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Muscle Dysmorphia Symptoms via Vulnerable Narcissism
The underlying belief or worldview is that if I continue to train, something will happen that will fix the problem that I've got inside. It's for the same reason someone who has body dysmorphic disorder thinks their nose is grotesquely misshapen even though no one else can see it. Like the underlying problem, insecurity, the distortion, it will go away but it's not going to. The study in question you've just mentioned uses self-report questionnaires of muscle dysmorphia symptoms.