Cold atomic clouds constitute highly resonant nonlinear optical media, whose refractive index can easily be tuned via the light frequency. When subjected to a retroreflected laser beam and under appropriate conditions, the cloud undergoes spontaneous symmetry breaking, and spatial patterns develop in the transverse cross section of the beam. We investigate the impact of the sign of the light detuning from the atomic resonance on these patterns, thus directly comparing pattern formation for self-focusing and self-defocusing nonlinearities. Our observations emphasize the need for a “diffractively thick” medium description of the light-cloud interaction in which diffraction and nonlinear propagation inside the sample are taken into account.