The greatest single cause of a poor self-image is the absence of unconditional love.
A poor self-image is the magnifying glass that can transform a trivial mistake or an imperfection into an overwhelming symbol of personal defeat.
People can very quickly have a very poor self-image. It doesn't take much.
I had a pretty poor self-image for a long time. I broke into acting as a model in New York. I was never anything like a "supermodel," but I made a living at it for a couple years. The thing was, I was convinced that I was tricking everyone into thinking I was attractive.
My johns adored and worshipped me, therefore they empowered me. When I was 18, 19, and 20, I had a poor self-image and needed attention. It's hard for people who haven't been prostitutes to imagine, but I think it's often true. There can be a very symbiotic relationship happening.
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