I can't answer for Issey, but I would guess she's intuitively picked up on part of the intention of the act, which was aimed at her attractiveness (to others), and her able-bodiedness, and at making the rest of her life as difficult as possible (ie. turning her youth into a negative attribute).
It's appalling. Am saddened and angry, (and a little more "aware" than an hour ago).
JimmyChooChoo, I see your point. Initially I was thinking "Oh, I wish I hadn't opened this" but I think you're right.