Decorating the body as well as (semi-)permanent bodily modifications are a longstanding human practice, together with spending a great amount of time and effort on such body alterations. The present article reviews the mental functions of body-altering behavior. The primary aim is to identify and elucidate the predominant mental function underpinning these body alterations. Following several guidelines for reviews, we synthesized the literature, including several categories of body-altering entities from different eras. We argue that there are two crucial commonalities for individuals engaging in body-altering behavior that comprise the mental functions for doing so: aesthetics and group affiliation (dynamics), including the latter’s subfunctions of supporting individuality, resistance, personal narrative, physical endurance, and sexual motivation. Incorporating the existing literature, we find that aesthetic motivation takes precedence over group affiliation, thereby establishing aesthetics as the primary mental function of body-altering behavior; factors substantiating this conclusion are explored in detail within the article.
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