Podcasts > The Psychology of your 20s > 170. The psychology of acne

170. The psychology of acne

By iHeartPodcasts

Join Jemma Sbeg on "The Psychology of your 20s" podcast as she dives into the rarely discussed intersection of dermatology and psychology, examining the profound emotional impact of acne for individuals in their youth. The conversation sensitively explores the negative spiral into shame, anxiety, and depression that acne may trigger, exacerbated by social comparisons and media-driven beauty ideals. Understanding acne's psychological burden reveals the quiet struggle behind the physical manifestation, as acne sufferers navigate the challenges of social interactions and personal acceptance in a world that prizes flawless skin.

The episode also offers insights into the biological underpinnings of acne, debunking common misconceptions about its causes, and critiquing the skincare industry's role in perpetuating damaging myths. Sbeg fosters a comprehensive approach to coping with acne, combining medical awareness with powerful self-acceptance strategies and advocating for a societal shift in perspective on beauty norms. This episode is not only about confronting acne but fostering a healthier dialogue about self-worth and dismantling the stereotypes that contribute to ongoing mental health challenges.

Listen to the original

170. The psychology of acne

This is a preview of the Shortform summary of the Feb 16, 2024 episode of the The Psychology of your 20s

Sign up for Shortform to access the whole episode summary along with additional materials like counterarguments and context.

170. The psychology of acne

1-Page Summary

The psychological impact of struggling with acne

Jemma Sbeg sheds light on the severe psychological effects of acne, touching on the emotional turmoil individuals face. Constantly dealing with negative comments can deeply embed the negative bias toward one's self-image, often translating into shame, anxiety, and depression. Acne not only diminishes self-esteem but also leads to physical discomfort, especially with cystic forms of the skin condition.

During adolescence and early adulthood, acne can aggravate social comparisons, intensifying the feeling of being different or inadequate. The unrealistic beauty standards perpetuated by media further entrench feelings of shame, as acne is frequently absent from popularized images of perfection. The American Medical Association's stance against Photoshop usage underscores the toll such unrealistic portrayals can take on mental health.

The emotional distress from acne hinders full participation in many aspects of life, such as work, school, and social interactions. Sbeg notes that the majority of people with acne experience embarrassment that detracts from their ability to focus and engage in social activities, at times leading to social withdrawal and serious mental health issues like body dysmorphic disorder.

Acne can lead to a negative self-image, contributing to feelings of unworthiness and unattractiveness. Women, in particular, may link their self-worth to their appearance, avoiding dating or social experiences. This stigmatization can perpetuate a negative self-image, which may persist and evolve into other issues, even after acne has cleared.

The biology and root causes of acne

Acne's roots are biological rather than behavioral, stemming from genetic and hormonal factors rather than issues of personal hygiene or diet. The discussion underlines the importance of recognizing this to combat the stigma associated with the skin condition. Sbeg, through personal anecdotes, emphasizes that changes in hormonal levels notably affect acne, and stresses that oil production and genetics are key contributors to breakouts.

Many misconceptions circulate around acne, suggesting that it results from poor hygiene or incorrect dietary choices. The podcast confronts these myths, clarifying that acne is a complex skin condition, and critiques the skincare industry for promoting these misconceptions for profit.

Steps to cope with acne struggles

Confronting acne involves a combination of medical intervention, lifestyle alterations, and mindset changes. Consulting a dermatologist is a pivotal step, as treatments under professional guidance can alleviate physical symptoms and ease the psychological burden.

Lifestyle modifications, such as venturing out without makeup, can bolster self-acceptance and confidence. Activities that distract from focusing on the skin and aligning with brands that forgo the use of Photoshop can validate one's experience and diminish feelings of isolation.

Lastly, challenging societal beauty standards and cultivating a personal understanding that acne is commonplace is beneficial. Creating an online environment filled with authentic representations and recognizing one's value beyond appearance allows individuals to detach from societal pressures. This mindset shift is crucial in recognizing that worth is inherent, not conditional upon meeting unrealistic beauty norms.

1-Page Summary

Additional Materials

Clarifications

  • Body dysmorphic disorder (BDD) is a mental health condition where individuals obsess over perceived flaws in their physical appearance, which can be real or imagined. This preoccupation causes significant distress and can lead to disruptive behaviors like repetitive checking or avoidance of social situations. BDD is categorized within the obsessive-compulsive spectrum and can impact daily functioning. It affects both men and women, often starting in adolescence.
  • Stigmatization in the context of acne involves societal judgment and discrimination towards individuals with the skin condition, leading to feelings of shame and inadequacy. Negative self-image perpetuation occurs when these stigmas and internalized beliefs about one's appearance continue to influence how individuals view themselves, even after their acne has improved or cleared. This cycle can impact self-esteem, relationships, and mental well-being, creating lasting effects on one's self-perception and confidence. Recognizing and addressing these dynamics is crucial in promoting self-acceptance and challenging harmful beauty standards.
  • Hormonal factors play a significant role in acne development by influencing oil production in the skin. Fluctuations in hormones, such as androgens, can stimulate the sebaceous glands to produce excess oil, leading to clogged pores and acne formation. Understanding these hormonal changes is crucial in managing acne effectively. Oil production, when combined with other factors like genetics, can contribute to the development and exacerbation of acne.
  • Coping with acne involves making lifestyle changes like going makeup-free to boost self-acceptance and confidence. It also includes challenging societal beauty standards and understanding that acne is common. These steps aim to help individuals detach from societal pressures and recognize their inherent worth beyond appearance.

Counterarguments

  • While the American Medical Association opposes Photoshop usage, it's important to consider that retouched images can also serve artistic purposes and are not solely responsible for unrealistic beauty standards.
  • The link between self-worth and appearance, while significant, is not universal, and some individuals may not experience a significant impact on their self-esteem due to acne.
  • The biological roots of acne are well-established, but environmental and lifestyle factors can also play a role in exacerbating the condition, and it's important not to completely dismiss the impact of diet and hygiene.
  • Medical intervention is important, but the effectiveness of treatments can vary greatly among individuals, and some may not find relief through conventional medical approaches.
  • Lifestyle modifications, such as going without makeup, might empower some individuals, but others may find that makeup positively affects their self-confidence and should not be discouraged from using it if it benefits their mental health.
  • Challenging societal beauty standards is a complex process, and while individual mindset changes are valuable, broader cultural and systemic changes are also necessary to effect significant change.
  • The creation of an online environment with authentic representations is beneficial, but it's also important to acknowledge the role of individual choice in media consumption and the responsibility of consumers to seek out and support diverse and realistic content.

Get access to the context and additional materials

So you can understand the full picture and form your own opinion.
Get access for free
170. The psychology of acne

The psychological impact of struggling with acne

Jemma Sbeg discusses the deep psychological effects of acne on individuals, including the lasting impact of negative comments and the struggle with shame, anxiety, and depression.

Negative emotions like embarrassment, anxiety, and depression

Sbeg talks about how negative comments related to acne, such as being called a plague victim, stick with individuals because of the negativity bias in psychology. Acne can cause genuine emotional pain and severe impacts on a person's life, including their self-esteem and confidence, and can even cause physical pain with inflamed cystic acne.

The visibility of acne during formative years exacerbates social comparison and negatively affects mental health. Struggling with acne leads to sadness, frustration, anger, and embarrassment, as well as being a significant source of anxiety. The emotional pain associated with acne is recognized by psychologists.

Sbeg also highlights that the unrealistic representation of beauty in media leads to embarrassment and not feeling perfect since acne is often not normalized. The American Medical Association has asked advertisers to stop using Photoshop to prevent its impact on mental wellness. There is a documented link between exposure to edited images and feelings of inadequacy and self-comparison.

Difficulty participating fully in life (work, school, hobbies, relationships)

Acne leads to increased levels of anxiety, depression, and psychiatric symptoms, as well as greater social isolation. Sbeg mentions that 88% of research participants reported being embarrassed or self-conscious due to acne, directly linked to low self-esteem and self-image.

Participants expressed that being bothered by their appearance affected their concentration. They engaged in behaviors like picking at their skin, frequently checking mirrors, and obsessing over what others might think of them. There's a link between acne and serious mental health conditions, such as body dysmorphic disorder.

Low self-esteem and negative self-image

Managing acne can reduce feelings of anxiety and insecurity. Sbeg discusses using cognitive behavioral therapy techniques to identify and challenge anxious thoughts about acne. Adults coming into a therapist's office and crying due to skin-related insecurities reflects a deep level of emotional distress.

The anxiety and insecurity associated with acne can impact participation in various aspects of life, such as the host discussing how she would put on layers of makeup to feel less embarrassed. Acne can keep people in ...

Here’s what you’ll find in our full summary

Registered users get access to the Full Podcast Summary and Additional Materials. It’s easy and free!
Start your free trial today

The psychological impact of struggling with acne

Additional Materials

Clarifications

  • Negativity bias in psychology is a cognitive phenomenon where negative events and emotions have a greater impact on an individual's mental state than positive ones. This bias can lead individuals to pay more attention to, remember, and be influenced by negative experiences compared to positive ones. It is believed to have evolutionary roots as it may have been more advantageous for survival to focus on potential threats or dangers. Negativity bias can influence perceptions, decision-making, and emotional responses in various aspects of life.
  • During formative years, individuals are in the process of developing their sense of self and identity, often heavily influenced by external factors like peers and societal standards. When acne is visible during this crucial period, it can intensify feelings of self-consciousness and inadequacy through comparisons with others who may have clearer skin, impacting mental health. Social comparison exacerbation due to acne visibility can lead to increased levels of anxiety, depression, and negative self-perception, affecting how individuals view themselves in relation to their peers.
  • Body dysmorphic disorder (BDD) is a mental health condition where individuals obsess over perceived flaws in their physical appearance, which can be real or imagined. This preoccupation causes significant distress and can lead to disruptive behaviors like repetitive checking and avoidance of social situations. BDD is categorized within the obsessive-compulsive spectrum and can impact daily functioning. It affects both men and women, typically starting during adolescence.
  • Cognitive behavioral therapy (CBT) techniques for acne-related anxiety involve identifying and challenging negative thoughts and beliefs about one's acne. This therapy aims to help individuals develop healthier coping strategies and improve their emotional well-being in dealing with acne-related stress and anxiety. By addressing distorted thinking patterns and behaviors related to acne, CB ...

Counterarguments

...

Get access to the context and additional materials

So you can understand the full picture and form your own opinion.
Get access for free
170. The psychology of acne

The biology and root causes of acne

The discussion on the podcast today clears up common misunderstandings about acne, emphasizing its biological roots, rather than behavioral causes.

Hormonal factors, oil, and genetics behind breakouts

Acne is a genetic and biological condition, often influenced by hormonal factors. The host shares a personal account, noting that her own acne breakouts lessened as her hormones stabilized, which signals the significance of hormonal influences in the development of acne. Further shedding light on the biological underpinnings, Sbeg underscores that acne is not primarily due to behavior but biology. She points out that factors such as hormonal changes, oil production, and genetics are the main culprits behind acne.

Common misconceptions that acne is a hygiene issue

The podcast aims to debunk misconceptions that acne is a byproduct of poor personal hygiene or diet. The host and guests discuss that many people wrongfully as ...

Here’s what you’ll find in our full summary

Registered users get access to the Full Podcast Summary and Additional Materials. It’s easy and free!
Start your free trial today

The biology and root causes of acne

Additional Materials

Clarifications

  • Acne culprits primarily include hormonal changes, excess oil production, and genetic predispositions. These factors play significant roles in the development and persistence of acne breakouts. Hormonal imbalances can trigger increased sebum production, leading to clogged pores and acne formation. Genetic factors can also influence an individual's susceptibility to developing acne.
  • Industries exploiting myths: Some industries have been known to perpetuate misconceptions about acne, such as linking it to poor hygiene, to promote skincare products. By perpetuating the idea that acne is solely caused by hygiene or diet, these industries can market their products as solutions to these perceived issues. This marketing strategy can lead consumers to believe that buying specific products will solve their acne problems, even though the root causes are often genetic and biological. This exploitation of myths can influence consumer behavior and drive sales in the skincare industry.
  • Hormonal influences in the development of acne relate to the ...

Counterarguments

  • While hormonal factors, oil production, and genetics are significant contributors to acne, environmental and lifestyle factors can also play a role in exacerbating the condition.
  • Stress has been shown to potentially influence acne, suggesting that there is a behavioral component to its manifestation.
  • Some studies indicate that certain dietary factors, such as high glycemic load foods and dairy, may be associated with acne prevalence, suggesting diet can have an impact on acne, although it is not the primary cause.
  • Over-washing or using harsh skincare products can irritate the skin and potentially worsen acne, indicating that behavior related to skincare routines can influence the condition.
  • The hygiene hypothesis suggests that too much cleanliness might affect the skin microbiome and immune response, potentially impacting acne development.
  • While the podcast aims to debunk the myth t ...

Get access to the context and additional materials

So you can understand the full picture and form your own opinion.
Get access for free
170. The psychology of acne

Steps to cope with acne struggles

Managing acne and its psychological impact can be complex and requires a multifaceted approach. By seeking medical advice, making lifestyle adjustments, and shifting one’s mindset, individuals can find ways to cope with acne struggles.

Seeking medical treatments to reduce symptoms

The first practical step in dealing with acne is to consult with a dermatologist and explore medication options. Medical treatments can significantly reduce symptoms and prevent future flare-ups, providing both physical relief and a mental health boost due to improved appearance and reduced stress.

Making lifestyle changes to boost confidence

Self-acceptance is crucial in the journey towards confidence. Taking small steps, such as getting used to going out without makeup, can lead to feeling unburdened by the opinions of others. Engaging in enjoyable activities that make one feel in control and less focused on their skin condition can holistically improve confidence and health.

Further, Sbeg proposes that “faking” confidence might be necessary initially. This doesn't specify exact lifestyle changes but implies adopting behaviors or attitudes that project confidence until it becomes more authentic. Shopping from brands that have a no Photoshop policy and exposing oneself to media featuring characters who resemble the viewer can help validate experiences and alleviate feelings of isolation.

Reframing mindset around societal beauty standards

The host advocates for a crucial shift in thinking to address the deeper psychological effects of acne. By normalizing the condition for oneself and acknowledging its commonness, one can start to detach from the societal pressures that portray acne negatively.

For ex ...

Here’s what you’ll find in our full summary

Registered users get access to the Full Podcast Summary and Additional Materials. It’s easy and free!
Start your free trial today

Steps to cope with acne struggles

Additional Materials

Clarifications

  • Creating an online environment with authentic representations involves curating social media feeds and online content to include diverse and realistic portrayals of individuals with various skin conditions, including acne. This practice aims to counteract the pervasive influence of idealized beauty standards often seen in traditional media, promoting self-acceptance and reducing feelings of isolation among those struggling with acne. By engaging with content that showcases real and unfiltered depictions of people with acne, individuals can feel more validated and empowered in their own experiences, fostering a sense of community and acceptance in the online space. This approach encourages a shift towards embracing diversity and challenging unrealistic beauty norms prevalent in mainstream media.
  • Reshaping connections with others beyond beauty standards involves changing how individuals perceive and interact with people, focusing on qual ...

Counterarguments

  • Seeking medical advice is important, but not all individuals have equal access to dermatologists or can afford medical treatments, which can be costly and not covered by insurance.
  • Medications for acne can have side effects, and their effectiveness varies from person to person; some individuals may not experience significant improvements.
  • Lifestyle changes can be beneficial, but they may not address the underlying causes of acne, which can be hormonal or genetic, and thus beyond the control of lifestyle adjustments.
  • The concept of "faking" confidence can be controversial as it may not address underlying self-esteem issues and could potentially lead to a disingenuous self-presentation.
  • Shopping from brands with a no Photoshop policy is a positive step, but it does not change the fact that consumerism and branding can still perpetuate certain beauty standards.
  • While reframing mindset is valuable, societal beauty standards are deeply ingrained and challenging them requires systemic change, not just individual mindset shifts.
  • Creating an online environment with authentic representations is helpful, b ...

Get access to the context and additional materials

So you can understand the full picture and form your own opinion.
Get access for free

Create Summaries for anything on the web

Download the Shortform Chrome extension for your browser

Shortform Extension CTA