Cognitive Errors as Predictors of Adaptive and Maladaptive Perfectionism in Children

Cognitive distortions such as dichotomous evaluation of performance, selectively focusing on perceived failures, and discounting successes are proposed to be key maintaining mechanisms in clinical perfectionism, but no existing research has investigated the relationship between perfectionism and cognitive errors in children. The current study assessed the associations between dimensions of perfectionism as assessed by the Adaptive/Maladaptive Perfectionism Scale (AMPS) and children??s cognitive errors controlling for negative and positive affect to provide information about cognitive features associated with perfectionism in children and construct-related evidence for the AMPS. A non-clinical sample of 204 children completed the AMPS, the Children??s Negative Cognitive Errors Questionnaire, and measures of positive and negative affect. The AMPS sensitivity to mistakes scale was correlated robustly with catastrophizing, overgeneralization, personalizing, and selective abstraction. Cognitive errors were significant predictors of maladaptive perfectionism even after controlling for negative affect. However, cognitive errors did not predict adaptive perfectionism after controlling for positive affect. These findings highlight the role of negative thinking styles in maladaptive perfectionism in children and point to the potential usefulness of interventions that focus jointly on maladaptive perfectionism and negative cognitive styles.     

Perfectionism, anger, and anger rumination

Anger and anger rumination are considered to be detrimental to both physical and psychological well being. Furthermore, perfectionism, as a personality construct, seems to be related to various types of maladjustment. Whereas perfectionism has been characterized as being positive when an individual derives pleasure from striving for excellence yet recognizes and accepts individual limitations, it is deemed negative when the individual has unrealistic expectations and is never satisfied with his or her performance. The present study examined whether positive and negative perfectionism was associated with anger and anger rumination. The Farsi version of the Positive and Negative Perfectionism Scale and the Farsi version of the Anger Rumination Scale, as well as Spielberger's State-Trait Anger Scale were completed by 384 Iranian students. Results showed that anger and anger rumination were, as expected, associated negatively with positive perfectionism and associated positively with negative perfectionism. Positive perfectionism enables individuals to strive for success in a flexible manner and, thus, to experience satisfaction and pleasure rather than dissatisfaction, frustration, and anger. Conversely, negative perfectionism makes individuals vulnerable to emotional distress such as predisposition to experience anger and anger rumination through setting high standards for performance, overgeneralization of perceived failures, negative self-evaluation, self-blame, and measuring self-worth in terms of unachievable goals of accomplishment and productivity. Hence, perfectionism may be regarded as having both adaptive and maladaptive aspects with regard to health.     

Examining the Role of Perfectionism and Intolerance of Uncertainty in Postevent Processing in Social Anxiety Disorder

Postevent processing (PEP) is proposed to be a key maintenance factor of social anxiety disorder (SAD; e.g., Clark and Wells 1995). The goal of the current study was to examine the independent roles of two transdiagnostic variables, namely perfectionism and intolerance of uncertainty (IU), as unique predictors of PEP in SAD above and beyond social anxiety and depressive symptoms. Fifty-six adults with SAD and high levels of speech anxiety completed measures of perfectionism, IU, social anxiety, and depression. They gave an impromptu speech to induce PEP, and completed measures assessing degree of PEP and its associated distress. Significant positive correlations were found between perfectionism and negative PEP degree and distress, as well as between IU and negative PEP distress. The perfectionism subscales of parental expectations and parental criticism significantly predicted negative PEP degree and distress over and above social anxiety and depressive symptoms. Perfectionism, as well as IU, were significantly and positively correlated with positive PEP distress, and significantly predicted positive PEP distress above and beyond social anxiety and depressive symptoms. The study design was cross-sectional; hence, experimental and longitudinal studies are needed to further understand the roles of perfectionism and IU as they relate to PEP. Individuals with SAD who are high in perfectionism or IU appear to be more prone to engaging in, or experiencing distress associated with, negative PEP. Specific strategies for decreasing negative PEP in this vulnerable population, especially for those high in perfectionism, may be necessary for optimal treatment outcome.     

Hopelessness,stress, and perfectionism: The moderating effects of future thinking

It has been argued that a negative view of the future characterised by impaired positive future thinking is associated with increased hopelessness and suicide risk (e.g., MacLeod & Moore, 2000). Hence, the central focus of the two studies reported in this paper was to extend our knowledge of positive future thinking by investigating its relationship with established suicide risk factors: stress, perfectionism, and hopelessness. Study 1 demonstrates, for the first time, that positive future thinking moderates the relationship between stress and hopelessness. The findings of Study 2 replicated those found in Study 1 and they also supported the notion that perfectionism is best understood as a multidimensional construct and that its relationship with future thinking and hopelessness is not straightforward. The results are also discussed in terms of the relationship between the structure of affect and motivational systems.     

Perfectionism in young musicians: Relations with motivation, effort, achievement, and distress

Many musicians experience anxiety and distress when performing, which has been related to perfectionism. Recent findings, however, show that only some facets of perfectionism are associated with anxiety and distress, whereas other facets are associated with positive characteristics and outcomes such as motivation and achievement. To investigate how different facets of perfectionism are related to motivation, effort, achievement, and distress in musicians, 146 young musicians completed measures of perfectionism (striving for perfection, negative reactions to imperfection, and perceived pressure to be perfect), intrinsic and extrinsic motivation, effort, achievement, and distress. Results showed that striving for perfection was associated with intrinsic motivation (intrinsic/identified reasons), higher effort, and higher achievement. Whereas perceived pressure from music teachers was also associated with intrinsic motivation (identified reasons only), negative reactions to imperfection were associated with extrinsic motivation and higher distress. The findings demonstrate that perfectionism in musicians has both positive and negative sides. While negative reactions to imperfection are clearly unhealthy, striving for perfection may be regarded as a healthy pursuit of excellence.     

Repetitive negative thinking mediates the association between perfectionism and psychological distress

Our objective was to analyze the relationships between Repetitive negative thinking (RNT), perfectionism and psychological distress. Specifically we wanted to test if RNT mediates the relationship between perfectionism and psychological distress. 788 college students completed self-report questionnaires to evaluate perfectionism trait dimensions [Evaluative concerns (EC) and Positive strivings (PS)], RNT dimensions [Repetitive thinking (RT) and Cognitive interference and unproductivity (CIU)], perceived stress, and perceived support. Psychological distress was measured with the Profile of Mood States subscales: Depression (D), Tension–anxiety (TA), Anger–hostility (AH), Fatigue–inertia (FI) and Vigor–anxiety (VA). After controlling for perceived stress and support, perfectionism dimensions and RNT (particularly CIU) remained a significant predictors of psychological distress. CIU was a partial mediator of the relationship between EC and D, TA, AH, FI and VA and a full mediator of the relationship of PS with D and FI. Whereas the effect of negative perfectionism on emotional disturbances was potentiated by RNT, PS was only associated to it when high levels of RNT were also present. Showing that Positive striving effects on psychological distress may be a function of specific mediators, these results contribute to a better understanding of the nature of positive perfectionism.     

The Perfectionism Cognitions Inventory: Psychometric Properties and Associations with Distress and Deficits in Cognitive Self-management

Two studies were conducted to examine the psychometric properties and correlates of the Perfectionism Cognitions Inventory (PCI) when administered to clinical samples. The PCI is a 25-item measure of automatic thoughts with themes involving perfectionism and beliefs that perfection should be attained. Analyses indicated that the PCI is unidimensional and it has adequate internal consistency. Correlational analyses confirmed that the PCI is associated with psychological distress and deficits in cognitive self-management, including lack of self-reinforcement, lack of a positive self-focus, and perfectionistic inflexibility. Moreover, tests of incremental validity revealed that the PCI accounts for unique variance in levels of anxiety and depression symptoms after removing variance attributable to trait perfectionism dimensions. Overall, the findings suggest that automatic thoughts involving perfectionistic themes can be assessed in a reliable and valid manner in clinical samples. Moreover, it is important to assess perfectionism cognitions as a supplement to trait perfectionism measures when evaluating the role of perfectionism in psychological distress and associated deficits in cognitive self-control. This research was supported by major research grants from Health Canada and the Social Sciences and Humanities Research Council (SSHRC) of Canada to the first two authors, and a Canada Research Chair in Personality & Health awarded to the first author. The fourth author, Thomas Martin, is now deceased and this paper is dedicated to his memory.     

Is perfectionism categorical or dimensional? A taxometric analysis

Considerable debate exists within the perfectionism literature regarding whether perfectionism is most accurately conceptualized as a dimensional or categorical construct. Specifically, some researchers have viewed perfectionism as a continuous construct, with extreme scores being associated with negative psychological outcomes (e.g., obsessive-compulsive disorder, eating disorders, etc.). In contrast, others have argued that two distinct forms of perfectionism exist (i.e., adaptive vs. maladaptive perfectionism) that are associated with both positive and negative outcomes. The purpose of this study was to examine the latent structure of perfectionism using taxometric procedures to determine whether perfectionism is most accurately conceptualized as taxonic (categorical) or dimensional (continuous). We applied four taxometric procedures (maximum eigenvalue [Waller & Meehl, 1998], maximum covariance [Meehl & Yonce, 1996], mean above minus below a cut [Meehl & Yonce, 1994], and latent-mode factor analysis [Waller & Meehl, 1998]) to perfectionism data collected from 2 large nonclinical samples. Results provided convergent evidence for a dimensional conceptualization of perfectionism across samples, perfectionism measures, and statistical procedures. We discuss the implications of these findings for the theory, assessment, and investigation of perfectionism are discussed.     

Can Perceived Burdensomeness Explain the Relationship Between Suicide and Perfectionism?

The perception of being a burden to others has been associated with suicidal ideation and behavior. Maladaptive aspects of perfectionism have also been associated with suicidal thinking and behavior. The purpose of the current study was to investigate whether perceived burdensomeness would act as a mediator between maladaptive perfectionism and suicidal ideation. Results indicated that perceived burdensomeness mediated the relationship between maladaptive perfectionism and suicidal ideation, which suggest that the perception of burdensomeness may be one aspect of the mechanism by which perfectionism can lead to such psychological distress that it becomes a predictor of suicidal ideation. Clinical implications of this relationship are discussed.     

A Neuropsychological Investigation of Perfectionism

Perfectionism entails a burdensome preoccupation with one’s self-evaluation in the context of performance outcomes. Although perfectionism has been subject to extensive research, scant literature on its effect on cognitive functioning is available, let alone in nonclinical populations. The aim of the present study is to utilize a comprehensive neuropsychological battery to assess cognitive functions among college students with high and low levels of perfectionism. Participants were 98 college students who were screened for clinical status, completed a neuropsychological battery, and assessed for perfectionism and related symptomatology. Results revealed that the high negative perfectionism group had significantly higher levels of depression and stress compared to the low negative perfectionism group. However, no group differences were found across neuropsychological outcomes. Gradient differences on clinical outcome measures were found when three groups characterized by high adaptive, high maladaptive, and mixed perfectionism were compared. However, no differences were found on neuropsychological tests. These findings suggest that higher levels of negative perfectionism are associated with significant psychopathological burden, but with intact neuropsychological test performance. These results are important, particularly in the context of the need to identify and treat students struggling with high levels of perfectionism and related psychopathological burden, which can be overlooked given that they present with intact cognitive and academic performance.     

Cognitive And Self-Regulation Aspects Of Perfectionism And Their Implications For Treatment: Introduction To The Special Issue

The current article provides an overview of the papers included in this special issue on the cognitive and self-regulation aspects of perfectionism and their implications for treatment. Themes expressed in these papers include the association between perfectionism and deficits in cognitive self-management, the significant link between distress and automatic thoughts reflecting the need to be perfect, the importance of examining mediators and moderators of the association between perfectionism and psychological distress, and the specific role of perfectionism in suicidal tendencies and self-harm. It is also argued that certain core features of perfectionism and its associated correlates tend to impede treatment progress. Central factors associated with perfectionism that have a deleterious impact on treatment progress include the fear of failure and fear of embarrassment and exposure, a punishing orientation toward the self, pessimism and hopelessness about the possibility of recovery, and a rigid adherence to unrealistic goals and standards, including goals for treatment and recovery. We describe case studies illustrating treatment resistance among perfectionists and we reiterate the growing need for empirical research on the efficacy of clinical interventions designed for perfectionists. This article was supported by major research grants from Health Canada and the Social Sciences and Humanities Research Council (SSHRC) of Canada to the first two authors, and a Canada Research Chair in Personality & Health awarded to the first author.     

Predicting short-term outcome in well-being following suicidal behaviour: the conjoint effects of social perfectionism and positive future thinking

This study investigated an integrative, psychological model of suicidality involving the relationship between perfectionism and future thinking to predict short-term outcome in well-being following a suicidal episode. Two hundred and sixty-seven adults hospitalized following a self-harm episode completed a range of clinical and psychological measures in hospital and were followed up approximately two months after discharge. Hierarchical regression analyses confirmed that, among the suicidal self-harmers who had a history of repetitive self-harm (n=65), outcome among low social perfectionists changed as a function of positive future thinking such that outcome was better for those high on positive thoughts compared with those low on positive future thoughts. There was no such positive change in outcome among the high social perfectionists. There were also no significant interactive effects evident among the non-repetitive self-harmers (n=61). These findings extend recent research to suggest that socially prescribed perfectionism and positive future thinking (but not negative future thinking) are implicated in outcome following repetitive suicidality. Implications for theory and clinical practice are discussed.     

Perfectionism, intrinsic vs extrinsic motivation, and motivated strategies for learning: a multidimensional analysis of university students

We investigated the interrelations between dimensions of perfectionism and measures of academic motivation and learning strategies in university students. When partial correlation analysis was employed to examine the unique relation between specific perfectionism subscales and motivation/learning scales, self-oriented perfectionism was significantly related to students’ motivation and learning strategies in positive, adaptive ways whereas socially prescribed perfectionism was related in negative, maladaptive ways. Self-oriented perfectionists were motivated primarily by extrinsic compensation for their academic work whereas socially prescribed perfectionists were more motivated by recognition from others. Self-oriented perfectionism was significantly positively associated with self-efficacy for learning and performance, adaptive metacognitive and cognitive learning strategies, and effective resource management. Socially prescribed perfectionism was associated negatively with these measures. In addition, self-oriented perfectionism was associated positively with intrinsic goal orientation for a specific course, task value, and critical thinking whereas socially prescribed perfectionism was associated with test anxiety and a decreased likelihood of help-seeking. The theoretical importance of these findings and the implications for devising strategic counseling interventions are discussed.     

Dimensions of Perfectionism and Anxiety Sensitivity

The current study investigated the extent to which dimensions of perfectionism are associated with components of the anxiety sensitivity construct. A sample of 177 undergraduate students completed the Multidimensional Perfectionism Scale, the Perfectionism Cognitions Inventory, the Perfectionistic Self-Presentation Scale, and the Expanded Anxiety Sensitivity Index developed by Taylor and Cox (1998). The results confirmed that automatic thoughts involving perfectionism and the interpersonal aspects of the perfectionism construct are associated with anxiety sensitivity. Examination of the Anxiety Sensitivity Index factors showed that perfectionism cognitions were associated primarily with anxiety sensitivity involving fears of cognitive dyscontrol, while socially prescribed perfectionism and perfectionistic self-presentation were associated primarily with fears of publicly observable anxiety reactions in a manner suggesting that the interpersonal perfectionism dimensions are linked closely with an anxious sensitivity to negative social evaluation and subsequent panic attacks. The theoretical and treatment implications of the link between perfectionism and anxiety sensitivity are discussed.     

A Cognitive-Behavioral-Based Workshop Intervention for Maladaptive Perfectionism

Maladaptive perfectionism (MP) can have adverse consequences for mental and physical health and can interfere with treatment success for various conditions. Theoretical conceptualizations of MP largely surround overly rigid and self-critical thinking as well as excessively high standards. Treatment for MP thus often focuses on these cognitive aspects and has been successful, albeit lengthy. The present study evaluated a brief cognitive-behavioral workshop for those with high, moderate, and low MP, which was defined as a composite of perfectionism subscales that included concern over mistakes, doubting of actions, parental criticism, parental expectations, and discrepancy. Workshop components focused on psychoeducation about MP, setting high standards, fearing mistakes and doubting oneself, and preventing distress and maintaining gains. Ratings of MP as well as anxiety, depression, and distress were significantly lower from pre-treatment across post-treatment and 3-week and 3-month follow-up assessments for those with high and moderate MP. Participants with low MP showed no significant change over time, as expected. The workshop thus provided a useful, brief, and cost-effective intervention for MP and related distress. Clinical implications are discussed, including routine assessment of MP in clinical practice, intervention for MP early in the clinical process, specific focus on self-criticism and setting high standards, and implementation in university counseling centers. Recommendations for future research are also discussed, including dismantling of workshop components, identifying treatment mechanisms, expanding to clinical populations, evaluating more diverse samples, and understanding the possible preventative aspects of a workshop approach.     

Affect Intensity Contributes to Perfectionistic Self-presentation in Adolescents Beyond Perfectionism

Perfectionistic self-presentation in adolescents is associated with psychological maladjustment and distress. Yet, no study so far has investigated what personality characteristics contribute to perfectionistic self-presentation in adolescence. Using a cross-sectional correlational design with 119 adolescents aged 11–16 years, this study investigated how perfectionism (self-oriented and socially prescribed perfectionism) and affect intensity (positive affectivity, negative intensity, and negative reactivity) predicted individual differences in three modes of perfectionistic self-presentation: perfectionistic self-promotion, nondisplay of imperfection, and nondisclosure of imperfection. Results showed a unique prediction pattern for all three modes of perfectionistic self-presentation. Moreover, affect intensity contributed to perfectionistic self-presentation beyond perfectionism in two of the three modes. Perfectionistic self-promotion was predicted by high self-oriented perfectionism, high socially prescribed perfectionism, high positive affectivity, and low negative reactivity. In contrast, nondisplay of imperfection was predicted by high self-oriented perfectionism, high negative reactivity, and low positive affectivity. Nondisclosure of perfectionism was predicted by high socially prescribed perfectionism only. The findings suggest that affect intensity is a personality characteristic contributing to perfectionistic self-presentation in adolescence beyond perfectionism.     

Assessing self-critical perfectionism in clinical depression

Several facets of perfectionism have been strongly associated with depression and anxiety. Dunkley and Blankstein (2000) combined these maladaptive traits with self-criticism to create a general construct labeled self-critical perfectionism. In this study, we employed confirmatory factor analysis to evaluate a model for assessing self-critical perfectionism in a clinically depressed sample using scales from 3 instruments. Participants were 356 depressed adult outpatients who completed 2 multidimensional measures of perfectionism and a measure of self-criticism. A confirmatory factor model that separated a self-critical perfectionism construct from a more adaptive, achievement-striving component of perfectionism was supported. A composite scale assessing self-critical perfectionism demonstrated much larger correlations with distress measures compared to a composite scale assessing achievement striving and also showed evidence of discriminant validity. In this study, we provided further support for the valid assessment of self-critical perfectionism and extended evidence for its assessment to a clinically depressed sample.     

Perfectionism and negative repetitive thoughts: Examining a multiple mediator model in relation to mindfulness

Perfectionism is known to be associated with various maladaptive outcomes, yet little research has examined mechanisms underlying perfectionism or potential protective factors. This study investigated worry and rumination as mediators between perfectionism and psychological distress in university students (N = 213), and related the multiple mediator model to a five-facet conceptualization of mindfulness. Socially prescribed perfectionism was related to higher levels of distress, including negative affect, depression, anxiety, and stress, while self-oriented perfectionism and other-oriented perfectionism appeared unrelated to distress. Mindfulness facets of acting with awareness, non-judging of inner experience, and to a lesser extent non-reactivity to inner experience, were the strongest independent contributors to perfectionism, negative repetitive thoughts, and distress. Worry and rumination mediated the relationship between socially prescribed perfectionism and negative affect; however, the mediating effect of rumination was absent in those high in mindfulness. These findings suggest that a mindfulness disposition may mitigate distress related to socially prescribed perfectionism by removing the mediating effect of ruminative thought. Future research might explore a mindfulness-training program to target negative repetitive thoughts underlying socially prescribed perfectionism.     

Dimensions of perfectionism and constructive thinking as a coping response

The present study examined perfectionism and general coping ability as assessed by a new measure of constructive thinking. A sample of 77 students completed the Multidimensional Perfectionism Scale (MPS) and the Constructive Thinking Inventory (CTI). The MPS provides measures of selforiented, other-oriented, and socially prescribed perfectionism, while the CTI provides various measures, including summary scores of global constructive thinking, emotional coping, behavioral coping, categorical thinking, personal superstitious thinking, naive optimism, and esoteric thinking. Subjects also completed a measure of depressive symptoms so that we could examine perfectionism and coping independent of current levels of adjustment. The main finding was that socially prescribed perfectionism was associated with less constructive thinking and more negative coping across most of the CTI subscales, and these associations remained significant after removing variance due to levels of depression symptoms. Self-oriented perfectionism was adaptive in that it was associated with active forms of behavioral coping, but it was maladaptive in that it was associated with a form of emotional coping involving reduced self-acceptance. The results are discussed in terms of their implications for the cognitive treatment of perfectionists. Queen's University This research was supported by grant #410-91-0856 from the Social Sciences and Humanities Research Council of Canada awarded to the authors     

Treatment Interventions for Perfectionism—A Cognitive Perspective: Introduction to the Special Issue

The current article provides an overview of the papers included in this special issue and includes a discussion of key issues pertaining to psychological treatments for perfectionism. We describe and review two new treatment intervention studies in this special issue that focus on perfectionism in university students as well as other contemporary research on the use of cognitive-behavioral therapy to treat perfectionists. While the significant reductions in levels of perfectionism as a result of treatment are noteworthy, we caution that perfectionism is a relatively enduring trait; thus, some perfectionists will remain treatment resistant and overall levels of perfectionism may remain relatively high even when significant improvements are realized. Moreover, we discuss the established tendency for perfectionism to be associated with residual symptoms of distress following treatment. As part of our discussion of the other articles in this special issue, we highlight cognitive factors of likely significance in the treatment of perfectionism, including the ruminative response style, the tendency to experience perfectionistic automatic thoughts, and the role of core irrational beliefs in the development of perfectionism. These articles underscore the need to consider key cognitive factors that are central to dysfunctional forms of perfectionism. This special issue on perfectionism is the third special issue on this topic to appear in the Journal of Rational-Emotive and Cognitive-Behavior Therapy under the editorialship of Windy Dryden. We are very grateful for the continuing opportunity in this journal to explore issues related to the cognitive and treatment aspects of perfectionism.