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Br J Clin Psychol. 2007 Mar;46(Pt 1):85-94.

A preliminary evaluation of cognitive-behaviour therapy for clinical perfectionism: a case series.

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  • 1Royal Holloway University of London, UK.

Abstract

OBJECTIVE:

The construct of 'clinical perfectionism' has been developed in response to criticisms that other approaches have failed to yield advances in the treatment of the type of self-oriented perfectionism that poses a clinical problem. The primary aim of this study was to conduct a preliminary investigation into the efficacy of a theory-driven, cognitive-behavioural intervention for 'clinical perfectionism'.

DESIGN:

A multiple baseline single case series design was used.

METHOD:

A specific, 10-session cognitive-behavioural intervention to address clinical perfectionism in eating disorders was adapted to allow its use in nine patients referred with a range of axis I disorders and clinical perfectionism.

RESULTS:

The intervention led to clinically significant improvements in self-referential perfectionism from pretreatment to follow-up for six of the nine participants on two perfectionism measures and for three of the nine participants on the measure of clinical perfectionism. Statistically significant improvements from pre- to post-intervention for the group as a whole were found on all three measures. The improvements were maintained at follow-up.

CONCLUSIONS:

The finding that clinical perfectionism is improved in the majority of participants is particularly encouraging given that perfectionism has traditionally been viewed as a personality characteristic resistant to change. These preliminary findings warrant replication in a larger study.

PMID:
17472203
[PubMed - indexed for MEDLINE]
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