Elsevier

Behavior Therapy

Volume 32, Issue 1, Winter 2001, Pages 167-184
Behavior Therapy

Original Research
Can cognitive restructuring reduce the disruption associated with perfectionistic concerns?*

https://doi.org/10.1016/S0005-7894(01)80051-4Get rights and content

We investigated the utility of a brief cognitive restructuring intervention in inoculating perfectionists from their typical negative responses to evaluative threat. In particular, we wanted to examine whether cognitive restructuring could reduce perfectionists' negative affect and cognitions about a speech task. We were also interested in analyzing the pattern of within-session change across a variety of affective and cognitive measures as a function of this cognitive intervention. Sixty female undergraduate students delivered a speech before a small audience. We used a 2 (Group) × 2 (Condition) design to investigate the effects of perfectionism and intervention type on subjects' negative affect and cognitions related to the evaluative task. Participants high and low in perfectionistic concern over mistakes (CM; group) were randomly assigned to receive either a cognitive restructuring or distraction intervention (Condition) prior to the speech task. Individuals high in CM reported significantly more negative cognitive and affective responses to the evaluative task than low CM subjects; however, cognitive restructuring was successful in reducing cost and probability estimates for all subjects' most feared predictions for the impending speech. Moreover, these cognitive changes were associated with lower ratings of self-reported anxiety in comparison to subjects in the distraction condition. Interestingly, cognitive restructuring did not affect subjects' more global ratings of negative affect or negative thoughts about the speech. Our results provide some preliminary but encouraging implications for the effectiveness of cognitive restructuring in the treatment of perfectionism.

References (37)

  • BlattS.J. et al.

    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

    (1995)
  • BlattS.J. et al.

    When and how perfectionism impedes the brief treatment of depression: Further analyses of the National Institute of Mental Health Treatment of Depression Collaborative Research Program

    Journal of Consulting and Clinical Psychology

    (1998)
  • BrouwersM. et al.

    Bulimia and perfectionism: Developing the courage to be imperfect

    Journal of Mental Health Counseling

    (1993)
  • BrownE.J. et al.

    Relationship of perfectionism to affect, expectations, attributions and performance in the classroom

    Journal of Social and Clinical Psychology

    (1999)
  • BurnsD.D.

    The perfectionist's script for self-defeat

    Psychology Today

    (1980)
  • FergusonK.L. et al.

    Cognitive behavioral treatment of perfectionism: Initial evaluation studies

    Research on Social Work Practice

    (1994)
  • FlettG.L. et al.

    Perfectionism and components of state and trait anxiety

    Current Psychology: Developmental, Learning, Personality, Social

    (1995)
  • FrostR.O. et al.

    Perfectionism and reactions to athletic competition

    Journal of Sport and Exercise Psychology

    (1991)
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    *

    Portions of this manuscript were presented at the 31st Annual Meeting of the Association for Advancement of Behavior Therapy, Miami Beach, FL, November 1997, as well as the Developments in Cognitive-Behavioral Treatment of Anxiety Disorders Conference, Assumption College, Worcester, MA, October 1998.

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