the designer is Vivienne Tam, who was famous for making these witty dresses out of altered portraits of Mao:

Finally, when shame has been completely internalized, nothing about you is okay. You feel flawed and inferior; you have the sense of being a failure. There is no way you can share your inner self because you are an object of contempt to yourself. When you are contemptible to yourself, you are no longer in you. To feel shame is to feel seen in an exposed and diminished way. When you're an object to yourself, you turn your eyes inward, watching and scrutinizing every minute detail of behavior. This internal critical observation is excruciating. It generates a tormenting self-consciousness which Kaufman describes as, "creating a binding and paralyzing effect upon the self." This paralyzing internal monitoring causes withdrawal, passivity and inaction.

it is so important that you are a little bit ugly. please get comfortable with having unplucked eyebrows and nonexistent jawlines and wrinkles. let your blue hair grow out into an uneven pale green and your clothes be old and mend them and modify them until they’re unique to you. wear lipstick which doesnt compliment your skintone and mismatched outfits which went out of fashion 5 years ago. be a little bit too loud and a little bit too passionate and as weird as you can be because oh my god there is nothing more disturbing to me than perfection. beauty is manufactured and sold to us and you need to realise that you are a fucking animal to live a joyful life I am so serious. you cant obsess over aesthetics forever please just live messily and make your body your home however you please.