I'm starting to believe that something worse than a poor self-image is one seeped in delusion. Of course, focusing on your faults and failures can be a road to depression and, perhaps, even an increase in the behaviors that cause those negative aspects about ourselves. But...then again...it can also be a motivator to change.
Walking around and telling myself "I'm a bit overweight, I could stand to lose a few pounds, but I'm not Faaaat! Not me. Lookit my arms...see how skinny they are?".
Don't look at my belly though. Don't ask me what my weight is this week. Don't comment about the closet full of triple X sized sweatshirts I wear every day to hide my body. Let me keep myself in ignorance about myself.
Trouble is, there isn't any bliss in that arrangement.