Client perfectionism and psychological symptoms throughout psychotherapy

AbstractObjective: Given the psychological issues experienced by individuals high in perfectionistic concerns (maladaptive perfectionism), or a feeling as if one is never good enough, and discrepancies in the literature as to whether these individuals experience benefits from therapy, it is imperative that research examine whether perfectionism actually improves throughout therapy. The current study improves upon past research by examining changes in perfectionism (both perfectionistic concerns and strivings) throughout therapy, rather than simply measuring perfectionism at pre- and post-therapy. This study also investigates how these changes in perfectionism, if they exist, impact changes in psychological symptoms. Methods: In total, 153 clients at a psychology training clinic in which a general treatment paradigm was implemented completed the Short Almost Perfect Scale (SAPS; Rice et al., 2014) and Outcome Questionnaire (OQ-45.2; Lambert et al., 1996) prior to intake and sessions 1, 3, and 5. Results an...