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able accept adjustment adolescence adult patients aggressive anxiety appearance asked attitudes avoid Barth became behavior Benchley body image boys Card character structure clinical color complained congenital corrective operation corrective surgery cultural difficulties discussed disfigured child distorted Dover Elaine Gorin emotional face facial defect facial deformity fantasies father fear felt figure drawings form-color formity friends girl give guilt feelings harelip home investigator hospital husband individual interpersonal interpersonal relationships interviews Jonson live looks male malocclusion marriage mildly deformed mother neighbors normal nose nurse parents patients in Group personality physical plastic surgery port-wine stain postoperative preoperative Project patients psychiatric psychological psychotherapy reactions rejection relationships remarks resentment result retest role Rorschach seemed self-concept severely deformed siblings situation social staring Steven strangers suggests surgeon surgical talked teacher teasing Thematic Apperception Test tion told Tommy Tommy's tried uncon wanted woman York University