Numerous studies have established a relationship between thin ideal media content and disordered eating
patterns in women. Many of the images viewed in the media that endorse the thin ideal are digitally
manipulated or computer-created. This experiment compared college women’s visual literacy–defined in
terms of their knowledge of digital manipulation in fashion and entertainment images–to their desire
to be thin, their desire to look like the model shown and four disordered eating subscales. Visual literacy
did not reduce participants’ desire to look like the model seen; however, entertainment media was a significant
predictor of greater body image distortion across the sample.
Introduction
A recent People magazine article highlighted the dieting secrets of the stars in the weeks prior to the 2004
Academy Awards show. One star bragged that starving herself for the week prior to the awards show
was the only way she could “look good,” and another star admitted to eating mostly proteins and egg
whites and exercising “like crazy” two weeks prior to the event (People Magazine, March 15, 2004). Several
articles published during the same week in People, Teen, touted similar messages: If you need to look good
for a special occasion, take drastic steps to drop those “last few pounds.”
There is certainly no shortage of tips for dieting, fitness and fashion all related to weight loss in fashion
and entertainment magazines targeted toward adolescent girls and young women. While these types of
tips inundate the media market, a few other types of media campaigns have begun to tout very different
messages (Media Awareness Network, March 28, 2004). These more recent public relations campaigns
promoting self-awareness and self-acceptance are targeting younger, more impressionable viewers who
may easily get duped into believing that starving themselves and fanatic exercising are the only way to
achieve the desired look. For example, the “Free to Be Me” program with 5th and 6th grade Girl Scouts
was used as a means of outreach to teach girls about the media’s influence on body image. The rationale
behind many of these campaigns is that if young girls can be taught to happy with their own body shape
and size, they will be more likely to have success academically, socially and athletically.
Despite the positive attributes of these campaigns, young women and girls are saturated with media
messages touting the rewards of being thin. Furthermore, because the body shape standard in the
media young women pay the most attention to largely represents a single body type (Bissell & Zhou,
2004), it becomes difficult for young women to be confident and comfortable with their body shape
and size. With eating disorders on the rise and an increasingly large number of young women and
girls being dissatisfied with their body shape and size, it is important to find ways to help these
young women be secure and comfortable with their own bodies. In this project, visual literacy is
used as an independent variable to determine if knowledge of digital manipulation in fashion photographs
has a short-term effect on women’s feelings about their bodies. While it is widely known that
many images, especially those in advertising, are manipulated or retouched digitally, the question is
whether the viewers of these messages process that knowledge as the images are interpreted and read.
Digital Manipulation of Media Images
Studies of body shape types represented in entertainment media indicate the body shape standard for
women has increasingly become thinner (Silverstein, Perdue, Peterson, & Kelly, 1986; Garner,
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Garfinkel, Schwartz, & Thompson, 1980); however, what is not clear is whether the body shape of
models has really become thinner or if advances in digital technologies have enhanced the body
shape and size of models in advertisements and editorial content. Certainly computer doctoring of
photographs has become much easier in recent years (Wheeler, 2002). Wheeler reports of Newsweek
and Time magazine covers of the McCaughey septuplets’ parents in December 1997. Technicians in
the Newsweek lab straightened McCaughney’s teeth for the cover shot, while Time ran the shot of the
parents untouched. In news photographs, the expectation is that photographs are “real” and not
manipulated unless otherwise specified in the cutline as a “photo illustration” (Wheeler, 2002,
pg. 118). However, the perception of truth in editorial content in magazines has become fuzzier.
Wheeler says, “In fashion, drastically manipulated photography is taken for granted by art directors
and editors, and editorial layouts are sometimes barely distinguishable from advertising spreads”
(Wheeler, 2002, pg. 121).
Visual Literacy and Visual Persuasion
Messaris argues that visual literacy is a prerequisite for the proper comprehension of visual media and
defines visual literacy as the “familiarity with visual conventions that a person acquires through cumulative
exposure to visual media” (Messaris, 1994, pg. 3). Messaris’ argument, more simply, is that because
of the allure and appeal of visual media, it is very easy for a viewer to become duped by single or multiple
images if that viewer has little understanding of the ways in which visual media can “misinform,
distort, and manipulate” (Messaris, 1994, pg. 2).
. . .visual education might make a viewer more resistant to the manipulations
attempted by TV commercials, magazine advertising, political campaigns, and so
on. In other words, even if learning about the visual devices used in picture-based
media does not have any effect on a viewer’s comprehension of pictures or on
one’s other cognitive abilities, it might still make the viewer more aware of how
meaning is created visually-and therefore less likely to be taken in by abuses of
this process (Messaris, 1994, pg. 3).
Certainly, in the case of advertisements and fashion photographs, we, as viewers, may acknowledge that
images are retouched, but we may not process this information as we view a single image if the message
is not reinforced prior to viewing. Messaris (1997) further suggests that because we often respond to
visual imagery on an affective or emotional level, the imagery evokes a stronger response in us,
which may in turn make the ad or image more persuasive. Messaris asserts that critically processing
an image may require aptitude in general critical thinking, thus it is questionable the degree in which
young girls process knowledge related to the digital manipulation of ads. Specifically, do the powerful
messages promoting the thin-ideal trump all knowledge of digital manipulation in fashion magazines?
Because answers to these questions are largely unknown, one goal of this study is to determine how
or if women process visual literacy statements that help cue them to process visual images in a particular
way. Thus, the first series of hypotheses is advanced:
H1: Exposure to a visual literacy statement will be related to decreased levels of body image distortion in
women.
H1b: Exposure to a visual literacy statement will reduce female respondents’ desire to look like the
model shown, when controlling for exposure to entertainment media.
The Promotion of the Thin Ideal in Advertising
Where do young women learn about the thin ideal and from what sources do young women feel the
most pressure to be thin? Many scholars studying the social effects of mass media as it relates to
body image distortion in women suggest the media are at least partially responsible for promoting
thin-ideal body types as the norm for women, and to a large degree, this representation of a single
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2 ideal for women is seen in advertising. Furthermore, because many researchers suggest that editorial
content nowadays is so similar to advertising content, it has becoming even more difficult for
readers and viewers to make distinctions between the two. This is especially relevant for younger
girls who read teen magazines and may not be all that knowledgeable about influences of advertising.
Kilbourne (1999) says, “Far from being a passive mirror of society, advertising is an effective and pervasive
medium of influence and persuasion, and its influence is cumulative, often subtle, and primarily
unconscious” (pg. 67). It is for this reason, and many others, that researchers have been concerned with
the potential link between advertising and disordered eating in women. Pollay (1986) reports that advertising
has been accused of unintentionally imposing a “sense of inadequacy” on women’s self-concepts
because advertising may play a role in reinforcing a preoccupation with physical attractiveness (pg. 34).
Furthermore, because women and girls are exposed to so many ads throughout the course of the day,
the repeated promotion of the thin ideal becomes a message that is difficult to escape from.
Hesse-Biber (1989) and Strober (1986) report that chronic dieting is a direct result of the social pressure
on American women to be unnaturally thin. Stephens and Hill (1994) argue that “advertising has been
vilified for upholding-perhaps even creating-the emaciated standard of beauty by which girls are taught
from childhood to judge the worth of their own bodies” (pg. 137). Cash and Hicks (1990) report that
women who are dissatisfied with their body shape and size also tend to have lower levels of self-esteem
and perceive their social well being to be worse than others. While research has established a very clear
link between exposure to TDP media and body image distortion in women and girls, what isn’t known is
the degree in which women and young girls recognize that many images in fashion and entertainment
magazines are digitally manipulated or crafted by a computer. Subsequently, the question this study
addresses is, does visual literacy, defined in this study as knowledge of digital manipulation of a
fashion photograph, reduce the likelihood of social comparison or the likelihood of a subject to idealize
an unrealistic image? Theorists suggest this phenomenon of body shape comparison between self and
mediated images is a result of social comparison, a means of evaluating oneself based on a self-comparison
to others. Along these lines, cultivation theory allows us to understand how women and
girls’ beliefs about an ideal body image have been cultivated over time through repeated exposure to
thin ideal media content.
Theoretical Foundation
Social comparison theory has been used in recent mass communication research examining the social
effects of mass media as it relates to body image distortion in women and young girls. As Festinger
(1954) and Goethals (1986) suggest, social comparison theory provides a theoretical framework for
understanding the way people look to media images they perceive to be realistic and attainable and
make comparisons between themselves, others and idealized images. Festinger suggests that because
humans are motivated to improve themselves, they look to models, sometimes in the media, that
would aid them in their drive for improvement. Wood and Taylor assert that when women make comparisons
between themselves and idealized images, their beliefs about the importance of being thin are
confirmed, and they become motivated to achieve that goal. Therefore, as women read a fashion magazine,
they compare their looks to the looks of models in editorial content and in advertisements, and
when they perceive a discrepancy between the two, they do whatever they can to narrow the gap
between their own image and the idealized image.
The premise of Festinger’s argument related to social comparison is that social comparison will only
occur when comparisons are made to similar others-i.e., those who are similar with respect to skin
color, age, status, abilities and opinions. Suls (1977) advanced this line of thinking by suggesting that
comparisons with similar others make it easier for an individual to assess herself/himself and determine
what the gap is between the self and the target other. Suls also says that the similarity between the self
and the target other will allow an individual to evaluate his or her own position, in short, engaging in
self-evaluation. Thus, if an individual perceives a model in an advertisement to be similar, it is more
likely the individual will engage in the social comparison process to determine how he or she compares.
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One point this study addresses is will the individual be as likely to engage in social comparison if she
feels she is dissimilar to the media model based on reading a statement about the validity of an image.
In short, does reading a statement about digital manipulation affect the processing of an image on a
short-term basis? The important issue here is that women and girls may be engaging in social comparison
with images they perceive to be real but are in fact manipulated or manufactured.
Major, Testa, and Blysma argue that as women strive for self-improvement, they look to superior others
as the ideal target for comparison. When this happens, upward social comparison occurs, which in turn
can have a negative effect on mood and self. But, what is not known is if individuals are making upward
or downward comparisons with the target model, and this type of comparison may be determined based
on similarity. As more studies have been carried out in this area of study, researchers have gradually realized
that upward and downward comparisons are not intrinsically linked to a particular effect–on the
contrary, “either direction has its ups and downs.” Specifically in upward comparison, the presence of
superb others may have at least two implications: First, you are not as well off as the superb others;
second, it is possible that you can be one of them. To individuals who feel optimistic about narrowing
the discrepancy revealed by comparison, the comparison process may be inspiring for making progress.
Myers and Biocca proposed that the feeling of self-control is a potential factor to explain the positive
effects of upward comparison found in their study, in which participants exposed to body image commercials
evaluated their own body image more favorably. The researchers suggested that those participants
might view the ideal images as attainable and within reach. Thus, participants may translate
commercials’ meaning of “you can be thin” into “I am getting thin” and even into “I will be thin.”
Bower expressed a similar sentiment: “The more easily improved a body part is perceived to be, the
less likely a comparer is to feel negatively as a result of the comparison.” On the contrary, individuals
who do not hold such optimism may experience a negative effect and self-deflation following
upward comparison. To them, the presence of better off others only highlights their own weakness
that is considered to be unchangeable.
Social comparison plays an important role in the development of body self esteem and body satisfaction/
dissatisfaction because through continual comparisons with target others, individuals are reminded
that they are not living up to the ideal as presented to them in the media. The process of comparison
over the course of time, arguably, is occurring with the help of cultivation. Gerbner (1969, 1998) argues
that television plays an important role in the development of perceptions about social reality through
repeated and long-term exposure to the mediated world presented to us. The underlying assumption
of cultivation theory is that through repeated exposure to “consistent media portrayals,” i.e. the portrayal
of an ideal body type for women, television viewers are more likely to adopt the beliefs, ideologies, and
perceptions that are similar to the television world. Certainly in the representation of women’s body
types found in the media, we can argue that the mediated portrayal has never been parallel to the
“real world.” Subsequently, as women and girls are exposed to these images repeatedly and over the
course of the lifespan, they could be in a position where they are continually comparing themselves
to the ideal other, which may leave them feeling dissatisfied with their own body shape and size.
The issues related to body image distortion, the media’s role in this phenomenon and the potential
for some awareness to moderate the more harmful effects of the media led to the following series of
research questions and hypotheses:
RQ1: Does exposure to a visual literacy statement affect feelings of similarity to the model shown?
RQ2: Does exposure to a visual literacy statement affect evaluations of thinness and attractiveness to
each model?
H2: Respondents with a lower degree of similarity to the model shown will be more likely to have
greater body image distortion.
Social comparison theory can also be used to understand the relationship between exposure to media
content and attitudes based on that exposure with regard to race. Social comparison theory suggests
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4
that through the prevalence of thin females in the media, young women may attempt to model what they
see because they are presented with the ideal of a thin body and compare their body shape to what’s seen
in the media. However, it is possible that comparisons may not take place if the media model is not
similar in race to the individual. As McGuire and Pitts, Whalen, O’Keefe and Murray have suggested,
ads tends to be the most effective when the characters, values and symbols in the ad are drawn from the
intended audience’s cultural environment. Several studies published in the last decade support the
finding that the mass media having a greater influence on White women than non-White women as
it relates to body image distortion. Even though improvements have been made in the representation
of non-white women in primetime television, many of the dominant female characters in primetime
programs are Caucasian.
Based on the literature in this area, the following hypothesis is advanced:
H3: Black respondents will have lower degrees of body image distortion, independent of exposure to the
visual literacy statement.
Method
Participants
Participants were 64 freshmen, 27 sophomore, 22 junior and 11 senior women enrolled in undergraduate
mass communication and journalism classes at a university in the southeast (N 1/4 124). Of the 124
participating women, 72 percent were White, 21 percent were Black, and 7 percent were multiracial or
Hispanic. Participants in this project ranged in age from 18–24.
Design
Students participating in this project were randomly selected to be in one of three groups as part of an
experiment testing the effectiveness of a visual literacy statement in the processing of thin-ideal media
images. In this study, two control groups and one experimental group were used. One objective for this
project was to determine how or if reading a visual literacy statement affected responses to the stimulus.
Thus, the experimental group (group 1) was exposed to the stimuli (see below for description) and read
the visual literacy statement plus answered questions related to other measures. The first control group
(group 2) received an instrument containing all items from the group 1 instrument except the visual
literacy statements. A second control group (Group 3) was used so that a solid basis of comparison
for the other dependent variables could be determined. In short, participants in the second control
group did not read a visual literacy statement nor did their instrument contain the visual stimulus.
Group 3 responses were used as a basis for comparison for the other dependent variables because
the pre-test indicated exposure to the stimulus did predict higher scores on the four disordered
eating subscales.
The experimental group (Group 1; N 1/4 40) received an instrument with questions related to media
exposure, media use, and disordered eating symptomatology. Subjects selected for the experimental
group (Group 1) and one control group (Group 2) were shown three images of swimsuit models
and were asked a series of questions related to each model’s attractiveness, thinness, their feelings of
similarity to the model shown, and the desire to look like the model shown. Participants in the experimental
group (Group 1) read a visual literacy statement prior to viewing any photographs. Group 2
(N 1/4 41) participants received the same instrument but did not read a visual literacy statement.
Group 3 (N 1/4 43) participants received an instrument without a visual literacy statement and
without seeing images of swimsuit models (stimulus). However, all media exposure, media use and
disordered eating symptomatology questions were the same regardless of the group. A pre-test was conducted
on the instrument to test for question ordering, responses to the stimuli, and to test the wording
of the literacy statement.
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Procedures
Stimulus. Participants in the experimental group (Group 1) read the following statement prior to viewing
images of swimsuit models:
As you may know, many images seen in fashion and entertainment magazines have
been digitally manipulated and/or altered to enhance the overall look of the models
appearing in the ad. This happens for male and female models. In some cases,
“models” have been created using digital software to create the “perfect” female
or male. In many cases, photo-editing software is used to enhance a model’s body
shape or size and to eliminate physical imperfections.
The next page of the instrument contained a photograph of a swimsuit model with a second statement
related to the digital manipulation of the image:
The image below has been digitally manipulated to enhance the model’s appearance.
Participants read the statement above and then were shown a 7 by 9 inch image of a swimsuit model.
Participants then answered a series of questions related to their perceptions of the model’s thinness and
attractiveness and the degree of similarity they felt toward the model shown. Participants were also asked
to report how much they would like their body shape to resemble that of the model’s shown. Participants
viewed three photographs of swimsuit models, each with the digital manipulation statement above it, and
then answered the same series of questions related to each model. An earlier pre-test was conducted to
determine which of the images of swimsuit models would be most appropriate for the study. In the pretest,
20 women evaluated the thinness, attractiveness, and feelings of similarity to nine swimsuit models.
Within this pool, two models were African American, 1 was Hispanic and another was Asian American.
Mean responses for attractiveness and thinness were tabulated and then used to divide the models into
three groups. Since evaluations of thinness and attractiveness are quite subjective, the goal was to select
three photographs of models that yielded different responses which so that the images of models chosen
for the final instrument would be more heterogeneous and would represent a variety for the target other
with regard to attractiveness and thinness.
The independent variable for many of these hypotheses was the exposure to the digital manipulation
statement.
Exposure to entertainment media was other important variable used as an IV or as a control variable in
some of the hypotheses. Several studies examining the social effects of mass media have examined
exposure to print media (magazines) and broadcast media and its relationship to disordered eating.
In this study, analysis of the exposure variables and their potential relationship to disordered eating
was done separately and reported separately for television and magazines, even though the hypotheses
group these exposure measures together. Exposure to entertainment TV was measured by asking
respondents to record the total number of minutes per day they spent viewing entertainment television.
Female respondents reported viewing between 0 and 450 minutes of entertainment television per day
(M 1/4 149.60, SD 1/4 84.43). Exposure to entertainment magazines was measured by asking participants
to record their frequency of reading several types of magazines, using the following responses
(0 1/4 never, 5 1/4 regularly). Participants in this study reported reading on average four magazines a
month (M 1/4 3.61, SD 1/4 3.01) and indicated that most of the magazines read were entertainment
(M 1/4 3.18, SD 1/4 1.34) or fashion magazines (M 1/4 3.75, SD 1/4 1.56).
In order to measure exposure to thin-ideal TV, respondents were asked to indicate how frequently they
watched specific programs by using a 5-point scale (0 1/4 never, 5 1/4 regularly). Forty-seven television
shows airing on six networks-NBC, ABC, CBS, Fox, UPN, and WB-were selected from the fall
2003-spring 2004 season. The programs chosen represented shows in the top 50 viewed by 18–24
year olds, and they represented a diverse sampling of body types. In an earlier pilot study, 20 college
students from another sample used a 1–5 scale (1 1/4 conspicuously thin, 3 1/4 about average, 5 1/4
conspicuously fat) to assign a body shape code to the primary female characters in each of the 47 programs.
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Coders were instructed to list the character or characters they considered to be “primary,” then assign a
body shape code using the 1–5 scale to those primary characters. Using Harrison’s framework of obtaining
an index of thin-ideal television, coders were instructed to consider a body size as “conspicuous” if at least
one character on the show drew attention to her body shape because she was either thin or fat. Intercoder
reliability tests were run on each of the 47 programs used in the pilot study. The overall reliability score was
.87, using Scott’s pi. The body-size rating assigned to each of the 47 programs was used with the frequency
of viewing scores to create a scale representing thin-ideal television viewing. The descriptive results indicate
the respondents did not watch some programs frequently. In data analysis, the 13 most-watched programs
were selected, which translated into selecting shows where the mean frequency of viewing was a 1 or higher
on the 0–4 scale (see Table 1). The 13 programs used in statistical analysis were shows such as Friends, Will
& Grace, America’s Next Top Model and Law & Order: SVU. All 13 programs received a mean thinness code
between 1.13 and 3.01. At that point, each respondent’s self-reported viewing frequency was multiplied by
each show’s thinness code, which resulted in a scale called the frequency of viewing scale. Six of the 13
most frequently viewed programs received a thinness code between 1.13 and 2.66. Using the same computation,
a “thin-ideal TV viewing” index was created.
Dependent Variables. One of the primary dependent variables for this project was eating-disorder symptomatology.
This measure represented four subscales-anorexia, bulimia, drive for thinness, and body dissatisfaction.
The questions on the instrument came from the Eating Attitudes Test and the Eating
Disorders Inventory. The responses to 43 questions on the survey were used to create an additive
scale for each dimension-drive for thinness, body dissatisfaction, bulimia, and anorexia. Responses to
all questions related to the dependent variable ranged from never 1/4 1 to always 1/4 6.
The second series of dependent variables related directly to respondents’ feelings of similarity to the
models shown. Four questions measured respondents’ feelings of similarity to the model shown and
respondents’ desire to be similar to the model shown: How similar do you feel to this swimsuit
model? How much would you like to look like this swimsuit model? How much would you like your
body shape to look like this swimsuit model? How much do you like this swimsuit model?
Responses ranged from 0 (not at all) to 4 (very much). Respondents were also asked to assign a thinness
and attractiveness score to each model. Responses ranged from 0 (not at all attractive) to 9 (extremely
attractive) and 0 (extremely overweight) and 9 (extremely thin).
Results
Participants randomly selected to one of the three experimental groups did not report significant differences
in their exposure to entertainment media, in their age, their weight, their exposure to sports media,
or their race. The only significant difference between the three groups was that participants in the second
control group (Group 3) reported exercising significantly less than participants in first control group
(Group 2) (Group 2 X 1/4 4.34, SD 1/4 1.39; Group 3 X 1/4 3.16, SD 1/4 1.19, p , .05). The television
programs most frequently viewed across groups were Friends, Joan of Arcadia, The OC, That 70s Show,
America’s Top Model, Will & Grace, Everybody Loves Raymond, Everwood, 7th Heaven, The Bachlorette, and all
three Law & Order programs, Law & Order: SVU, Law & Order: Criminal Intent, and Law & Order. There
were no significant differences in viewing patterns for the above shows among the three groups except
for 7th Heaven. Group 3 reported viewing this program significantly more than the other two groups.
Hypothesis 1 predicted that exposure to the visual literacy statement would reduce respondents’ likelihood
to have higher scores on the four disordered eating subscales. ANOVA tests indicate no significant
differences between the three groups’ scores on the bulimia, anorexia, drive for thinness, and body dissatisfaction
scores. While no significant differences emerged, the results were in the predicted direction
between the two groups exposed to the visual stimuli-experimental (Group 1) and the first control group
(Group 2). When looking at responses from these two groups alone, the control group (Group 2) consistently
had higher scores on all four scales, even though these differences were not significant.
Hypothesis 1b predicted that exposure to a visual literacy statement would reduce respondents’ desire to
look like the model shown. In this case, respondents reading the visual literacy statement (Group 1) had
a greater desire to look like the model shown and had a greater desire to have a body similar to each
model’s in all three cases. Subsequently, this hypothesis was also not supported.
RQ1 tested the notion of similarity based on the experimental group each respondent was selected into.
The line of thinking for this research question was to test whether direct and specific knowledge of
digital manipulation-i.e., exposure to the visual literacy statement–affected the way respondents interpreted
or processed images when viewed. If a fashion photograph or fashion advertisement is perceived
as unrealistic or fake, it is possible young women may be less likely to make upward or downward comparisons,
which may in turn affect the way they perceive their own body image. Independent t-tests indicate
no significant differences between the experimental or control group (Groups 1 & 2) in their
feelings of similarity to the model shown and this was found when controlling for exposure to entertainment
television and entertainment and fashion magazines.
RQ2 examined a related question: how does direct and immediate knowledge of digital manipulation in
fashion photographs or advertisements affect immediate processing of the image? In this case, respondents
were asked to evaluate three models on attractiveness and thinness (each separate questions).
Presumably, respondents in the experimental group (Group 1) might not give models as favorable an
evaluation based on the fact they were shown a statement indicating each image was enhanced to
improve the overall appearance of the model. In some instances, significant differences were found
between group 1’s evaluation of each model and group 2’s evaluation of each model. However, the
differences were not in the predicted direction. Model 1 received a mean thinness score of 7.75
(SD 1/4 .89, p , .05) from Group 1 respondents and a mean thinness score of 7.36 (SD 1/4 .87) from
Group 2 respondents. Similar differences were found in the two groups’ evaluations of Model 2’s attractiveness
(Group 1: X 1/4 6.65, SD 1/4 2.21, p , .05; Group 2: X 1/4 5.64, SD 1/4 1.74). While each
group’s evaluation of the three models’ thinness and attractiveness were not significantly different,
quite consistently, group 1 did report higher scores on all evaluations.
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Hypothesis 2 predicted that respondents who reported not feeling similar to the model shown would be
more likely to have greater body dissatisfaction. The line of thinking here was that if respondents felt
similar to the target other, they might be less likely to make comparisons between themselves and
the media model. Similarity was measured on a five-point scale and was tested on all three models.
The variable was then collapsed into a three-point scale representing little similarity to the model
shown (1), some similarity to the model shown (2), a great deal of similarity to the model shown (3).
ANOVA and regression analysis indicate this hypothesis was supported. Respondents with a higher
degree of similarity to the model shown had significantly lower scores on the drive for thinness
scale, the body dissatisfaction scale and the anorexia scale than those who lower degrees of similarity.
For example, respondents classified in the “great deal of similarity” group reported a mean body dissatisfaction
score of 21.70 (SD 1/4 3.52) on a scale of 9–54; respondents classified in the “some similarity
group” reported a mean body dissatisfaction score of 22.15 (SD 1/4 6.47), and respondents in the “little
similarity” group reported a mean body dissatisfaction score of 26.82 (SD 1/4 5.20, p , .01). Significant
differences were also found between all three groups on the drive for thinness and anorexia scales (see
Table 2).
Drive for thinness was a seven-item scale ranging from a low of 7 to a high of 42. Body dissatisfaction
was a nine-item scale ranging from a low of 9 to a high of 54. Anorexia was a seven-item scale ranging
from a low of 7 to a high of 42. In all cases, the higher the number on the scale, the greater the feelings
of drive for thinness, body dissatisfaction or the more likely respondents are to have anorexic tendencies.
Hypothesis 3 predicted that Black respondents would have lower levels of BID than White respondents,
independent of exposure to the visual literacy statement. Regression analysis indicated a significant
difference between Black and White respondents’ scores on all four disordered eating subscales, independent
of exposure to the visual literacy statement (drive for thinness 1/4 .19, p , .05; body
dissatisfaction 1/4 .39, p , .001; anorexia 1/4 .17, p , .05; bulimia 1/4 .22, p , .001). Independent
t-tests also confirmed that Black respondents had significantly lower scores on all four scales.
For example, Black respondents’ mean score on the drive for thinness scale was an 8.15
(SD 1/4 6.58) and White respondents’ mean score on the same scale was 13.67 (SD 1/4 5.89,
p , .001). Both statistical tests indicate this hypothesis was supported.
Drive for thinness was a seven-item scale ranging from a low of 7 to a high of 42. Body dissatisfaction
was a nine-item scale ranging from a low of 9 to a high of 54. Bulimia was a six- item scale ranging from
a low of 6 to a high of 36. In all cases, the higher the number on the scale, the greater the feelings of
drive for thinness, body dissatisfaction or the more likely respondents are to have bulimic tendencies.
Discussion
A great deal of research exists documenting the social advantages of being thin and of being attractive.
Other studies have documented the relationship between media exposure and women’s desire to be thin.
What isn’t known is the degree in which women engage in social comparison when they know the image
they are viewing has been digitally manipulated. This study tested that premise: did knowledge of digital
manipulation affect a respondents’ desire to achieve a particular body shape seen in a photograph?
Evidence collected in this study suggests the answer to this question is no. Respondents with knowledge
Table 2. One-way ANOVA for similarity to model and disordered eating subscales. (N 1/4 124)
Group 1 Group 2 Group 3
Dependent variable Mean (SD) F df p value
DFT* 15.35 (6.71) 10.12 (6.19) 11.40 (5.62) 5.65 74 p , .01
BD** 26.82 (5.20) 22.15 (6.47) 21.70 3.52 6.16 74 p , .01
Anorexia*** 16.18 (5.43) 10.10 (5.99) 14.40 (5.62) 9.34 74 p , .001
*Post-hoc bonferroni tests found significant differences between groups 1 and 2 and groups 1 and group 3.
**Post-hoc bonferroni tests found significant differences between groups 1 and 2 and groups 1 and 3.
***Post-hoc bonferroni tests found significant differences between all three groups.
Studies in Media & Information Literacy Education, Volume 6, Issue 1 (February 2006), 1–14
# University of Toronto Press. DOI: 10.3138/sim.6.1.002
9
of digital manipulation had no less desire to look like a swimsuit model seen in a photograph and did
not have lower scores on any of the disordered eating subscales. Furthermore, after reading a statement
about a fashion model photograph being enhanced, respondents seemed even more likely to assign
higher attractiveness and thinness scores to the three models shown. This suggests some very important
things about the way women actively process images seen in editorial and advertising content and further
suggests the visual literacy statements used in this study were not enough to help young women process
images in a way that is less harmful to their own body image. Kilbourne suggests the processing of
images in advertising can be unconscious, and even though particular information might help
viewers understand the image being viewed is not real, the comparison between oneself and an idealized
media model still seems to take place.
A particularly useful finding in this study is the relationship between knowledge of digital manipulation
and the four disordered eating subscales. While respondents randomly sampled into the experimental
group did have scores in the predicted direction, they were not significantly lower than respondents
in either control group. This suggests a few things about the visual literacy statement and the possible
processing of the statement prior to viewing images of attractive and thin swimsuit models. First, it is
possible some of the respondents failed to read the two statements or failed to pay much attention to it.
This idea does resonate with the way people respond to and process visual media. Newspaper readership
studies indicate many readers look at the dominant images first before reading much of the text. It is
possible respondents in this study did just that. It is also possible respondents did in fact read the statement
but the statement wasn’t written in strong enough language to make much of a difference when
viewing powerful images. One of the primary goals of this study was to determine if visual literacy or
education about the power of visual media could help mediate some of the effects of the same media.
The findings here suggest the stimulus needs to be even more obvious and overt than what was used in
this study.
Another plausible explanation to the lack of support is that the effects of long-term exposure to entertainment
media may be more persuasive in the general attitudes women have about their bodies.
Cultivation theory would support this conclusion. As Gerbner (1998) says, “cultivation is both dependent
on and a manifestation of the extent to which television’s imagery dominates viewers’ sources of
information” (pg. 182). Post-hoc analysis of the data indicated that respondents who had high exposure
to entertainment media were much more likely to have significantly higher scores on all four disordered
eating subscales than those who were grouped into the low exposure category and the medium exposure
category. This finding suggests that exposure to thinness depicting and promoting (TDP) media is still a
crucial risk factor for disordered eating patterns and behavior. Bissell and Zhou found that females who
were exposed to “thin ideal” television scored fairly high on four eating disorder subscales and further
found that the type of entertainment media women reported watching the most frequently was the
strongest predictor of anorexia, bulimia, body dissatisfaction and drive for thinness. This trend
seemed to be especially prevalent for White women.
Table 3. Regression analysis of sports media exposure, frequency of exercise, and the four disordered eating subscales
Drive for thinness
Variable Beta T sig
Exp to men’s & women’s televised sports 2.33 23.79 p , .001
Frequency of exercise 2.28 23.12 p , .01
Body dissatisfaction
Exp to men’s & women’s televised sports 2.33 23.73 p , .001
Frequency of exercise 2.12 21.39 p , .05
Bulimia
Exp to men’s & women’s televised sports 2.32 23.70 p , .001
Frequency of exercise 2.24 22.82 p , .01
Anorexia
Exp to men’s & women’s televised sports 2.21 22.41 p , .01
Frequency of exercise 2.31 23.53 p , .001
Studies in Media & Information Literacy Education, Volume 6, Issue 1 (February 2006), 1–14
# University of Toronto Press. DOI: 10.3138/sim.6.1.002
10
Another important finding here was respondents’ desire to look like the model shown. When asked how
much they would like to look like the model shown and how much they would like their bodies to look
like the model shown, respondents in the experimental group consistently had a greater desire to do so,
even though the differences were not significant. This suggests the visual literacy statement had no effect
at all on the way young women processed the images of swimsuit models. While the findings could be
different if the cell size were increased, it seems as if the problem seems to be more with the placement
of the visual literacy statement and/or the wording of it.
Theoretical Implications
The findings from this study suggest participants in the experimental group may not have processed the
visual literacy statement in the way predicted, as the processing of this information was predicted to decrease
feelings of similarity, decrease social comparisons made with the media models and lower scores on the
disordered eating subscales. The reason for this may be related to the way participants in this study processed
the verbal and visual information. Cook (1992) suggests that when consumers or viewers have to
process visual and verbal components of advertisements or related media, the complete processing of information
may not occur because one form of information, i.e. the visual information, may be more interesting,
dynamic, compelling, or interesting, which would subsequently reduce the likelihood of processing the
textual information. Participants may have engaged in the first of Shimp and Gresham’s (1983) proposed
eight stages of processing an advertisement (e.g. one containing textual and visual information), but that
before any cognitive, affective or behavioral effects are seen, the consumer must attend to the information
and then comprehend it. The comprehension of the verbal information may not have taken place simply
because of the so-called competition with visual information. Along these lines, Messaris (1994; 1997)
points out that the implicit nature of visual imagery is to attract viewer’s attention, and once this has happened,
the imagery can “give rise to some emotional disposition toward the product, politician, social cause,
or whatever else the ad is about.” The visual stimuli may have proved to be so interesting or compelling that
participants in this study failed to really process what was presented to them via text.
As Messaris (1994; 1997) points out, if viewers are attending to the visual imagery more than the text
and then have an emotional response to the image, the effect of the information in textual form may
decline significantly. As respondents are attending to the visual stimuli–images of swimsuit models–
they may be engaging in the social comparison process by assessing themselves compared to the
target other. As this assessment is taking place, participants are making comparisons between themselves
and the target other to determine how similar they are in age, ethnicity, social standing, body shape and
size, attractiveness, etc., and as Milkie (1999) points out, the similarity between oneself and the target
other will affect the degree in which social comparison occurs. Results from this study indicate that participants
in the experimental and control group did not feel altogether similar to any of the three swimsuit
models. Singer (1981) and Rosenberg (1986) suggest that social comparison theories assume some
degree of freedom in choosing a comparison referent, and these target others are chosen in part by
motivations for self-enhancement. If there was no real point of comparison between study participants
and the swimsuit models, as indicated by the similarity scores, we would not expect to find support for
earlier hypothesis predictions. Thus, this study’s findings help us better understand the relationship
between processing textual and visual media, especially with a younger participant pool, and the
results help us better understand how similarity affects persuasive forms of media.
While this study’s findings set the stage for future research, this project is not without its limitations. The
visual literacy statement could certainly be improved. It could also be one reason some of the hypotheses
were not supported. Even though the stimulus was tested in a pilot study, it is possible the placement of
it on the instrument led respondents not to pay attention to it or even read it because there were no other
items on that page needing attention. While the visual literacy statement could be one variable that helps
young women process visual imagery with knowledge that will allow them to do so in less harmful ways,
the statement may need to be refined in a manner that actually forces young girls to process messages
that stay with them through viewing experiences. Certainly manipulating the placement of the visual
Studies in Media & Information Literacy Education, Volume 6, Issue 1 (February 2006), 1–14
# University of Toronto Press. DOI: 10.3138/sim.6.1.002
11
literacy statement is one way to proceed with this line of research. It might also be useful to incorporate
the textual information with the visual information, as is done in advertisements, in the hopes that both
will be processed. It is also possible repeated exposure to a similar statement is needed in order to really
compete with the more harmful messages in the media young women attend to. A pre-test/post-test
design or repeated measures design might allow for a more appropriate test of the visual literacy statement.
The findings here suggest that exposure to entertainment media, especially thin-ideal media, still predicts
higher scores on four disordered eating subscales. The findings also affirm what we have learned in
earlier studies-college women, to a large degree, are still dissatisfied with their body shape and size
and in some cases act on the dissatisfaction by engaging in dangerous eating behaviors. Future studies,
similar in nature, are underway to test these presumptions. Visual literacy and/or media literacy still
seem to be an important factor in helping young girls better understand the social effects of mass
media. The key is in developing a visual literacy campaign that reaches appropriate audiences and that educates
them about the digital manipulation often taken place in entertainment media. Even though women
and young girls may “know” images they see in the media are manipulated, it seems as if health and
medical advocates could find some way to demonstrate how fictional the images are, young women
and girls might not be as inclined to compare themselves to unrealistic images. The window on the
world that girls and young women are looking through indeed appears to be distorted. Other studies
suggest that encouraging young girls and women to view more sports and to participate more in sports
may help their overall attitudes toward their bodies. That said, these same girls are pummeled with “objectifying
images” in a media that has “culturally conditioned them (girls) to hate their bodies” (Pipher, 1994,
pg. 184). The goal for future research is to continue to find ways to combat the negative messages often
found in entertainment media and to find ways to keep girls from destroying their physical and mental
health at such early ages.
COLUMBIA ONLINE CITATION: HUMANITIES STYLE
Bissell, Kimberly. “Skinny Like You: Visual Literacy, Digital Manipulation and Young Women’s Drive to
be Thin.” Studies in Media & Information Literacy Education 6.1 (2006).
http://www.utpress.utoronto.ca/journal/ejournals/simile (insert access date here)
COLUMBIA ONLINE CITATION: SCIENTIFIC STYLE
Bissell, K. (2006). Skinny Like You: Visual Literacy, Digital Manipulation and Young Women’s Drive to
be Thin. Studies in Media & Information Literacy Education 6(1).
http://www.utpress.utoronto.ca/journal/ejournals/simile (insert access date here).
BIOGRAPHICAL NOTE
Kim Bissell is an associate professor in the Department of Journalism at the University of Alabama. Her
research interests include the social effects of mass media as it relates to disordered eating in women
and girls, with emphasis on the relationship between entertainment and sports media, sports
participation and body image distortion.
AUTHOR CONTACT INFORMATION
Kimberly L Bissell
Assistant Professor
Department of Journalism
College of Communication and Information Sciences
University of Alabama
Box 870172
Tuscaloosa, AL 35487-0172
Telephone: 205-348-8247
Fax: 205-348-2780
E-mail: bissell@jn.ua.edu
- Kimberly L. Bissell
University of Alabama
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