Perfect patients, perfect results? evaluating negative effect of trait perfectionism in psychotherapy
department or school: Arts, Faculty of
department or school: Psychology, Department of
data provider: DSpace
degree campus: UBCV
creator: Deng, Xiaolei
issued: 2017-08-31T22:27:08Z
issued: 2017
related degree: Master of Arts - MA
degree grantor: University of British Columbia
description: Evidence has suggested that components of perfectionism are associated with poor treatment outcome in individual therapy for depression. (e.g., Blatt et al., 1995; Jacobs et al., 2009). However, most studies conceptualized and measured perfectionism as attitudes; few studies have examined the mechanism through which perfectionism contributed to poor treatment outcome, and no study examined potential gender differences in the perfectionism and treatment literature. Hewitt and Colleagues developed and extended the Perfectionism Social Disconnection Model (PSDM; 2006, 2017) to the treatment context. According to the model, perfectionism can lead to both subjective and objective social disconnections, which can impede therapeutic alliance and therapy processes, resulting in poor treatment outcome. There is also evidence that quality of social relationships outside therapy can have an impact on therapy outcome (Miller et al., 1997). Hence, the purpose of this paper was to examine: (1) whether trait perfectionism, captured with a broad conceptualization and multidimensional measure, is associated with poor treatment outcome; (2) whether quality of extratherapeutic relationships mediate the association between perfectionism traits and poor treatment outcome; (3) whether men and women react to disruption in social relationships differently in leading to poor treatment outcome. The current study measured perfectionism traits, quality of life, depression, and anxiety among 263 community adults who participated in a 10-week group CBT treatment program for residual depressive symptoms. The study found that other oriented perfectionism and socially prescribed perfectionism were associated with poor treatment outcome. The overall quality of social relationships and quality of friendship mediated the relationships between perfectionism traits and poor treatment outcome. Finally, perfectionistic men reacted to disruption in relative relationships more than perfectionistic women did…
aggregated CHO: https://circle.library.ubc.ca/rest/handle/2429/62934
note: PERFECT PATIENTS, PERFECT RESULTS? EVALUATING NEGATIVE EFFECT OF TRAIT PERFECTIONISM IN PSYCHOTHERAPY by Xiaolei Deng B.A., The University of British Columbia, 2013 A THESIS SUBMITTED IN PARTIAL FULFILLMENT OF THE REQUIREMENTS FOR THE DEGREE OF MASTER OF ARTS in The Faculty of Graduate and Postdoctoral Studies (Psychology) THE UNIVERSITY OF BRITISH COLUMBIA (Vancouver) August 2017 © Xiaolei Deng, 2017 ii Abstract Evidence has suggested that components of perfectionism are associated with poor treatment outcome in individual therapy for depression. (e.g., Blatt et al., 1995; Jacobs et al., 2009). However, most studies conceptualized and measured perfectionism as attitudes; few studies have examined the mechanism through which perfectionism contributed to poor treatment outcome, and no study examined potential gender differences in the perfectionism and treatment literature. Hewitt and Colleagues developed and extended the Perfectionism Social Disconnection Model (PSDM; 2006, 2017) to the treatment context. According to the model, perfectionism can lead to both subjective and objective social disconnections, which can impede therapeutic alliance and therapy processes, resulting in poor treatment outcome. There is also evidence that quality of social relationships outside therapy can have an impact on therapy outcome (Miller et al., 1997). Hence, the purpose of this paper was to examine: (1) whether trait perfectionism, captured with a broad conceptualization and multidimensional measure, is associated with poor treatment outcome; (2) whether quality of extratherapeutic relationships mediate the association between perfectionism traits and poor treatment outcome; (3) whether men and women react to disruption in social relationships differently in leading to poor treatment outcome. The current study measured perfectionism traits, quality of life, depression, and anxiety among 263 community adults who participated in a 10-week group CBT treatment program for residual dep…
has type: Thesis/Dissertation
date issued: 2017-11
is shown at: 10.14288/1.0355245
language: eng
degree discipline: Psychology
provider: Vancouver : University of British Columbia Library
publisher: University of British Columbia
rights: Attribution-NonCommercial-NoDerivatives 4.0 International
rights URI: http://creativecommons.org/licenses/by-nc-nd/4.0/
scholar level: Graduate
type: Text
identifier URI: http://hdl.handle.net/2429/62934