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International Journal of Mental Health and Addiction

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11.03.2020 | Original Article

Why Perfectionism Is Antithetical to Mindfulness: a Conceptual and Empirical Analysis and Consideration of Treatment Implications

verfasst von: Gordon L. Flett, Taryn Nepon, Paul L. Hewitt, Alison L. Rose

Erschienen in: International Journal of Mental Health and Addiction | Ausgabe 5/2021

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Abstract

In the current article, we consider the broad question of “Why is perfectionism antithetical to mindfulness?” and we examine the implications for the treatment of perfectionists suffering from stress-related illnesses and disorders. In addition, we review past research on perfectionism and mindfulness. Finally, we also report two empirical studies with university students evaluating the link between perfectionism and dispositional mindfulness. The findings from these studies demonstrate uniquely that socially prescribed perfectionism and facets of perfectionistic self-presentation are both associated with low mindfulness. Additionally, mindfulness was a mediator of the associations between interpersonal facets of perfectionism and depression in study 2. Collectively, the findings suggest that people who experience pressures to be perfect and who are engaged excessively in extreme self-presentation can benefit substantially from increased mindfulness, but it is particularly difficult for certain perfectionists to develop a state of mindfulness that is not consonant with their personality, temperament, and orientation toward life. The implications for the treatment of distressed perfectionists are discussed.

Argus, G., & Thompson, M. (2008). Perceived social problem solving, perfectionism, and mindful awareness in clinical depression: an exploratory study. Cognitive Therapy and Research, 32, 745–757.

Azam, M. A., Katz, J., Fashler, S. R., Changoor, T., Azargive, S., & Ritvo, P. (2015). Heart rate variability is enhanced in controls but not maladaptive perfectionists during brief mindfulness meditation following stress-induction: a stratified-randomized trial. International Journal of Psychophysiology, 98, 27–34. https://doi.org/10.1016/j.ijpsycho.2015.06.005.CrossRefPubMed

Baer, R. A., Smith, G. T., & Allen, K. B. (2004). Assessment of mindfulness by self-report: the Kentucky Inventory of Mindfulness Skills. Assessment, 11, 191–206.PubMed

Beccia, A. L., Dunlap, C., Hanes, D. A., Courneene, B. J., & Zwickey, H. L. (2018). Mindfulness-based eating disorder prevention programs: a systematic review and meta-analysis. Mental Health and Prevention, 9, 1–12.

Besser, A., Flett, G. L., & Hewitt, P. L. (2010). Perfectionistic self-presentation and trait perfectionism in social problem-solving ability and depressive symptoms. Journal of Applied Social Psychology, 40, 2121–2154.

Bieling, P. J., Summerfeldt, L. J., Israeli, A. L., & Antony, M. M. (2004). Perfectionism as an explanatory construct in comorbidity of axis I disorders. Journal of Psychopathology and Behavioral Assessment, 26, 193–201.

Brown, K. W., & Ryan, R. M. (2003). The benefits of being present: mindfulness and its role in psychological well-being. Journal of Personality and Social Psychology, 84, 822–848.PubMed

Brown, K. W., Weinstein, N., & Creswell, J. D. (2012). Trait mindfulness modulates neuroendocrine and affective responses to social evaluative threat. Psychoneuroendocrinology, 37, 2037–2041.PubMedPubMedCentral

Burns, D. D. (1980, November). The perfectionist’s script for self-defeat. Psychology Today, 23–52.

Burns, J. L., Lee, R. M., & Brown, L. J. (2011). The effect of meditation on self-reported stress, anxiety, depression, and perfectionism in a college population. Journal of College Student Psychotherapy, 25, 132–144.

Carson, S. H., & Langer, E. J. (2006). Mindfulness and self-acceptance. Journal of Rational-Emotive and Cognitive-Behavior Therapy, 24, 29–43.

Crane, C., Barnhofer, T., Duggan, D. S., Hepburn, S., Fennell, M. V., & Williams, J. M. (2008). Mindfulness-based cognitive therapy and self-discrepancy in recovered depressed patients with a history of depression and suicidality. Cognitive Therapy and Research, 32, 775–787.

Curran, T., & Hill, A. P. (2019). Perfectionism is increasing over time: a meta-analysis of birth cohort differences from 1989 to 2016. Psychological Bulletin, 145, 410–429.PubMed

Diaz, F. M. (2018). Relationships among meditation, perfectionism, mindfulness and performance anxiety among collegiate music students. Journal of Research in Music Education, 66, 150–167.

DiBartolo, P., Frost, R. O., Peicha, C., LaSota, M., & Grills, A. E. (2004). Shedding light on the relationship between personal standards and psychopathology: the case for contingent self-worth. Journal of Rational-Emotive & Cognitive-Behavior Therapy, 22, 241–254.

Di Schiena, R., Luminet, O., Philippot, P., & Douilliez, C. (2012). Adaptive and maladaptive perfectionism in depression: preliminary evidence on the role of adaptive and maladaptive rumination. Personality and Individual Differences, 53, 774–748.

Dunkley, D. M., Blankstein, K. R., Halsall, J., Williams, M., & Winkworth, G. (2000). The relation between perfectionism and distress: hassles, coping, and perceived social support as mediators and moderators. Journal of Counseling Psychology, 47, 437–453.

Edmonds, J., Masuda, A., & Tully, E. C. (2014). Relations among self-concealment, mindfulness, and internalizing problems. Mindfulness, 5, 497–504.

Fennell, M. J. V. (2004). Depression, low self-esteem, and mindfulness. Behaviour Research and Therapy, 42, 1053–1067.PubMed

Flett, A. L., & Carson, A. (2014). Evaluating a brief mindfulness intervention and the relationship between stress appraisal and mindfulness in university students. Canadian Psychology, 55(2A), 39 (Abstract).

Flett, G. L., Besser, A., Davis, R. A., & Hewitt, P. L. (2003). Dimensions of perfectionism, unconditional self-acceptance, and depression. Journal of Rational-Emotive & Cognitive-Behavior Therapy, 21, 119–138.

Flett, G. L., & Hewitt, P. L. (2020). Reflections on three decades of research on multidimensional perfectionism: introduction to the special issue on further advances in the assessment of perfectionism. Journal of Psychoeducational Assessment, 38, 3–14.

Flett, G. L., Hewitt, P. L., Blankstein, K. R., & Gray, L. (1998). Psychological distress and the frequency of perfectionistic thinking. Journal of Personality and Social Psychology, 75, 1363–1381.PubMed

Flett, G. L., Hewitt, P. L., Nepon, T., & Besser, A. (2018). Perfectionism cognition theory: the cognitive side of perfectionism. In J. Stoeber (Ed.), The psychology of perfectionism: theory, research, applications (pp. 89–110). London: Routledge.

Flett, G. L., Hewitt, P. L., Nepon, T., & Zaki-Azat, J. (2018). Children and adolescents “flying under the radar”: understanding, assessing, and addressing hidden distress among students. In A. Leschied, D. H. Saklofske, & G. L. Flett (Eds.), The handbook of school-based mental health promotion: an evidence informed framework for implementation (pp. 357–382). New York: Springer, Cham.

Flett, G. L., Nepon, T., Hewitt, P. L., & Fitzgerald, K. (2016). Perfectionism, components of stress reactivity and distress. Journal of Psychopathology and Behavioral Assessment, 38, 645–654.

Flett, G. L., Nepon, T., Hewitt, P. L., Zaki-Azat, J., Rose, A. L., & Swiderski, K. (2020). The Mistake Rumination Scale: development, validation, and utility of a measure of cognitive perfectionism. Journal of Psychoeducational Assessment, 38, 84–98.

Frewen, P. A., Evans, E. M., Maraj, N., Dozois, D. J. A., & Partridge, K. (2008). Letting go: mindfulness and negative automatic thinking. Cognitive Therapy and Research, 32, 758–774.

Frost, R. O., Marten, P., Lahart, C., & Rosenblate, R. (1990). The dimensions of perfectionism. Cognitive Therapy and Research, 14, 449–468.

Fry, P. S., & Debats, D. L. (2009). Perfectionism and the five-factor personality traits as predictors of mortality in older adults. Journal of Health Psychology, 14, 513–524.PubMed

Garcia-Villamisar, D., Dattilo, J., & Del Pozo, A. (2012). Depressive mood, eating disorder symptoms, and perfectionism in female college students: a mediational analysis. Eating Disorders, 20, 60–72.PubMed

Garland, E. L., Gaylord, S. A., & Frederickson, B. L. (2011). Positive reappraisal mediates the stress-reductive effects of mindfulness: an upward spiral process. Mindfulness, 2, 59–67.

Goldberg, S. B., Tucker, R. P., Greene, P. A., Davidson, R. J., Wampold, B. E., Kearney, D. J., & Simpson, T. L. (2018). Mindfulness-based interventions for psychiatric disorders: a systematic review and meta-analysis. Clinical Psychology Review, 59, 52–60.PubMed

Hewitt, P. L., Blasberg, J. S., Flett, G. L., Besser, A., Sherry, S. B., Caelian, C., et al. (2011). Perfectionistic self-presentation in children and adolescents: development and validation of the Perfectionistic Self-Presentation Scale – Junior Form. Psychological Assessment, 23, 125–142.PubMed

Hewitt, P. L., Chen, C., Smith, M. M., Zhang, L., Habke, M., Flett, G. L., & Mikail, S. F. (2020). Patient perfectionism and clinical impression formation during an initial interview. Psychology and Psychotherapy: Research and Practice. https://doi.org/10.1111/papt.12266.CrossRef

Hewitt, P. L., & Flett, G. L. (1991). Perfectionism in the self and social contexts: conceptualization, assessment, and association with psychopathology. Journal of Personality and Social Psychology, 60, 456–470.PubMed

Hewitt, P. L., & Flett, G. L. (2002). Perfectionism and stress in psychopathology. In G. L. Flett & P. L. Hewitt (Eds.), Perfectionism: theory, research, and treatment (pp. 255–284). Washington, DC: APA Press.

Hewitt, P. L., & Flett, G. L. (2004). Multidimensional Perfectionism Scale: technical manual Toronto. ON: Multi-Health Systems Inc..

Hewitt, P. L., Flett, G. L., & Mikail, S. F. (2017). Perfectionism: a relational approach to assessment, treatment, and conceptualization. New York: Guilford.

Hewitt, P. L., Flett, G. L., Sherry, S. B., Habke, M., Parkin, M., Lam, R. W., et al. (2003). The interpersonal expression of perfection: perfectionistic self-presentation and psychological distress. Journal of Personality and Social Psychology, 84, 1303–1321.PubMed

Hewitt, P. L., Mikail, S. F., Flett, G. L., Tasca, G. A., Flynn, C. A., Deng, X., Kaldas, J., & Chen, C. (2015). Psychodynamic/interpersonal group psychotherapy for perfectionism: evaluating the effectiveness of a short-term treatment. Psychotherapy, 52, 205–217.PubMed

Hewitt, P. L., Smith, M. M., Deng, C., Chen, C., Ko, A., Flett, G. L., & Patterson, R. (in press). The perniciousness of perfectionism in group therapy for depression: a test of the perfectionism social disconnection model. Psychotherapy.

Hill, A. P., & Curran, T. (2016). Multidimensional perfectionism and burnout: a meta-analysis. Personality and Social Psychology Review, 20, 269–288.PubMed

Hill, A. P., Hall, H. K., & Appleton, P. R. (2010). Perfectionism and athlete burnout in junior elite athletes: the mediating role of coping tendencies. Anxiety, Stress, and Coping, 23, 415–430.PubMed

Hill, A. P., Hall, H. K., Appleton, P. R., & Kozub, S. A. (2008). Perfectionism and burnout in junior elite soccer players: the mediating influence of unconditional self-acceptance. Psychology of Sport and Exercise, 9, 630–644.

Hinterman, C., Burns, L., Hopwood, D., & Rogers, W. (2012). Mindfulness: seeking a more perfect approach to coping with life’s challenges. Mindfulness, 3, 275–281.

Hofmann, S. G., Sawyer, A. T., Witt, A. A., & Oh, D. (2010). The effect of mindfulness-based therapy on anxiety and depression: a meta-analytic review. Journal of Consulting and Clinical Psychology, 78, 169–183.PubMedPubMedCentral

Irving, J. A., Park-Saltzman, J., Fitzpatrick, M., Dobkin, P. L., Chen, A., & Hutchison, T. (2014). Experiences of health care professionals enrolled in the mindfulness-based medical practice: a grounded theory model. Mindfulness, 5, 60–71.

James, K., & Rimes, K. A. (2018). Mindfulness-based cognitive therapy vs. pure cognitive behavioural self-help for perfectionism: a pilot randomized study. Mindfulness, 9, 801–814.PubMed

Jermann, F., Billieux, J., Larøi, F., d’Agembeau, A., Bondolfi, G., Zermatten, A., & Van der Linden, M. (2009). Mindful Attention Awareness Scale (MAAS): psychometric properties of the French translation and exploration of its relations with emotion regulation strategies. Psychological Assessment, 21, 506–514.PubMed

Kabat-Zinn, J. (2009). Full catastrophe living. New York: Bantam Dell.

Keng, S.-L., Smoski, M. J., & Robins, C. J. (2011). Effects of mindfulness on psychological health: a review of empirical studies. Clinical Psychological Review, 31, 1041–1056.

Khoury, B., Lecomte, T., Fortin, G., Masse, M., Therien, P., Bouchard, V., Chapleau, M.-A., Paquin, K., & Hofmann, S. G. (2013). Mindfulness-based therapy: a comprehensive meta-analysis. Clinical Psychology Review, 33, 763–771.PubMed

Koerten, H. R., Watford, T. S., Dubow, E. F., & O’Brien, W. H. (in press). Cardiovascular benefits of brief mindfulness meditation among perfectionists experiencing failure. Psychophysiology. https://doi.org/10.1111/psyp.13517.

Lindsay, E. K., Young, S., Brown, K. W., Smyth, J. M., & Creswell, J. D. (2019). Mindfulness training reduces loneliness and increases social contact in a randomized controlled trial. Proceedings of the National Academy of Sciences, 116, 3488–3493.

Lundh, L.-G. (2004). Perfectionism and acceptance. Journal of Rational-Emotive and Cognitive-Behavior Therapy, 22, 251–265.

Masuda, A., Anderson, P. L., & Sheehan, S. T. (2009). Mindfulness and mental health among African American college students. Complementary Health Practice Review, 14, 115–127.

Masuda, A., Wendell, J. W., Chou, Y.-Y., & Feinstein, A. B. (2010). Relationships among self-concealment, mindfulness, and negative psychological outcomes in Asian American and European American college students. Personality and Individual Differences, 50, 243–247.

McCown, W. G., & Carlson, G. (2004). Narcissism, perfectionism, and self-termination from treatment in outpatient cocaine users. Journal of Rational-Emotive and Cognitive-Behavior Therapy, 22, 325–336.

Olson, M. L., & Kwon, P. (2008). Brooding perfectionism: rethinking the roles of rumination and perfectionism in the etiology of depression. Cognitive Therapy and Research, 32, 788–802.

Radloff, L. S. (1977). The CES-D Scale: a self-report depression scale for research in the general population. Applied Psychological Measurement, 1, 385–401.

Raes, F., & Williams, J. M. G. (2010). The relationship between mindfulness and uncontrollability of ruminative thinking. Mindfulness, 1, 199–203.

Ramel, W., Goldin, P. R., Carmona, P. E., & McQuaid, J. R. (2004). The effects of mindfulness meditation on cognitive processes and affect in patients with past depression. Cognitive Therapy and Research, 28, 433–455.

Rawana, J. S., Diplock, B. D., & Chan, S. (2018). Mindfulness-based programs in school settings: current state of the research. In A. Leschied, D. H. Saklofske, & G. L. Flett (Eds.), The handbook of school-based mental health promotion: an evidence informed framework for implementation (pp. 323–355). New York: Springer, Cham.

Sapthiang, S., Van Gordon, W., & Shonin, E. (2019). Mindfulness in schools: a health promotion approach to improving adolescent mental health. International Journal of Mental Health and Addiction, 17, 112–119.

Schafer, J. L., & Graham, J. W. (2002). Missing data: our view of the state of the art. Psychological Methods, 7, 147–177.PubMed

Scott, J. (2007). The effects of perfectionism and unconditional self-acceptance on depression. Journal of Rational-Emotive and Cognitive-Behavior Therapy, 25, 35–64.

Shanmugasegaram, S., Flett, G. L., Madan, M., Oh, P., Marzolini, S., Reitav, J., Hewitt, P. L., & Sturman, E. C. (2014). Perfectionism, type D personality, and illness-related coping styles in cardiac rehabilitation patients. Journal of Health Psychology, 19, 417–426.PubMed

Short, M. M., & Mazmanian, D. (2013). Perfectionism and negative repetitive thoughts: examining a multiple mediator model in relation to mindfulness. Personality and Individual Differences, 55, 716–721.

Sironic, A., & Reeve, R. A. (2015). A combined analysis of the Frost Multidimensional Perfectionism Scale (FMPS), Child and Adolescent Perfectionism Scale (CAPS), and Almost Perfect Scale-Revised (APS-R): different perfectionist profiles in adolescent high school students. Psychological Assessment, 27, 1471–1483.PubMed

Slaney, R. B., Rice, K. G., & Ashby, J. S. (2002). A programmatic approach to measuring perfectionism: the almost perfect scales. In G. L. Flett & P. L. Hewitt (Eds.), Perfectionism, theory, research and treatment (pp. 63–88). Washington, DC: American Psychological Association.

Smith, M. M., Sherry, S. B., Chen, S., Saklofske, D. H., Mushquash, C., Flett, G. L., & Hewitt, P. L. (2018). The perniciousness of perfectionism: a meta-analytic review of the perfectionism-suicide relationship. Journal of Personality, 86, 522–542.PubMed

Smith, M. M., Sherry, S. B., Ray, C. M., Lee-Baggley, D. L., Hewitt, P. L., & Flett, G. L. (2020). The existential model of perfectionism and depressive symptoms: test of unique contributions and mediating mechanisms in a sample of depressed individuals. Journal of Psychoeducational Assessment, 38, 112–126.

Steele, A. L., & Wade, T. D. (2008). A randomized trial investigating guided self-help to reduce perfectionism and its impact on bulimia nervosa: a pilot study. Behaviour Research and Therapy, 46, 1316–1323.PubMed

Thienot, E., Jackson, B., Dimmock, J., Grove, J. R., Bernier, M., & Fournier, J. F. (2014). Development and preliminary validation of the Mindfulness Inventory For Sport. Psychology of Sport and Exercise, 15, 72–80.

Van Gordon, W., Shonin, E., Zaganeh, M., & Griffiths, M. D. (2014). Can mindfulness really improve work-related mental-health and job performance? International Journal of Mental Health and Addiction, 12, 129–137.

Vidic, Z., & Cherup, N. (2019). Mindfulness in classroom: effect of a mindfulness-based relaxation class on college students’ stress, resilience, self-efficacy, and perfectionism. College Student Journal, 53, 130–144.

Weinstein, N., Brown, K. W., & Ryan, R. M. (2009). A multi-method examination of the effects of mindfulness on stress attribution, coping, and emotional well-being. Journal of Research in Personality, 43, 374–389.

Wheeler, H. A., Blankstein, K. R., Antony, M. M., McCabe, R. E., & Bieling, P. J. (2011). Perfectionism in anxiety and depression: comparisons across disorders, relations with symptom severity, and role of comorbidity. International Journal of Cognitive Therapy, 4, 66–91.

Wimberley, T. E., Mintz, L. B., & Suh, H. (2016). Perfectionism and mindfulness: effectiveness of a bibliotherapy intervention. Mindfulness, 7, 433–444.

Woolhouse, H., Knowles, A., & Crafti, N. (2012). Adding mindfulness to CBT programs for binge eating: a mixed-methods evaluation. Eating Disorders: The Journal of Treatment and Prevention, 20, 321–339.

Xie, Y., Kong, Y., Yang, J., & Chen, F. (2019). Perfectionism, worry, rumination, and distress: a meta-analysis of the evidence for the perfectionism cognition theory. Personality and Individual Differences, 139, 301–312.

Zheng, S., Sun, S., Huang, C., & Zou, Z. (2020). Authenticity and subjective well-being: the mediating role of mindfulness. Journal of Research in Personality, 84. https://doi.org/10.1016/j.jrp.2019.103900.

Titel: Why Perfectionism Is Antithetical to Mindfulness: a Conceptual and Empirical Analysis and Consideration of Treatment Implications
verfasst von: Gordon L. Flett
Taryn Nepon
Paul L. Hewitt
Alison L. Rose
Publikationsdatum: 11.03.2020
Verlag: Springer US
Erschienen in: International Journal of Mental Health and Addiction / Ausgabe 5/2021
Print ISSN: 1557-1874
Elektronische ISSN: 1557-1882
DOI: https://doi.org/10.1007/s11469-020-00252-w

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