The paradox of overcontrol, perfectionism and self-criticism: A cases series on gifted students

Journal title QUADERNI DI PSICOTERAPIA COGNITIVA
Author/s Simone Cheli, Veronica Cavalletti
Publishing Year 2021 Issue 2021/48
Language Italian Pages 15 P. 59-73 File size 0 KB
DOI 10.3280/qpc48-2021oa12141
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The objective of this pilot-study is to report the preliminary results of a specifically designed therapy for gifted students enrolled in highly competitive PhD programs. We outlined a case series design (n=7), with initial, final, and 1-month follow-up assessments.Inclusion criteria were: to be a student in an international PhD program; to be defined as a gifted student (at least one WAIS-IV Index =130); to be diagnosed with a personality disorder in accordance with DSM-5 Alternative Model of Personality Disorders. Primary outcomes were general symptomatology, social disconnection, and personality disorder severity.Secondary outcomes were the presumed therapeutic targets: overcontrol, perfectionism, and self-criticism. The intervention was a 6-month third wave cognitive behavioral therapy aimed at promoting adaptive self-soothing and metacognitive strategies. At the end of the intervention all the participants showed reliable changes in both primary and secondary outcomes.

Keywords: ; gifted student; overcontrol; perfectionism; self-criticism; compassion; metacognition

  1. Almukhambetova A., Hernández-Torrano D. (2020). Gifted Students’ Adjustment and Underachievement in University: An Exploration From the Self-Determination Theory Perspective. Gifted Child Quarterly, 64(2): 117-131. DOI: 10.1177/0016986220905525
  2. Baudson T.G. (2016). The mad genius stereotype: Still alive and well. Frontiers in Psychology, 7(368): 1-9. DOI: 10.3389/fpsyg.2016.00368
  3. Baudson T.G., Ziemes J.F. (2016). The importance of being gifted: Stages of gifted identity development, their correlates and predictors. Gifted and Talented International, 31(1): 19-32. DOI: 10.1080/15332276.2016.1194675
  4. Bernstein A., Hadash Y., Fresco D.M. (2019). Metacognitive processes model of decentering: emerging methods and insights. Current Opinion in Psychology, 28: 245-251. DOI: 10.1016/j.copsyc.2019.01.019
  5. Besser A., Flett G.L., Hewitt P.L., Guez J. (2008). Perfectionism, and cognitions, affect, self-esteem, and physiological reactions in a performance situation. Journal of Rational-Emotive & Cognitive-Behavior Therapy, 26(3): 206-228. DOI: 10.1007/s10942-007-0067-0
  6. Butler E.A., Egloff B., Wilhelm F.H., Smith N.C., Erickson E.A., Gross J.J. (2003). The social consequences of expressive suppression. Emotion, 3(1): 48-67. DOI: 10.1037/1528-3542.3.1.48
  7. Butler E.A., Gross J.J., Barnard K. (2014). Testing the effects of suppression and reappraisal on emotional concordance using a multivariate multilevel model. Biological Psychology, 98: 6-18. DOI: 10.1016/j.biopsycho.2013.09.003
  8. Carter N.T., Guan L., Maples J.L., Williamson R.L., Miller J.D. (2016). The downsides of extreme conscientiousness for psychological well-being: The role of obsessive compulsive tendencies. Journal of Personality, 84(4): 510-522. DOI: 10.1111/jopy.12177
  9. Chan D.W. (2005). Emotional intelligence, social coping, and psychological distress among Chinese gifted students in Hong Kong. High Ability Studies, 16(2): 163-178. DOI: 10.1080/13598130600617589
  10. Chan D.W. (2006) Adjustment problems, self-efficacy, and psychological distress among Chinese gifted students in Hong Kong. Roeper Review, 28(4): 203-209. DOI: 10.1080/02783190609554365
  11. Cheli S., Cavalletti V., Flett G., Hewitt P.H. (2021). Mindful compassion for perfectionism in personality disorders: A pilot acceptability and feasibility study. Applied Psychology Bulletin, 287: 55-65. DOI: 10.26387/bpa.287.5
  12. Del Giudice M. (2014). An evolutionary life history framework for psychopathology. Psychological Inquiry, 25(3-4): 261-300. DOI: 10.1080/1047840X.2014.884918
  13. de Winter J.C.F. (2013). Using the Student’s t-test with extremely small sample sizes. Practical Assessment, Research & Evaluation, 18, 10. DOI: 10.7275/e4r6-dj05
  14. Dimaggio G., Hermans H.J.M., Lysaker P.H. (2010). Health and adaptation in a multiple self: The role of absence of dialogue and poor metacognition in clinical populations. Theory & Psychology, 20(3): 379-399. DOI: 10.1177/0959354310363319
  15. Dimaggio G., Lysaker P.H. (2010). Metacognition and Severe Adult Mental Disorders. London: Routledge.
  16. Dimaggio G., Ottavi P., Popolo R., Salvatore G. (2020). Metacognitive interpersonal therapy: Body, imagery and change. London: Routledge.
  17. Dorjee D. (2016). Defining contemplative science: The metacognitive selfregulatory capacity of the mind, context of meditation practice and modes of existential awareness. Frontiers in Psychology, 7: 1788. DOI: 10.3389/fpsyg.2016.01788
  18. Dunbar R.I.M. (2003). The social brain: Mind, language, and society in evolutionary perspective. Annual Review of Anthropology. DOI: 10.1146/annurev.anthro.32.061002.093158
  19. Flett G.L., Hewitt P.L., Whelan T., Martin T.R. (2007). The perfectionism cognitions inventory: Psychometric properties and associations with distress and deficits in cognitive self-management. Journal of Rational – Emotive and Cognitive –Behavior Therapy, 25(4): 255-277. DOI: 10.1007/s10942-007-0055-4
  20. Gilbert P. (2009). The Compassioante Mind. New Harbinger Publications Inc.
  21. Gilbert P., Baldwin M.W., Irons C., Baccus J.R., Palmer M. (2006). Self-criticism and self-warmth: An imagery study exploring their relation to depression. Journal of Cognitive Psychotherapy, 20(2): 183-200. DOI: 10.1891/jcop.20.2.183
  22. Gilbert P., Basran J., MacArthur M., Kirby J.N. (2019). Differences in the semantics of prosocial words: An exploration of compassion and kindness. Mindfulness, 10(11): 2259-2271. DOI: 10.1007/s12671-019-01191-x
  23. Gilbert P., Clarke M., Hempel S., Miles J.N.V., Irons C. (2004). Criticizing and reassuring oneself: An exploration of forms, styles and reasons in female students. British Journal of Clinical Psychology, 43(1): 31-50. DOI: 10.1348/014466504772812959
  24. Gilbert P., Procter S. (2006). Compassionate mind training for people with high shame and self-criticism: Overview and pilot study of a group therapy approach. Clinical Psychology and Psychotherapy, 13(6): 353-379. DOI: 10.1002/cpp.507
  25. Godor B.P., Szymanski A. (2017). Sense of belonging or feeling marginalized? Using PISA 2012 to assess the state of academically gifted students within the EU. High Ability Studies, 28(2): 181-197. DOI: 10.1080/13598139.2017.1319343
  26. Gorey C.M., Rojas E.A., Bornovalova M.A. (2018). More of a good thing is not always better: Validation of a distress overtolerance measure. Assessment, 25(4): 446-457. DOI: 10.1177/1073191116654218
  27. Gumley A. (2011). Metacognition, affect regulation and symptom expression: A transdiagnostic perspective. Psychiatry Research, 190(1): 72-78. DOI: 10.1016/j.psychres.2011.09.025
  28. Hayes S.C., Hofmann S.G. (2017). The third wave of cognitive behavioral therapy and the rise of process-based care. World Psychiatry, 16: 245-246. DOI: 10.1002/wps.20442
  29. Hewitt P.L., Flett G.L., Sherry S.B., Caelian C. (2006). Trait Perfectionism Dimensions and Suicidal Behavior. In Ellis T.E. (ed.), Cognition and Suicide: Theory, Research, and Therapy. Washington: American Psychological Association, pp. 215-235.
  30. Hewitt P.L., Flett G.L., Mikail S.F. (2017). Perfectionism: A Relational Approach to Conceptualization, Assessment, and Treatment. New York: The Guilford Press.
  31. Hochheiser J., Lundin N.B., Lysaker P.H. (2020). The independent relationships of metacognition, mindfulness, and cognitive insight to self-compassion in schizophrenia. The Journal of Nervous and Mental Disease, 208(1): 1-6. DOI: 10.1097/NMD.0000000000001065
  32. Holt-Lunstad J., Smith T.B., Baker M., Harris T., Stephenson D. (2015). Loneliness and social isolation as risk factors for mortality: a meta-analytic review. Perspectives on Psychological Science: A Journal of the Association for Psychological Science, 10(2): 227-237. DOI: 10.1177/1745691614568352
  33. Jacobson N. S., Truax P. (1991). Clinical significance: A statistical approach to defining meaningful change in psychotherapy research. Journal of Consulting and Clinical Psychology, 59(1): 12-19. DOI: 10.1037/0022-006X.59.1.12
  34. Lee L.E., Rinn A.N., Crutchfield K., Ottwein J.K., Hodges J., Mun R.U. (2021). Perfectionism and the Imposter Phenomenon in Academically Talented Undergraduates. Gifted Child Quarterly, 65(3): 220-234. DOI: 10.1177/0016986220969396
  35. Lynch T.R., Mizon G.A. (2011). Distress overtolerance and distress intolerance: A behavioral perspective. In Zvolensky M.J., Bernstein A., Vujanovic A.A. (eds.), Distress Tolerance: Theory, Research, and Clinical Applications. New York: The Guilford Press, pp. 52-79.
  36. Lysaker P.H., Klion R.E. (2018). Recovery, Meaning-Making, and Severe Mental Illness: A Comprehensive Guide to Metacognitive Reflection and Insight Therapy. London: Routledge.
  37. Matta M., Gritti E.S., Lang M. (2019). Personality assessment of intellectually gifted adults: A dimensional trait approach. Personality and Individual Differences, 140(January): 21-26. DOI: 10.1016/j.paid.2018.05.009
  38. Mowrer O.H. (1948). Learning theory and the neurotic paradox. American Journal of Orthopsychiatry, 18(4): 571-610. DOI: 10.1111/j.1939-0025.1948.tb05122.x
  39. Richards J.M. (2004). The cognitive consequences of concealing feelings. Current Directions in Psychological Science, 13(4): 131-134. DOI: 10.1111/j.0963-7214.2004.00291.x
  40. Rinn A.N., Bishop J. (2015). Gifted adults: A systematic review and analysis of the literature. Gifted Child Quarterly, 59(4): 213-235. DOI: 10.1177/0016986215600795
  41. Ruggero C.J., Kotov R., Hopwood C.J., First M., Clark L.A., Skodol A.E., Mullins-Sweatt S.N., Patrick C.J., Bach B., Cicero D.C., Docherty A., Simms L.J., Bagby R.M., Krueger R.F., Callahan J.L., Chmielewski M., Conway C.C., De Clercq B., Dornbach-Bender A., Eaton N.R., Zimmermann J. (2019). Integrating the Hierarchical Taxonomy of Psychopathology (HiTOP) into clinical practice. Journal of Consulting and Clinical Psychology, 87(12): 1069-1084. DOI: 10.1037/ccp0000452
  42. Russell D.W. (1996). UCLA Loneliness Scale (Version 3): Reliability, validity, and factor structure. Journal of Personality Assessment, 66(1): 20-40. DOI: 10.1207/s15327752jpa6601_2
  43. Saeri A.K., Cruwys T., Barlow F.K., Stronge S., Sibley C.G. (2018). Social connectedness improves public mental health: Investigating bidirectional relationships in the New Zealand attitudes and values survey. The Australian and New Zealand Journal of Psychiatry, 52(4): 365-374. DOI: 10.1177/0004867417723990
  44. Scott W.D., Cervone D. (2002). The impact of negative affect on performance standards: Evidence for an affect-as-information mechanism. Cognitive Therapy and Research, 26(1): 19-37. DOI: 10.1023/A:1013837520031
  45. Semerari A., Colle L., Pellecchia G., Buccione I., Carcione A., Dimaggio G., Nicolo G., Procacci M., Pedone R. (2014). Metacognitive dysfunctions in personality disorders: Correlations with disorder severity and personality styles. Journal of Personality Disorders, 28(6): 751-766. DOI: 10.1521/pedi_2014_28_137
  46. Sherry S.B., Hewitt P.L., Sherry D.L., Flett G.L., Graham A.R. (2010). Perfectionism dimensions and research productivity in psychology professors: Implications for understanding the (mal)adaptiveness of perfectionism. Canadian Journal of Behavioural Science/Revue Canadienne Des Sciences Du Comportement, 42(4): 273-283. DOI: 10.1037/a0020466
  47. Speirs Neumeister K. (2007). Perfectionism in gifted students: An overview of current research. Gifted Education International, 23(3): 254-263. DOI: 10.1177/026142940702300306
  48. Steenbergen-Hu S., Olszewski-Kubilius P., Calvert E. (2020). The Effectiveness of Current Interventions to Reverse the Underachievement of Gifted Students: Findings of a Meta-Analysis and Systematic Review. Gifted Child Quarterly, 64(2): 132-165. DOI: 10.1177/0016986220908601
  49. Waltman S.H., Sokol L. (2017). The generic model of cognitive behavioral therapy: A Case conceptualization-driven approach. In Hofmann S.G., Asmundson G.J.G.B. (eds.), The Science of Cognitive Behavioral Therapy. New York: Academic Press, pp. 3-17.
  50. Wiese C.W., Tay L., Duckworth A.L., D’Mello S., Kuykendall L., Hofmann W., Baumeister R.F., Vohs K.D. (2018). Too much of a good thing? Exploring the inverted-U relationship between self-control and happiness. Journal of Personality, 86(3): 380-396. DOI: 10.1111/jopy.12322
  51. Winner E. (2000). The origins and ends of giftedness. American Psychologist, 55(1): 159-169. DOI: 10.1037/0003-066X.55.1.159

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Simone Cheli, Veronica Cavalletti, The paradox of overcontrol, perfectionism and self-criticism: A cases series on gifted students in "QUADERNI DI PSICOTERAPIA COGNITIVA" 48/2021, pp 59-73, DOI: 10.3280/qpc48-2021oa12141