What signs might indicate an altered self-concept in a patient?

The signs indicating an altered self-concept in a patient often manifest through behavioral cues. One significant indicator is the avoidance of eye contact. When a patient consistently avoids making eye contact, it can suggest feelings of insecurity, low self-esteem, or discomfort in social interactions. This behavior often reflects a diminished self-worth or an internal struggle with self-identity, which are crucial aspects of self-concept.

Other signs of altered self-concept might include changes in mannerisms or body language, such as a slumped posture, which can also convey negative feelings about oneself. However, in the context of the question, avoidance of eye contact specifically highlights a person's internal perception of themselves and their relationship with others, making it a more direct indicator of altered self-concept. A well-groomed appearance typically suggests positive self-care and self-image, countering the notion of an altered self-concept. While being overly apologetic may indicate some level of insecurity, it does not directly represent the altered self-concept as clearly as avoidance of eye contact or slumped posture.