I don't know about men, but women have a really narrow standard of beauty these days, that I don't think anyone falls into naturally. Think about how specific most women in the media are- usually 5'5"-5'7" (5'3"-5'5" if they're an actress), no body fat on their stomach, enormous breasts, long legs with no fat, tiny shoulders and ribs, oval shaped head, high cheek bones, and then very specific ranges for the size of nose, eyes, lips. Most of those women are white, if they're not white, they're usually very pale for their race.
A lot of times, I will be sitting with friends, and even after we've been working out and feel good about ourselves, as soon as someone like this comes on tv, it's automatic to feel like you're not "quite there yet" and you have to go back to the gym, watch what you're eating etc., because of the feeling that "well, if that's not beautiful, they wouldn't put it on TV." It's terrible when people think they can achieve the media's standards of beauty by dieting and exercise etc, when in reality, most people can't naturally achieve the look without getting surgery. So they push themselves, and eventually starve or have heart attacks. Three friends of mine have suffered from eating disorders and it's terrible, but the sick part is to see people cheering them on because they "look so good" when they're killing themselves.
That being said, I don't really support surgery, but if it were someone I knew, I would rather see them have the surgery than waste away by not eating.
mm, well, having had eating disorders for 3 or 4 years now, i'd have to say that it's not really about losing weight or achieving the perfect body. often it starts that way, but it becomes a mental disorder when you stop caring about health, looks, or others' opinions, and it's more like an addiction to losing weight. it's about control. even when life is out of control, you can have this one aspect where, with a little will power and determination, everything goes the way you want. it's like you realize "wow! this is MY choice. i do what i want-- i decide not to eat, and i see the results of it. i can control this." eventually, it starts controlling YOU (in soviet russia). your weight gets dangerously low, and you tell yourself "okay, i can just decide to eat. i will control this and make myself gain weight." but when you try, you feel sick. your body rejects the food. you feel disgusted with yourself. you can hear the voices in your head--why are you doing what others tell you? who cares if it's not healthy? this is your control, right? and it gets to be something that you can't control.
i've dealt with this for years, being in and out of recovery. i lost 25 lbs in the past few months, but my therapist has been encouraging me to go into recovery. it's tough, and i often feel like it's not really what i want... but i have to trust others now because i've realized that my own opinion is not always right. i mean, i have seen myself as fat when i was 70 lbs and 5 feet tall. bah, it's all so complicated. i wish i could stop feeling these things and just be comfortable with my body, but it is sooo hard to do that. >_<