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Dynamic-relational treatment of perfectionism: An illustrative case study
Paul L Hewitt1, Samuel F Mikail2, Silvain S Dang1
1Department of Psychology, Division of Psychotherapy, Faculty of Medicine, University of British Columbia, Vancouver, Canada.
Objective:
Perfectionism has been described as a multidimensional core vulnerability factor in various forms of dysfunction and disorders. Recently, we described our empirically supported-dynamic-relational treatment for perfectionism. This treatment integrates psychodynamic and interpersonal principles to reduce perfectionism and symptoms and enhance relationships with others and self by focusing on underlying relational patterns.
Method:
We discuss this approach and present Azure, a 27-year-old woman who completed our group treatment and subsequent individual therapy as a follow-up.
Results:
Azure underwent a comprehensive psychological pretreatment assessment, the results of which were used to develop a working formulation that guided the group and individual psychotherapy. A description of the formulation and her experience in therapy are discussed and pre- and post-treatment data illustrate changes in Azure's perfectionism and symptoms.
Conclusions:
We discuss changes that occurred over the course of treatment.
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