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Behavioural Expressions, Imagery and Perfectionism

Published online by Cambridge University Press:  08 March 2011

Michelle Lee ,
Cara Roberts-Collins ,
Anna Coughtrey ,
Lindsey Phillips  and
Roz Shafran
Michelle Lee*
Affiliation:
University of Reading, UK
Cara Roberts-Collins
Affiliation:
University of Reading, UK
Anna Coughtrey
Affiliation:
University of Reading, UK
Lindsey Phillips
Affiliation:
University of Reading, UK
Roz Shafran
Affiliation:
University of Reading, UK
*
Reprint requests to Michelle Lee, School of Psychology and Clinical Language Science, University of Reading, Earley Gate, Whiteknights, Reading RG6 6AL, UK. E-mail: [email protected]
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Abstract

Background: High levels of multidimensional perfectionism may be dysfunctional in their own right and can also impact on the maintenance and treatment of Axis I psychiatric disorders. Aims: This paper sought to describe the behavioural expressions and imagery associated with perfectionism in a non-clinical sample. Method: Participants (n = 59) completed a newly developed questionnaire to assess behavioural expressions of perfectionism, and an adapted interview to assess perfectionism-related intrusive mental images. Results: The study found that those high in perfectionism took longer to complete tasks, experienced more checking and safety behaviour whilst carrying out tasks, and had greater trouble actually completing tasks compared to those low in perfectionism. In addition, those with higher levels of perfectionism experienced intrusive mental imagery, which was more distressing, harder to dismiss, and had more impact on behaviour than those with lower levels of perfectionism. Conclusions: This research provides an initial exploration of the specific behaviours and intrusive mental imagery associated with perfectionism. The new behavioural measure of perfectionism could prove useful clinically in the assessment of change; however, these findings are preliminary and warrant replication in a clinical sample in order to examine their treatment implications.

Keywords

Perfectionismbehaviourmental imageryassessment
Type
Research Article
Information
Behavioural and Cognitive Psychotherapy , Volume 39 , Issue 4 , July 2011 , pp. 413 - 425
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 2011

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References

Antony, M. M., Purdon, C. L., Huta, V. and Swinson, R. P. (1998). Dimensions of perfectionism across the anxiety disorders. Behaviour Research and Therapy, 36, 1143–1154.CrossRefGoogle ScholarPubMed
Bardone-Cone, A. M., Wonderlich, S. A., Frost, R. O., Bulik, C. M., Mitchell, J. E., Uppala, S. and Simonich, H. (2007) Perfectionism and eating disorders: current status and future directions. Clinical Psychology Review, 27, 384–405.Google Scholar
Bieling, P. J., Summerfeldt, L. J., Israeli, A. L. and Antony, M. A. (2004). Perfectionism as an explanatory construct in the co-morbidity of Axis 1 disorders. Journal of Psychopathology and Behaviour Assessment, 26, 193–201.CrossRefGoogle Scholar
Bizuel, C., Sadowsky, N. and Riguad, D. (2001). The prognostic value of EDI scores in anorexia nervosa patients: a prospective follow-up study of 5–10 years. European Psychiatry, 16, 232–238.CrossRefGoogle Scholar
Blatt, S. J., Quinlan, D. M., Pilkonis, P. A. and Shea, M. T. (1995). Impact of perfectionism and need for approval on the brief treatment of depression: the National Institute of Mental Health Treatment of Depression Collaborative Research Program revisited. Journal of Consulting and Clinical Psychology, 63, 125–32.CrossRefGoogle ScholarPubMed
Derogatis, L. R. (1993). BSI Brief Symptom Inventory: administration, scoring, and procedures manual (4th Ed.). Minneapolis, MN: National Computer Systems.Google Scholar
Ehlers, A., Clark, D. M., Hackmann, A., McManus, F. and Fennell, M. (2005). Cognitive therapy for PTSD: development and evaluation. Behaviour Research and Therapy, 43, 413–431.Google Scholar
Fairburn, C. G., Cooper, Z., Doll, H. A., O'Connor, M. E., Bohn, K., Hawker, D. M., Wales, J. A. and Palmer, R. L. (2009). Transdiagnostic cognitive behavioral therapy for patients with eating disorders: a two-site trial with 60-week follow-up. American Journal of Psychiatry, 166, 311–319.CrossRefGoogle ScholarPubMed
Fairburn, C. G., Cooper, Z., Doll, H. A. and Welch, S. L. (1999). Risk factors for anorexia nervosa: three integrated case-control comparisons. Archives of General Psychiatry, 56, 468–476.CrossRefGoogle ScholarPubMed
Fairburn, C. G., Welch, S. L., Doll, H. A., Davies, B. A. and O'Connor, M. E. (1997). Risk factors for bulimia nervosa: a community-based case-control study. Archives of General Psychiatry, 54, 509–517.Google Scholar
Flett, G. L. and Hewitt, P. L. (Eds.) (2002). Perfectionism: theory, research and treatment. Washington, DC: American Psychological Association.CrossRefGoogle Scholar
Flett, G. L., Madorsky, D., Hewitt, P. L. and Heisel, M. J. (2002). Perfectionism cognitions, rumination, and psychological distress. Journal of Rational-Emotive and Cognitive-Behavior Therapy, 20, 31–45.Google Scholar
Frost, R. O., Marten, P., Lahart, C. and Rosenblate, R. (1990). The dimensions of perfectionism. Cognitive Therapy and Research, 14, 449–468.CrossRefGoogle Scholar
Frost, R. O., Novara, K. and Rhéaume, J. (2002). Perfectionism in obsessive compulsive disorder. In Frost, R O. and Steketee, G. (Eds.), Cognitive Approaches to Obsessions and Compulsions: theory, assessment, and treatment (pp. 91–106). Amsterdam: Pergamon Press.Google Scholar
Hackmann, A., Clark, D M. and McManus, F. (2000). Recurrent images and early memories in social phobia. Behaviour Research and Therapy, 38, 601–610.CrossRefGoogle ScholarPubMed
Halmi, K. A., Sunday, S. R., Strober, M., Kaplan, A., Woodside, D. B., Fichter, M., Treasure, J., Berrettini, W. H. and Kaye, W. H. (2000). Perfectionism in anorexia nervosa: variation by clinical subtype, obsessionality, and pathological eating behavior. American Journal of Psychiatry, 157, 1799–1805.CrossRefGoogle ScholarPubMed
Hamachek, D. E. (1978). Psychodynamics of normal and neurotic perfectionism. Psychology: A Journal of Human Behaviour, 15, 27–33.Google Scholar
Hewitt, P. L. and Flett, G. L. (1988). MPS. Unpublished manuscript. Ontario, Canada: York University.Google Scholar
Hirsch, C. R., Clark, D. M., Mathews, A. and Williams, R. (2003). Self-images play a causal role in social phobia. Behaviour Research and Therapy, 41, 909–921.CrossRefGoogle ScholarPubMed
Kaye, W. H., Bulik, C. M., Thornton, L., Barbarich, N. and Masters, K. (2004). Comorbidity of anxiety disorders with anorexia and bulimia nervosa. American Journal of Psychiatry, 161, 2215–2221.Google Scholar
Moretz, M. W. and McKay, , , D. (2009). The role of perfectionism in obsessive-compulsive symptoms: “not just right” experiences and checking compulsions. Journal of Anxiety Disorders, 23, 640–644.CrossRefGoogle ScholarPubMed
Obsessive Compulsive Working Group (1997). Cognitive assessment of obsessive-compulsive disorder. Behaviour Research and Therapy, 35, 667–681.CrossRefGoogle Scholar
Rhéaume, J., Freeston, M. H., Ladouceur, R., Bouchard, C., Gallant, L., Talbot, F., et al. . (2000). Functional and dysfunctional perfectionists: are they different on compulsive-like behaviors? Behaviour Research and Therapy, 38, 119–129.Google Scholar
Riley, C. and Shafran, R. (2005). Clinical perfectionism: a preliminary qualitative analysis. Behavioural and Cognitive Psychotherapy, 33, 369–374.CrossRefGoogle Scholar
Riley, C., Lee, M., Cooper, Z., Fairburn, C. G. and Shafran, R. (2007). A randomized controlled trial of cognitive-behaviour therapy for clinical perfectionism: a preliminary study. Behaviour Research and Therapy, 45, 2221–2231.Google Scholar
Sassaroli, S., Lauro, L. J. R., Ruggiero, G. M., Mauri, M. C., Vinai, P. and Frost, R. (2008). Perfectionism in depression, obsessive compulsive disorder and eating disorders. Behaviour Research and Therapy, 46, 757–765.Google Scholar
Shafran, R., Cooper, Z. and Fairburn, C. G. (2002). Clinical perfectionism: a cognitive behavioural analysis. Behaviour Research and Therapy, 40, 773–791.Google Scholar
Shafran, R. and Mansell, W. (2001). Perfectionism and psychopathology: a review of research and treatment. Clinical Psychology Review, 21, 879–906.CrossRefGoogle ScholarPubMed
Steele, A. L. and Wade, , , T. D. (2008). A randomized trial investigating guided self-help to reduce perfectionism and its impact on bulimia nervosa. Behaviour Research and Therapy, 46, 1316–1323.CrossRefGoogle ScholarPubMed
Striegel-Moore, R. H, Fairburn, C. G., Wilfley, D. E., Pike, K. M., Dohm, F. A. and Kraemer, H. C. (2005). Toward an understanding of risk factors for binge eating disorder in black and white women: a community-based case-control study. Psychological Medicine, 35, 147–156.Google Scholar
Stumpf, H. and Parker, W. D. (2000). A hierarchical structural analysis of perfectionism and its relation to other personality characteristics. Personality and Individual Differences, 28, 837–852.Google Scholar
Sutandar-Pinnock, K., Woodside, D. B., Carter, J. C., Olmsted, M. P. and Kaplan, A. S. (2003). Perfectionism in anorexia nervosa: a 6–24 month follow-up study. International Journal of Eating Disorders, 33, 225–229.Google Scholar
Wild, J., Hackmann, A. and Clark, D. M. (2007). When the present visits the past: updating traumatic memories in social phobia. Journal of Behaviour Therapy and Experimental Psychology, 38, 386–401.Google Scholar
Wild, J., Hackmann, , Clark, A., , D. M. (2008). Rescripting early memories linked to negative images in social phobia: a pilot study. Behavior Therapy, 39, 47–56.Google Scholar
Wu, K. D. and Cortesi, G. T. (2009). Relations between perfectionism and obsessive-compulsive symptoms: examination of specificity among the dimensions. Journal of Anxiety Disorders, 23, 393–400.Google Scholar
Zuroff, D. C., Blatt, S. J., Sotsky, S. M., Krupnick, J. L., Marrtin, D. J., Sanislow, C. A. and Simmens, S. A. (2000). Relationship between therapeutic alliance and perfectionism to outcome in brief outpatient treatment of depression. Journal of Consulting and Clinical Psychology, 68, 114–124.CrossRefGoogle ScholarPubMed
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