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PERFECTIONISM SCORES FELL IN TREATMENT TRIALS

Perfectionism Is Measured Because Of What It Predicts

The Harm Is Assumed To Come From The High Standards

Longitudinal Studies Point At The Concerns Half Instead

A Single Analysis Pooled Them And Tested Both Directions

One Half Moves With Depression In Both Directions

A Separate Review Looked At Suicide Ideation

Interventions Have Since Been Tested Against Those Scores

This Part Covers The Outcomes The Laboratory And The Trials

THIS NEWSLETTER IS FOR INFORMATIONAL PURPOSES ONLY. NOTHING IN THIS CONTENT CONSTITUTES MEDICAL, PSYCHOLOGICAL, OR PROFESSIONAL ADVICE. ALWAYS CONSULT A QUALIFIED HEALTHCARE PROFESSIONAL BEFORE MAKING ANY HEALTH RELATED DECISIONS.

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WHAT THE LONG STUDIES FOUND ⏳

Martin Smith And Colleagues Published An Analysis In 2021

Their Search Yielded 67 Longitudinal Studies

The Analysis Appeared In Clinical Psychology Review

Together Those Studies Include 20,583 People

Undergraduates And Community Members Were Among Them

Medical Students And Treatment Seeking Adults Were Too

Patients With Mental Health Problems Appear In The Pool

The Analysis Splits Perfectionism Into Concerns And Strivings

Perfectionistic Concerns And Depressive Symptoms Ran Both Ways

Concerns Predicted Rising Depressive Symptoms Over Time

The Reverse Direction Held As Well

Smith And Colleagues Call That Relationship Reciprocal

Perfectionistic Strivings Behaved Differently

Strivings Predicted Depressive Symptoms Without The Reverse

That Direction Ran One Way Only

The Same Group Published A Suicide Review In 2018

That Review Appeared In The Journal Of Personality

Its Search Yielded 45 Studies And 11,747 People

Suicide Ideation Showed Small To Moderate Links With Concerns

Strivings Showed Links Of The Same Size

Socially Prescribed Perfectionism Predicted Later Ideation

Parental Criticism And Expectations Linked To Attempts Too

The Authors Say Those Pressures May Come First

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INSIDE THE ERROR SIGNAL 🧠

Researchers In Germany Watched Perfectionists Make Mistakes

Mattes And Two Colleagues Ran That Experiment

They Recruited 95 Participants And Analysed 90

Personality Neuroscience Published It In 2023

Mean Age In That Sample Was 25.08 Years

Each Person Learned Eight Symbols Assigned To Eight Fingers

Electrodes Recorded Brain Activity Throughout The Task

One Component Peaks Around 100 Milliseconds After A Response

Researchers Call It The Error Negativity

It Is Usually Larger For Errors Than For Correct Responses

The Study Scored Personal Standards And Concern Over Mistakes

Both Scales Come From The Frost Multidimensional Perfectionism Scale

Higher Concern Over Mistakes Was Associated With More Errors

That Result Is The Opposite Of The Obvious Prediction

High Concern Perfectionists Showed A Reduced Early Signal

Slowing After An Error Was Reduced As Well

The Authors Offer Two Readings Of That Pattern

Avoidance Of Error Processing Is The First

Limited Cognitive Capacity Is The Second

The Data Support Capacity More Than Avoidance

That Experiment Cannot Falsify The Avoidance Reading

Small Effects May Not Have Been Detected At That Sample Size

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WHAT THE TRIALS MOVED 🛠️

A King's College London Team Pooled Eight Trials In 2015

Behavioural And Cognitive Psychotherapy Published That Review

Each Trial Targeted Perfectionism In A Clinical Sample

Scores Were Compared Before And After Each Intervention

Personal Standards Showed Large Effect Sizes

Concern Over Mistakes Reached That Size Too

Self Oriented Perfectionism Moved As Much Again

Socially Prescribed Perfectionism Reached Only A Medium Effect

Medium Pooled Effects Appeared For Anxiety And Depression

Trials Have Kept Testing Whether Those Scores Can Be Lowered

Another Review Followed In 2019

The Journal Of Counseling Psychology Published It

Suh And Three Colleagues Identified 10 Studies

Those Studies Yielded 65 Perfectionism Effect Sizes

Every One Of Them Was A Randomised Controlled Trial

Psychological Interventions Cut Perfectionism Scores

Depression And Anxiety Fell Alongside Them

The Effects Were Medium In Size

Face To Face And Online Delivery Did Not Differ

Control Condition Type Did Not Change The Result

Sample Characteristics Did Not Either

No Split Appeared Between The Two Halves Of Perfectionism

Treatment Did Not Raise One While Lowering The Other

The End

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