THE DESTRUCTIVENESS OF PERFECTIONISM - IMPLICATIONS FOR THE TREATMENT OF DEPRESSION
THE DESTRUCTIVENESS OF PERFECTIONISM - IMPLICATIONS FOR THE TREATMENT OF DEPRESSION
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DOI：
10.1037/0003-066x.50.12.1003
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发表时间：
1995-12-01
影响因子：
16.4
通讯作者：
BLATT, SJ
中科院分区：
文献类型：
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作者：
BLATT, SJ
公共媒体的报道表明，强烈的完美主义和严厉的自我批评在三个非常有才华的人的自杀中发挥了作用。完美主义在这些自杀中的作用与最近对完美主义方面的广泛调查以及NIMH抑郁症治疗合作研究计划（TDCRP）的进一步分析一致，表明强烈的完美主义显著干扰了抑郁症各种简短治疗的治疗反应。然而，自我批评的人在长期强化治疗中取得了实质性的改善。这些研究结果表明，从心理学而不是症状学的角度考虑精神病理学，特别是抑郁症的价值;不同的患者可能对各种类型的治疗有不同的反应，并且对于许多高度完美主义，自我批评的患者可能需要更广泛的治疗。
Reports in the public media indicate that intense perfectionism and severe self-criticism played a role in the suicide of three remarkably talented individuals. The role of perfectionism in these suicides is consistent with recent extensive investigations of aspects of perfectionism as well as further analyses of the NIMH Treatment of Depression Collaborative Research Program (TDCRP), indicating that intense perfectionism interfered significantly with therapeutic response in the various brief treatments for depression. Self-critical individuals, however made substantial improvement in long-term intensive treatment. These findings suggest the value of considering psychopathology, especially depression, from a psychological rather than a symptomatic perspective; that different patients may be differentially responsive to various types of therapy, and that more extensive therapy may be necessary for many highly perfectionistic, self-critical patients.