A 2014 clinical examination of celebrity worship concluded that high levels of standom are associated with psychological difficulties, including “concerns about body image… greater proneness to cosmetic surgery, sensation-seeking, cognitive rigidity, identity diffusion, and poor interpersonal boundaries.” Among other observed struggles were depression, anxiety, dissociation, narcissistic personality tendencies, thirst for fame, compulsive shopping and gambling, stalking behavior, excessive fantasizing to the point of social dysfunction (this was termed “maladaptive daydreaming”), addiction,
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