embarrassed
13._____ I think others are very focused on --and critical
of --what I say and do.
14._____ I fear making a mistake which others might see.
198
15._____ I often feel depressed about things I’ve said and
done, or things I failed to say or do.
16._____ I have avoided making changes in my life because
I was fearful of making mistake or falling.
17. _____ I often get defensive and strike back when I
perceive I am being criticized.
18. _____ I have not accomplished what I am capable of due
to fear and avoidance.
19. _____ I tend to let fera and anxiety control many of
my decisions.
20. _____ I tend to think negatively much of the time.
21. _____ I have found I t difficult to perform adequately
or without embarrassment when I involved in sex
22. _____ I am one of the following: The person who
reveals too much personal information about myself or
the person who seldom reveals personal information.
23. _____ I often get so anxious that I don’t know what to
say.
24. _____ I often procrastinate.
25. _____ I try to avoid conflict and confrontation.
26. _____ I ve been told Im too sensitive.
27. _____ I felt inferior or inadequate as a child.
28. _____ I tend to think that I have higher standards
than others
29. _____ I often feel like I don’t know what is expected
of me.
199
30. _____ I often compare myself to others.
31. _____ I frequently think negative thoughts about
myself and others.
32. _____ I often feel that others mistreat me and or take
advantage of me.
33. _____ At night, I frequently review my day, analyzing
what I said and did or what others said and did to
me that day.
34. _____ I often make decisions on the basis of what woul
please others rather than on what I want or without
even considering what I want.
35. _____ I often think that others don’t respect me.
36. _____ I often refrain from sharing my opinions, my
ideas, and my feelings in groups.
37. _____ I sometimes lie when I feel that the truth would
result in criticism or rejections.
38. _____ Im fearful that I will say or do something that
will make me look stupid or incompetent.
39. _____ I do not set goals for the future.
40. _____ I am easily discouraged.
41. _____ I am not very aware of my feelings.
42. _____ I grew up in a dysfunctional home.
43. _____ I think life is harder for me than for most
other people.
44. _____ I often avoid situations where I think I will be
uncomfortable.
200
45. _____ I tend to be a perfectionist, needing to look
perfect and to do things perfectly.
46. _____ I feel too embarrassed to eat out alone or to
attend movies and other activities by myself.
47. _____ I often find myself angry or hurt by the
behaviour and words of others.
48. _____ At time I get so anxious or upset that I
experience most of the following heart racing or
pounding, sweating, tearfulness,; blushing;
difficulty swallowing or lump in my throat; shaking;
poor concentration dizziness, nausea or diarrhea;
butterflies.
49. _____ I am very fearful of criticism, disapproval, or
rejections.
50. _____ I rely on the opinion of others to make
decisions.
APPENDIX F: SELF-PERCEPTION TEST
1. It's important to me to look my best all the time.
I agree
a lot
I agree a
little
I disagree
a little
I
disagree
a lot2. When something goes wrong inside your body, you are never
really the same person again.
201
I agree
a lot
I agree a
little
I disagree
a little
I
disagree
a lot3. If a woman doesn't look good to others, she can't
possibly feel good about herself.
I agree
a lot
I agree a
little
I disagree
a little
I
disagree
a lot4. The idea of having surgery bothers me because it means
doing damage to my body.
I agree
a lot
I agree a
little
I disagree
a little
I
disagree
a lot5. I am very careful about my diet.
I agree
a lot
I agree a
little
I disagree
a little
I
disagree
a lot6. I feel good about myself only if I know I look good to
other people.
I agree
a lot
I agree a
little
I disagree
a little
I
disagree
a lot7. A scar from an operation, even one that doesn't show, is
a constant reminder to yourself that something was wrong
with you.
I agree
a lot
I agree a
little
I disagree
a little
I
disagree
202
a lot8. I have to look as good as I can to others in order to
feel right about myself.
I agree
a lot
I agree a
little
I disagree
a little
I
disagree
a lot9. Completely apart from the pain, I'd have trouble giving
myself an injection because it would mean forcing a needle
into an undamaged part of my body.
I agree
a lot
I agree a
little
I disagree
a little
I
disagree
a lot10. I consciously make an effort to avoid eating things I
know aren't good for me.
I agree
a lot
I agree a
little
I disagree
a little
I
disagree
a lot
203
APPENDIX G: IMPACT OF EVENT SCALE
List Today's Date_________
List the Date of the Event_________
Describe the Event______________________________________________
Below is a list of comments made by people after stressful life events. Pleasemark each item, indicating how frequently these comments were true foryou during the past seven days. If they did not occur during that time, pleasemark the "not at all" column. Encircle the answer that applies to you.
Select only one answer per row.
Not atall
RarelySometime
sOfte
n
1. I thought about it when I didn't mean to. 0 1 3 5
2. I avoided letting myselfget upset when I thoughtabout it or was reminded
0 1 3 5
204
about it.
3. I tried to remove it from memory. 0 1 3 5
4.
I had trouble falling asleep or staying asleepbecause of pictures or thoughts about it that came to my mind.
0 1 3 5
5. I had waves of strong feelings about it. 0 1 3 5
6. I had dreams about it. 0 1 3 5
7. I stayed away from reminders about it. 0 1 3 5
8. I felt as if it hadn't happened or was un real. 0 1 3 5
9. I tried not to talk about it. 0 1 3 5
10.
Pictures about it poppedinto my mind. 0 1 3 5
11.
Other things kept makingme think about it. 0 1 3 5
12.
I was aware that I stillhad a lot of feelings about it, but I didn't deal with them.
0 1 3 5
13.
I tried not to think about it. 0 1 3 5
14.
Any reminder brought back feelings about it. 0 1 3 5
15.
My feelings about it were kind of numb. 0 1 3 5
_0_ + ____
+ _______ + __ = __
Scoring: Total each column and add together for a total stress score.
205
University of San Jose-Recoletos Corners P. Lopez & Magallanes Streets, Cebu City 6000, Philippines
I am a Psychology student of the University of San Jose-Recoletos who is currently enrolled in Research Class inPsychology. As part of our course requirements, I am tasked tostudy about the victims of medical malpractice in Cebu Province.
206
I would like to ask for your permission to be the subjects inmy study and if you will be available to take the tests, to beinterviewed, to be observed and to let your family members, friendsand neighbors be one of your key informants. I believe you cansupport and attest to the variables that I am looking for; restassured that your identity and the disclosed information will behighly confidential as I will be using codenames and will presentto you my find output.
I sincerely appreciate your positive response on this matteras this would help me fulfill my academic requirements and sharpenmy skills in doing research as a psychology student. If there areany questions you would like to ask, you can reach me through thisnumber: 0923-5288070 or 255-8257.
Thank you for giving your time reading my letter and God blessyou.
Sincerely yours,
Ma. Ethel CatalanResearcher
Approved by:
Ddr. Raymundo C. Rosada, Jr.Chair, DPLIS
Noted by:Dr. Teoddie B. Dumam-agDean, College of Arts and Scienc
University of San Jose-Recoletos
Corners P. Lopez & Magallanes Streets, Cebu City 6000,Philippines
APPENDIX I: LETTER OF CONTRACT
________________
207
I am Mr/Ms. ____________________________, agreed to be theresearch subject of Ms. Ma. Ethel V. Catalan for her researchstudy entitled: Victims of Lab, provided that the researchstudy and sessions shall have the following conditions:
1. Firstly, Ms. Catalan has to has to handle the datagathered from me with outmost confidentiality. This meansthat no person shall have to access to such data withoutmy consent, except for those who are members in theacademic panel. Secondly, privacy shall be observed,meaning, that Ms. Catalan, during her conduct of herresearch session, shall not seeing any other person whoare not related to the research study, unless beingapproved and agreed by both me as the research subjectand by Ms. Catalan as the researcher.
2. Being the researcher, Mc. Catalan can take up videotapeprovided with all conditions in number one.
3. Ms. Catalan shall communicate and debrief with me thefindings of my assessment and be able to provide certaininterpretation form, which I can personally utilize.
4. Being the stated research subject, I shall give Ms.Catalan with all the necessary information she needs fromher methods of study, as honestly as I can from the startof her research session with me until to the very end ofher research journey.
5. Both parties who are unable to follow this contract willbe subjected for legal actions.
__________________________________________________________Research Subject’s Signature Over Printed Name
__________________________________________________________Researcher’s Signature Over Printed Name
MA. ETHEL V. CATALAN
208
Born : April 4, 1993
Home Address : Caliongan, Dalaguete, Cebu
Address : Unit V Upper OPRRA Kalunasan Cebu City 6000