Perfectionism

Abstract

Summary: For the purpose of this discussion, perfectionism was defined as “demanding of oneself or others a higher quality of performance than is required by the situation.” The judgment as to what constitutes a higher quality of performance than is required was made by the patient and would be in concordance with the opinion of most psychiatrists. The clinical picture of the perfectionist was presented first in general terms and then followed by a specific example. Perfectionism most commonly develops in an insecure child who needs approval, acceptance and affection from parents who are difficult to please. The child assumes that if he performs perfectly, he will receive the succorance he seeks. Later perfectionism represents an effort, also, to combat self-belittlement. A clinical note illustrated the general thesis that was developed. Finally, perfectionism was differentiated from compulsiveness: the former being a means of obtaining interpersonal supplies and of seeking a better self-image, and the latter being a mechanism for fending off unacceptable feelings and impulses. Although admixtures do occur, it is essential in clinical practice to deal with each trait separately.