Megarrhexia is a new body image disorder where men try to increase their muscle bulk disproportionately, often using illicit anabolic steroids. The fact that an increasing number of US servicemen are employing steroids to bulk up should not be surprising considering the world wide trend to increase muscle mass. What is disturbing is that these soldiers may behave irrationally under the influence of such drugs expressing ‘roid rage’ or even frank psychosis. In the presence of weapons of mass destruction in Afghanistan this may well represent an increased risk to civilian and military populations alike.
The contrast with Taliban soldiers could not be more stark. Skinny undernourished and poorly provisioned men are fighting coaltion forces with extraordinary ferocity.