School of Human Health Sciences, University of Florence, Florence, Italy.
Center for Psychology & Health, Tages Charity, Florence, Italy.
J Clin Psychol. 2022 Aug;78(8):1624-1636. doi: 10.1002/jclp.23365. Epub 2022 Apr 29.
The tendency to hide and mask suffering and one's perceived imperfections is one of the biggest obstacles in treating those with prominent perfectionistic traits. In this single case, we present an integrative form of psychotherapy for patients with recurrent strategies aimed at neither displaying nor disclosing their perfectionism. Emily was a 26-year-old woman diagnosed with Major Depressive Disorder and reported a personality pathology as diagnosed through the Alternative Model of Personality Disorders. The intervention comprised of a 4-month individual therapy and 2-month group therapy. The former is based on Metacognitive Interpersonal Therapy protocol for personality disorders. The latter is a protocol that integrates the Dynamic Relational Treatment for Perfectionism and Compassion Focused Therapy. At the end of this integrative treatment, Emily remitted from Major Depressive Disorder and personality pathology. Further studies should confirm our promising results in larger samples.
隐藏和掩饰痛苦和感知到的不完美是治疗那些具有明显完美主义特征的人的最大障碍之一。在这个单一案例中,我们为一位反复使用旨在既不表现也不暴露其完美主义的策略的患者提供了一种综合形式的心理治疗。艾米莉是一位 26 岁的女性,被诊断患有重度抑郁症,并报告了一种人格病理学,通过替代人格障碍模型进行诊断。干预措施包括为期 4 个月的个体治疗和 2 个月的小组治疗。前者基于人格障碍的元认知人际治疗方案。后者是一种将动态关系治疗完美主义和慈悲聚焦疗法相结合的方案。在这种综合治疗结束时,艾米莉从重度抑郁症和人格病理学中康复。进一步的研究应该在更大的样本中证实我们有希望的结果。