Preoccupied attachment,need to belong,shame, and interpersonal perfectionism: An investigation of the Perfectionism Social Disconnection Model

According to the Perfectionism Social Disconnection Model, interpersonal components of perfectionism (i.e., socially prescribed perfectionism, perfectionistic self-presentation) develop when individuals exhibit an inordinate need for belongingness and shame as a result of early attachment insecurity and/or a lack of emotional attunement in the caregiver–child relationship. This study hence examined the mediating effects of the need to belong and shame on the relationships between insecure attachment and interpersonal perfectionism. A sample of 513 undergraduates completed self-report measures including trait perfectionism, perfectionistic self-presentation, shame, the need for belongingness, and attachment styles. As hypothesized, socially prescribed perfectionism and perfectionistic self-presentation were both positively associated with the need to belong, shame, and insecure attachment styles. Furthermore, results from multiple mediation analyses indicated that the associations between preoccupied attachment and interpersonal components of perfectionism were mediated by a strong need for belongingness and shame. The present study hence provides further empirical support for the Perfectionism Social Disconnection Model and highlights the importance of examining the quality of attachment relationships for individuals with elevated interpersonal perfectionism.     

Perfectionism,discrepancies, and depression: Testing the perfectionism social disconnection model in a short-term,four-wave longitudinal study

Perfectionistic concerns (i.e., negative reactions to failures, exaggerated concerns over others’ criticism and expectations, and nagging self-doubts) are linked to social disconnection and depressive symptoms. According to the perfectionism social disconnection model, perfectionistic concerns contribute to social disconnection (i.e., feeling rejected, excluded, and unwanted by others) which, subsequently, contributes to depressive symptoms. The social world is replete with chances for interpretations. In interpreting their social worlds, people high in perfectionistic concerns tend to perceive interpersonal discrepancies, a distressing form of social disconnection that involves perceptions of others as dissatisfied with them and as disapproving of them. These interpretations are also conceptualized as having depressing consequences for people high in perfectionistic concerns. This study tested whether perceived interpersonal discrepancies mediate the relation between perfectionistic concerns and depressive symptoms; 240 participants were recruited and this mediational model was tested with a four-wave, 4-week longitudinal design. Structural equation modeling with bootstrapped tests of mediation indicated the perfectionistic concerns-depressive symptoms relationship was mediated by interpersonal discrepancies (even after controlling for perfectionistic strivings). People high in perfectionistic concerns perceive others as dissatisfied with them and as disapproving of them. Feeling rejected, excluded, and unwanted by others, people high in perfectionistic concerns are vulnerable to depression.     

Attentional Bias,Self-consciousness and Perfectionism in Social Phobia Before and After Cognitive-Behaviour Therapy

Attentional bias for threat words (as measured by the emotional Stroop task), selfconsciousness and perfectionism was studied in 24 patients with social phobia before and after cognitive-behaviour treatment. A total of 18 (75%) of the patients were classified as treatment responders on the basis of reduced scores for social anxiety. The treatment responders showed a significant reduction in attentional bias for social threat words, in public self-consciousness and in perfectionism. The non-responders showed an equal reduction in perfectionism; as they had a much higher level of perfectionism before treatment, however, their change only amounted to a lowering of their level of perfectionism to the level that characterized the treatment responders before treatment. The treatment responders, on the other hand, reduced their level of perfectionism to that of non-clinical samples.     

Perfectionism in depression, obsessive-compulsive disorder and eating disorders

High levels of perfectionism have been observed in major depression, anxiety disorders and eating disorders. Though few studies have compared levels of perfectionism across these disorders, there is reason to believe that different dimensions of perfectionism may be involved in eating disorders than in depression or anxiety [Bardone-Cone, A. M. et al. (2007). Perfectionism and eating disorders: Current status and future directions. Clinical Psychology Review, 27, 84-405]. The present study compared patients with major depression, obsessive-compulsive disorder, and eating disorders on dimensions of perfectionism. Concern over Mistakes was elevated in each of the patient groups while Pure Personal Standards was only elevated in the eating disorder sample. Doubts about Actions was elevated in both patients with obsessive-compulsive disorder and eating disorders, but not in depressed patients. Analyses of covariance indicated that Concern over Mistakes accounted for most of the variance in the relationship of perfectionism to these forms of psychopathology.     

Perfectionism and efficiency: Accuracy,response bias,and invested time in proof-reading performance

Investigating problem-solving performance, Ishida, H. (2005). College students’ perfectionism and task-strategy inefficience: Why their efforts go unrewarded? Japanese Journal of Social Psychology, 20, 208–215. Found high levels of perfectionism were associated with lower efficiency. Aiming to replicate and further explore this finding, the present study investigated how two dimensions of perfectionism (high standards, discrepancy between expectations and performance) predicted efficiency in proof-reading performance. N = 96 students completed a proof-reading task involving the detection of spelling, grammar, and format errors. When error-detection performance was subjected to signal detection analysis, high standards correlated positively with the number of incorrectly detected errors (false alarms). Moreover, when task-completion time was taken into account, high standards were negatively correlated with efficiency (accuracy/time). In comparison, discrepancy correlated negatively with the number of correctly detected errors (hits) and positively with a conservative response bias. The findings show that perfectionistic standards are associated with reduced efficiency demonstrating the importance of considering invested time, errors, and response bias when investigating the relationship between perfectionism and performance.     

Perfectionism,Distress, and Irrational Beliefs in High School Students: Analyses with an Abbreviated Survey of Personal Beliefs for Adolescents

The current study examined the associations between dimensions of perfectionism and irrational beliefs in an adolescent sample. In addition, we tested the association between psychological distress and irrational beliefs in adolescents and we evaluated the feasibility of creating a modified version of the Survey of Personal Beliefs for use with adolescents. A sample of 250 adolescents (108 males, 142 females) completed the Child-Adolescent Perfectionism Scale, the Survey of Personal Beliefs, and the CES-D Depression Scale. Initial psychometric analyses yielded an abbreviated 30-item Survey of Personal Beliefs with adequate internal consistency for four of the five subscales. Our results showed that self-oriented perfectionism was associated significantly with all five irrational belief subscales, while the associations between socially prescribed perfectionism and irrational belief subscales were much smaller in magnitude. Self-oriented perfectionism, socially prescribed perfectionism, and irrational beliefs were all associated significantly with elevated distress among adolescents, and irrational beliefs predicted unique variance in distress, over and above the variance attributable to the trait perfectionism dimensions. The findings confirmed the association between perfectionism and irrational beliefs and their respective roles in psychological distress among adolescents.     

Perfectionism levels in African-American and Caucasian adolescents

Previous studies have indicated that perfectionism levels are higher among African-American females than among Caucasians. However, this conclusion has been reached largely from studies of adult populations. The present study of adolescents assesses whether this difference is found in all aspects of perfectionism, and whether it applies equally to males and females. The Multi-dimensional Perfectionism Scale was completed by 387 high school students (15–19 years). African-American males and females had greater levels of self-oriented and other-oriented perfectionism than their Caucasian peers, but there was no difference in the perception of external pressures to perform well. Possible reasons for this pattern are discussed, with an emphasis on the possibility that African-American adolescents perceive a need to overcorrect their performance as a result of their perceived status in their broader society.     

Efficacy of brief guided self-help cognitive behavioral treatment for perfectionism in reducing perinatal depression and anxiety: a randomized controlled trial

Perfectionism has been proposed as a transdiagnostic process that maintains depression and anxiety through shared cognitive and behavioral processes. The purpose of this study was to investigate the efficacy of a brief, guided cognitive behavioral treatment (CBT) for perfectionism delivered via a self-help booklet in reducing perfectionism and symptoms of depression and anxiety during the antenatal period. Pregnant women in their third trimester were randomly allocated to self-help (n = 30) or waitlist control (n = 30). There were significant reductions in perfectionism and symptoms for participants who received CBT for perfectionism from pre- to post-treatment, which were maintained at 3-month follow-up, while the waitlist control group demonstrated no significant changes. Path analysis demonstrated a significant indirect effect of treatment condition on post-treatment depression and anxiety scores via perfectionism, controlling for pre-treatment scores, suggesting changes in perfectionism were associated with decreases in symptoms. The findings suggest that it would be useful for future research with larger samples to further investigate the efficacy of CBT for perfectionism for perinatal depression and anxiety.     

Perfectionism is multidimensional: a reply to Shafran,Cooper and Fairburn

provided a cognitive-behavioural analysis of perfectionism that focused primarily on self-oriented perfectionism. They argued against studying perfectionism from a multidimensional perspective that they regard as inconsistent with prior work on perfectionism as a self-oriented phenomenon. We respond to by offering historical, empirical, and theoretical support for the usefulness and the importance of a multidimensional model of perfectionism involving both intrapersonal processes and interpersonal dynamics. It is concluded that a multidimensional approach to the study of perfectionism is still warranted.     

"Not just right experiences": perfectionism,obsessive-compulsive features and general psychopathology

Individuals with obsessive-compulsive disorder (OCD) frequently report uncomfortable sensations of things not being just right ("not just right experiences"; NJREs) and a need to ritualize until they quiet these sensations. However, very little work has been conducted to empirically examine the nature and characteristics of this phenomenon. In this paper, we present two studies that systematically examine NJREs in large undergraduate samples. In Study 1, NJREs were shown to be related to both OCD features and maladaptive domains of perfectionism. In Study 2, NJREs were again significantly related to OCD features. Further, NJREs were shown to have particularly strong relationships with specific OCD symptom clusters (e.g., checking, ordering). Finally, NJREs were significantly more strongly correlated with features of OCD than symptoms from other domains of psychopathology (e.g., social anxiety, trait anxiety, worry, depression). General conclusions are drawn, and future directions are discussed.