Psychology works for Perfectionism

Perfectionism is a multidimensional personality style that is associated with a large number of psychological, interpersonal, and achievement-related difficulties. It is not a disorder but a vulnerability factor that produces problems for adults, adolescents, and children. Often people confuse perfectionism with achievement striving or conscientiousness.
Perfectionism is distinct from these attitudes. It is a maladaptive pattern of behaviours that can result in a large number of problems. Achievement striving and conscientiousness involve appropriate and tangible expectations (often very difficult but attainable goals) and produce a sense of satisfaction and rewards. Perfectionism, on the other hand, involves inappropriate levels of expectations and intangible goals (i.e. perfection), and a constant lack of satisfaction, irrespective of performance.

Perfectionism is a chronic source of stress, often leaving the individual feeling that he/she is a failure. Perfectionistic individuals require themselves to be perfect. This constant expectation is a source of stress and contributes to maladaptive ways of coping.

Perfectionism is multidimensional. That is, there are several different types of perfectionistic behaviour that involve motivation to actually be perfect. For example, self-oriented perfectionism is the requirement for the self to be perfect. It is what we usually think of when we use the term perfectionism. Other-oriented perfectionism is the requirement that others (e.g., spouse, children, subordinates, other people in general) should be perfect. Finally, socially prescribed perfectionism is the perception that others (e.g., one’s parents, boss, people in general) require oneself to be perfect. In addition to these three kinds of perfectionism that focus on a need to be perfect, there is also a kind of perfectionism that involves needing to appear to others as if one is perfect.

Each of these kinds of perfectionism is associated with different kinds of problems. For example, it has been shown that self-oriented perfectionism is associated with clinical depression, especially in the presence of achievement-related (e.g., job or school related shortfalls) stressors. It has been shown that when self-oriented perfectionists experience these kinds of stressful events, they experience more severe and more chronic depression symptoms. Self-oriented perfectionism has been associated with anorexia nervosa, prolonged elevations in cardio-vascular responses, and interpersonal problems reflecting over-responsiblity.

Other-oriented perfectionism has been associated with relationship problems, such as poor marital satisfaction, sexual dissatisfaction, and anger toward others. Socially prescribed perfectionism has been associated with a variety of symptoms including, anxiety, depression, eating disorder symptoms, and hostility. Most importantly, this dimension of perfectionism has been found to predict not only suicide thoughts and behaviours in adults and adolescents, but also serious suicide attempts. Furthermore, there are a variety of achievement-related problems that arise from this kind of perfectionism, such as procrastination and self-handicapping (i.e., where individuals spend time finding excuses for poor performance rather than preparing for a performance). Finally, perfectionstic self-presentation involves a variety of difficulties such as precluding one from seeking appropriate help for difficulties and not benefitting fully from treatment due to great difficulties in self-disclosing personal information.

Can psychology help?
Because perfectionism is a personality style, treatment of it tends to be fairly intensive and longer term. Recent research reports and clinical experience has indicated that it takes a fairly lengthy course of psychotherapy (often more than a year) and the therapy tends to be intensive. Several Canadian studies are currently underway that focus on both fine-tuning current treatment approaches and evaluating the effectiveness of these treatment in alleviating perfectionism and its attendant difficulties.

Resources

Anxiety Disorders Association of Canada
http://www.anxietycanada.ca/English.htm
Anxiety Disorders Association of British Columbia http://www.anxietybc.com/

Consultation with or referral to a registered psychologist can help guide you as to the use of these therapies. For a list of psychologists in your area, please press here.

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