We constantly focus on the "image" of how we want people to see us because we're afraid of people seeing us the way we see ourselves. We don't want people to see our "truth".
Thats why I think another problem people with AVP have is perfectionism. We want everything as perfect as possible around us because we've got a messed up idea that it will make us happy, or at least give other people the illusion that we're happy.
Example, if you're looking for a GF or BF do you set your standards so high that its almost impossible to meet? Im thinking that if the person in our mind we think is perfect accepts us then we will feel better about ourselves, and it will make it easier for us to accept ourselves which improves our self esteem.
What about a great car? Since we're so concerned about what other people think of us Im pretty sure people with AVP try to find a good car to make themselves look good. I know I do.