Chris Worfolk's Blog


Cognitive-Behavioral Treatment of Perfectionism

December 27th, 2017 | Books

Cognitive-Behavioral Treatment of Perfectionism is a book by Sarah J. Egan, Tracey D. Wade, Roz Shafran, and Martin M. Antony.

It’s written for therapists but is also useful for academics. And, as it turns out, for some introspection, too.

What exactly is perfectionism? There is no universal definition of clinical perfectionism but typically involves in a process of people setting unachievable standards for themselves and then feeling bad when they miss them. Treating it can have transdiagnostic benefits for a person’s mental health.

A key part is an over-reliance of self-feedback. It’s not enough that other people tell you that you are doing a good job: you need to meet your own high standards, not theirs.

How do you assess it? There is no single way, though a few inventories are emerging. And by “a few”, I mean loads:

  • Almost Perfect Scale-Revised (APS-R)
  • Behaviour Domains Questionaire (BDQ)
  • Burns Perfectionism Scale (BPS)
  • Clinical Perfectionism Questionaire (CPQ)
  • Consequences of Perfectionism Scale (COPS)
  • Frost et al. Multidimensional Perfectionism Scale (FMPS)
  • Hewitt and Flett Multidimensional Perfectionism Scale (HMPS)
  • Neurotic Perfectionism Qustionaire (NPQ)
  • Perfectionism Inventory (PI)
  • Perfectionistic Self-Presentation Scale (PSPS)
  • Positive and Negative Perfectionim Scale (PANPS)

The model

The standard model for perfectionism is that you set a standard and try to achieve it. These standards are typically inflexible, over-general (one mistake wipes off the entire report as failure) and filled with double-standards (it is okay for someone else to do that, but not me).

The height of the standard leads to avoidance.

You either then hit the standard, in which case you tell yourself it was too easy.

Or you miss the standard and beat yourself up.

The treatment

The book lays out a full treatment plan based on cognitive behaviourism. However, one thing I will point out for a quick win: merely monitoring your symptoms seems to improve things.

Ethlers and colleagues (2003) had people with PTSD perform daily monitoring of their symptoms. After three weeks, 12% had improved sufficiently to no longer meet the clinical level of PTSD.

Similarly, there is evidence that self-monitoring contributes to improvements in anxiety and depression (Coull & Morris, 2011).

Self-criticism

Perfectionists often see a value in self-criticism because they believe that if they accepted lower standards, they would be lazy and unproductive.

So, rather than eliminating self-criticism, we want to replace it with constructive feedback.

The authors suggest we think of it as the choice between two basketball coaches: do you want one who just calls you “stupid” and “a failure” when you make a mistake? Or do you want one that is encouraging, offers suggestions for improvements and guides you to the next level in performance? That is the difference between a self-critical inner voice and a compassionate but productive one.

This is important because of the Yerkes-Dodson Law. This states that there is an optimal level of arousal. Too little, and you will be lazy. Too much, though, and your performance starts to deteriorate as well. Moderation is the order of the day: gentle pressure produces optimal performance, not viciously beating yourself up.

Procrastination

One of the biggest problems for perfectionists is that they are often not productive because of procrastination. They put off tasks for a number of reasons:

  • The task is large, and therefore the time commitment to completing it perfectly is equally large
  • You feel overwhelmed by the idea of having to do it perfectly
  • Giving yourself too little time is an easy get-out: it’s okay for it to be imperfect because it is not a true reflection of your performance

So, they do nothing. Nothing pleasurable, either. There can be no enjoyable tasks because they “haven’t earned it”. So, the time simply goes to waste.

The motivation trap

A common reason for putting tasks off is “waiting for the motivation” to get it done. But the authors claim that this is a fundamental misunderstanding of causation.

We assume that motivation inspires action. But, in reality, action inspires motivation (Shafan et al 2010). If you want to feel motivated about a task, force yourself to start it and them motivation will follow.

This fits with my blog post on what comes first: thoughts or feelings? It is our behaviour that drives our feelings, not the other way around.

Summary

This is a really interesting read for anyone interested in perfectionism. It is aimed at clinicians, which means you don’t get all of the friendly hand-holding of popular science, and everything comes from a certain angle. However, it is written in a very engaging way, so doesn’t suffer from the stuffiness of academic texts.

Defrosted freezer

December 26th, 2017 | Life

I, Chris Worfolk, hereby certify that on the 21 December 2017 I defrosted the freezer. In accordance with the presence established in case law by Pics vs I Didn’t Happen, I submit this photo, including the EXIF data, as proof. Thus, should any other party to this marriage again attempt to claim that they might have done it last time so it wasn’t their turn, even though they have never done it in the entire time we have lived at this properly, this post will serve as evidence to the falsity of their claim.

Snow

December 25th, 2017 | Photos

Who loves snow? This baby does.

Parkrun by bike

December 24th, 2017 | Sport

I’m still going easy on my ankle so I decided to cycle to Parkrun. It was the first time I have done so, so I thought I would document some of my thoughts.

Padded cycling shorts make a big difference. I went out in my running gear and noticed I felt a little uncomfortable almost as soon as I was on the bike. Then I remembered why: I always wear my cycling shorts on the bike, even for triathlons (no, it doesn’t feel like wearing a nappy, that much). I think investing in some tri shorts for these occasions might be in order.

It’s nice having the bike there because you can carry things like bottled water and a jumper for cold days. Of course, you can’t leave anything valuable on the bike.

My belt makes a better shortage solution than my short pockets, especially for keys. It doesn’t fit my phone in, though, so I need a better solution for that when running off the bike.

Finland’s 100th birthday

December 23rd, 2017 | Events

Finland turned 100 this year. It’s fun walking around Helsinki because many of the buildings and companies have their incorporation date above the door, and many of them are before Finland was officially a country.

We celebrated the anniversary with Illallinen taivaan alla (dinner under the sky) back in August. However, Finland’s Independence Day is 6th December. Too cold for a dinner outside, but an event that we wanted to mark none the less.

So, we invited some friends around and cooked some Finnish food.

If you saw my post on Nordic food, you might recall that Finnish food only comes in one colour. And that colour is brown. It’s a cuisine of permanent autumnal themes.

For the starter, crayfish filo tartlets, Karelian pasties and homemade gravlax. They were so popular, I only managed to snap the last tartlet.

For the main, Karelian stew. With a British stew, you would typically pick a single meat and stew it with a selection of vegetables. With Karelian stew, you pick a single vegetable and stew it with beef, pork and lamb. Ideally for a couple of days.

Finally, for dessert, pinwheels and a ginger cake.

Holiday Food Drive 2017

December 22nd, 2017 | Events, Humanism

In 2010, we set out on a mission to extend the direct action on-the-street work we were doing by organising a food drive for local homeless shelters. Seven years later and we’re celebrating our 8th annual food drive with another bumper event.

The event couldn’t happen without all of the generous donations you make, so thank you to everyone who provided food, clothing, toiletries and money.

Sarann, charity coordinator at West Yorkshire Humanists, headed the event. It’s thanks to her tireless work that it happens. I would also like to say a big thank you to the other groups who contribute to making the event so great. In particular, Darren from the Interfaith Vegan Alliance and Jo from Mill Hill Chapel who lends us his church. The event represents different groups coming together for the best of reasons.

Click the thumbnails to see the full-size image.

Finnish Christmas Carols 2017

December 21st, 2017 | Life

The Finnish Christmas Carols event is betting busier. It was standing room only this year. And the number of children seem to have multiplied, too. Venla still isn’t really old enough to know what is going on, but I took her to the front to dance in the children’s bit anyway.

Breathe stoke swimming

December 20th, 2017 | Life

Apparently, most of the internet believes that breaststroke is called “breathe stoke”.

Sportive Breaks ad

December 19th, 2017 | Business & Marketing

If you are interested in great advertising, take a look at this. The best hit potential customers with a specific pain point and promise to fix it. Which is exactly what this advert from Sportive Breaks does. It was freezing this morning and I would much rather be cycling on Mallorca.

Braham Pie-athlon

December 18th, 2017 | Sport

It’s Christmas. Which means mince pies are everywhere. In the kitchen. In the office. And, apparently, on the triathlon course. Why? Because last Sunday was the Braham pie-athlon.

Organised by Tadcaster Triathlon Team, it was identical to their first Go Tri event that I raced last month with one important difference: in each transition area, you had to scoff a mince pie.

I was hoping for good things. At the last one, I was ill. That said, I still completed it in a time of 33:21, and this time I had to add a few mince pies as well.

Despite a frosty and wet morning, the day warmed up a little. By the start of the race, it was a balmy 6 degrees Celsius. Everyone laughed at me for lining up on the start line in just a t-shirt, but it was clearly the correct decision as I was good temperature throughout the race.

And we’re off

The first 2km was relatively easy. I’m running on a damaged ankle at the moment, which gave me a bit of grief but didn’t slow me down.

However, things got tough as we arrived in transition one. I had done extensive training before the race. However, I had done it all using deep-filled mince pies. We were handed a thin and crispy one. This has a totally different filling to pastry ratio making it much more difficult to eat.

It also put me at a disadvantage against the people changing their shoes, as they could eat and shoe-change. Thus, it didn’t really slow them down. Whereas I was otherwise ready to pick my bike up.

The bike leg

I exited transition alongside one other guide and got ahead of him. For a good five metres. That was mainly due to me being able to hop on my bike quickly whereas it took him a few seconds to clip into his £2,000 Felt B-series TT bike. Once he had clipped in, he caught up pretty quickly.

We headed down the old A1 and I quickly overtook someone. I was then on my own for the next 3km before spotting someone in my metaphorical mirrors. I kept ahead of him for another 3km, but with 1km to go, he finally overtook me. The effort had worn him out though, and I took the place back as we reached the dismount line and ran into transition two.

The final sprint

We were handed our second mince pies as we left T2, meaning we could eat them on the run. This is hard to do. It’s impossible to eat and breathe in sufficient oxygen for running at the same time. But by the 500m mark I had I had finished munching and the stomach pains disappeared.

The results

I came 9th out of a field of 22. Last time I was 22 out of 32, which suggests that I am improving or that the good athletes were scared off by their lack of scoffing skills.

My final time was:

34:25

That means it was 1:04 slower than last time. Not a great result as even if you say it took me all of that time to scoff the mince pies, it means I haven’t really improved much.

However, it seems everyone found it harder.

The guy who won both races, Harry Robson, was 2:56 slower with this race. The guy who came second in this race was also 2:26 slower than the previous event. So, perhaps it was an improvement after all.

The splits

It’s impossible to report exact splits without a fancy triathlon watch (so, I will be needing one of those) but I can estimate it from the pace fluctuations.

I’ve put in last time as a comparison.

Section Pie-athlon Previous race
Run 9:52 9:48
T1 2:05 (11:57) 0:35 (10:23)
Bike 16:57 (28:52) 17:32 (27:55)
T2 0:35 (29:27) 0:50 (28:45)
Run 4:58 (34:25) 4:36 (33:21)
Total 34:25 33:21
Gap to winner 5:10 7:02

Looking at the data, I think it’s probably nonsense: you just cannot accurately gauge which section is which without a clear marker that a sports watch would provide.

Conclusion

It was a lot of fun. I would definitely do another pie-athlon. Tadcaster Triathlon Team did a great job of organising it. I finished the day with a long bath. For my bike. Then I had a quick shower with the remaining hot water.