Skip to main content
Log in

Why Perfectionism Is Antithetical to Mindfulness: a Conceptual and Empirical Analysis and Consideration of Treatment Implications

  • Original Article
  • Published:
International Journal of Mental Health and Addiction Aims and scope Submit manuscript

Abstract

In the current article, we consider the broad question of “Why is perfectionism antithetical to mindfulness?” and we examine the implications for the treatment of perfectionists suffering from stress-related illnesses and disorders. In addition, we review past research on perfectionism and mindfulness. Finally, we also report two empirical studies with university students evaluating the link between perfectionism and dispositional mindfulness. The findings from these studies demonstrate uniquely that socially prescribed perfectionism and facets of perfectionistic self-presentation are both associated with low mindfulness. Additionally, mindfulness was a mediator of the associations between interpersonal facets of perfectionism and depression in study 2. Collectively, the findings suggest that people who experience pressures to be perfect and who are engaged excessively in extreme self-presentation can benefit substantially from increased mindfulness, but it is particularly difficult for certain perfectionists to develop a state of mindfulness that is not consonant with their personality, temperament, and orientation toward life. The implications for the treatment of distressed perfectionists are discussed.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1

Similar content being viewed by others

References

  • Argus, G., & Thompson, M. (2008). Perceived social problem solving, perfectionism, and mindful awareness in clinical depression: an exploratory study. Cognitive Therapy and Research, 32, 745–757.

    Google Scholar 

  • Azam, M. A., Katz, J., Fashler, S. R., Changoor, T., Azargive, S., & Ritvo, P. (2015). Heart rate variability is enhanced in controls but not maladaptive perfectionists during brief mindfulness meditation following stress-induction: a stratified-randomized trial. International Journal of Psychophysiology, 98, 27–34. https://doi.org/10.1016/j.ijpsycho.2015.06.005.

    Article  PubMed  Google Scholar 

  • Baer, R. A., Smith, G. T., & Allen, K. B. (2004). Assessment of mindfulness by self-report: the Kentucky Inventory of Mindfulness Skills. Assessment, 11, 191–206.

    PubMed  Google Scholar 

  • Beccia, A. L., Dunlap, C., Hanes, D. A., Courneene, B. J., & Zwickey, H. L. (2018). Mindfulness-based eating disorder prevention programs: a systematic review and meta-analysis. Mental Health and Prevention, 9, 1–12.

    Google Scholar 

  • Besser, A., Flett, G. L., & Hewitt, P. L. (2010). Perfectionistic self-presentation and trait perfectionism in social problem-solving ability and depressive symptoms. Journal of Applied Social Psychology, 40, 2121–2154.

    Google Scholar 

  • Bieling, P. J., Summerfeldt, L. J., Israeli, A. L., & Antony, M. M. (2004). Perfectionism as an explanatory construct in comorbidity of axis I disorders. Journal of Psychopathology and Behavioral Assessment, 26, 193–201.

    Google Scholar 

  • Brown, K. W., & Ryan, R. M. (2003). The benefits of being present: mindfulness and its role in psychological well-being. Journal of Personality and Social Psychology, 84, 822–848.

    PubMed  Google Scholar 

  • Brown, K. W., Weinstein, N., & Creswell, J. D. (2012). Trait mindfulness modulates neuroendocrine and affective responses to social evaluative threat. Psychoneuroendocrinology, 37, 2037–2041.

    CAS  PubMed  PubMed Central  Google Scholar 

  • Burns, D. D. (1980, November). The perfectionist’s script for self-defeat. Psychology Today, 23–52.

  • Burns, J. L., Lee, R. M., & Brown, L. J. (2011). The effect of meditation on self-reported stress, anxiety, depression, and perfectionism in a college population. Journal of College Student Psychotherapy, 25, 132–144.

    Google Scholar 

  • Carson, S. H., & Langer, E. J. (2006). Mindfulness and self-acceptance. Journal of Rational-Emotive and Cognitive-Behavior Therapy, 24, 29–43.

    Google Scholar 

  • Crane, C., Barnhofer, T., Duggan, D. S., Hepburn, S., Fennell, M. V., & Williams, J. M. (2008). Mindfulness-based cognitive therapy and self-discrepancy in recovered depressed patients with a history of depression and suicidality. Cognitive Therapy and Research, 32, 775–787.

    Google Scholar 

  • Curran, T., & Hill, A. P. (2019). Perfectionism is increasing over time: a meta-analysis of birth cohort differences from 1989 to 2016. Psychological Bulletin, 145, 410–429.

    PubMed  Google Scholar 

  • Diaz, F. M. (2018). Relationships among meditation, perfectionism, mindfulness and performance anxiety among collegiate music students. Journal of Research in Music Education, 66, 150–167.

    Google Scholar 

  • DiBartolo, P., Frost, R. O., Peicha, C., LaSota, M., & Grills, A. E. (2004). Shedding light on the relationship between personal standards and psychopathology: the case for contingent self-worth. Journal of Rational-Emotive & Cognitive-Behavior Therapy, 22, 241–254.

    Google Scholar 

  • Di Schiena, R., Luminet, O., Philippot, P., & Douilliez, C. (2012). Adaptive and maladaptive perfectionism in depression: preliminary evidence on the role of adaptive and maladaptive rumination. Personality and Individual Differences, 53, 774–748.

    Google Scholar 

  • Dunkley, D. M., Blankstein, K. R., Halsall, J., Williams, M., & Winkworth, G. (2000). The relation between perfectionism and distress: hassles, coping, and perceived social support as mediators and moderators. Journal of Counseling Psychology, 47, 437–453.

    Google Scholar 

  • Edmonds, J., Masuda, A., & Tully, E. C. (2014). Relations among self-concealment, mindfulness, and internalizing problems. Mindfulness, 5, 497–504.

    Google Scholar 

  • Fennell, M. J. V. (2004). Depression, low self-esteem, and mindfulness. Behaviour Research and Therapy, 42, 1053–1067.

    PubMed  Google Scholar 

  • Flett, A. L., & Carson, A. (2014). Evaluating a brief mindfulness intervention and the relationship between stress appraisal and mindfulness in university students. Canadian Psychology, 55(2A), 39 (Abstract).

    Google Scholar 

  • Flett, G. L., Besser, A., Davis, R. A., & Hewitt, P. L. (2003). Dimensions of perfectionism, unconditional self-acceptance, and depression. Journal of Rational-Emotive & Cognitive-Behavior Therapy, 21, 119–138.

    Google Scholar 

  • Flett, G. L., & Hewitt, P. L. (2020). Reflections on three decades of research on multidimensional perfectionism: introduction to the special issue on further advances in the assessment of perfectionism. Journal of Psychoeducational Assessment, 38, 3–14.

    Google Scholar 

  • Flett, G. L., Hewitt, P. L., Blankstein, K. R., & Gray, L. (1998). Psychological distress and the frequency of perfectionistic thinking. Journal of Personality and Social Psychology, 75, 1363–1381.

    CAS  PubMed  Google Scholar 

  • Flett, G. L., Hewitt, P. L., Nepon, T., & Besser, A. (2018). Perfectionism cognition theory: the cognitive side of perfectionism. In J. Stoeber (Ed.), The psychology of perfectionism: theory, research, applications (pp. 89–110). London: Routledge.

    Google Scholar 

  • Flett, G. L., Hewitt, P. L., Nepon, T., & Zaki-Azat, J. (2018). Children and adolescents “flying under the radar”: understanding, assessing, and addressing hidden distress among students. In A. Leschied, D. H. Saklofske, & G. L. Flett (Eds.), The handbook of school-based mental health promotion: an evidence informed framework for implementation (pp. 357–382). New York: Springer, Cham.

    Google Scholar 

  • Flett, G. L., Nepon, T., Hewitt, P. L., & Fitzgerald, K. (2016). Perfectionism, components of stress reactivity and distress. Journal of Psychopathology and Behavioral Assessment, 38, 645–654.

    Google Scholar 

  • Flett, G. L., Nepon, T., Hewitt, P. L., Zaki-Azat, J., Rose, A. L., & Swiderski, K. (2020). The Mistake Rumination Scale: development, validation, and utility of a measure of cognitive perfectionism. Journal of Psychoeducational Assessment, 38, 84–98.

    Google Scholar 

  • Frewen, P. A., Evans, E. M., Maraj, N., Dozois, D. J. A., & Partridge, K. (2008). Letting go: mindfulness and negative automatic thinking. Cognitive Therapy and Research, 32, 758–774.

    Google Scholar 

  • Frost, R. O., Marten, P., Lahart, C., & Rosenblate, R. (1990). The dimensions of perfectionism. Cognitive Therapy and Research, 14, 449–468.

    Google Scholar 

  • Fry, P. S., & Debats, D. L. (2009). Perfectionism and the five-factor personality traits as predictors of mortality in older adults. Journal of Health Psychology, 14, 513–524.

    PubMed  Google Scholar 

  • Garcia-Villamisar, D., Dattilo, J., & Del Pozo, A. (2012). Depressive mood, eating disorder symptoms, and perfectionism in female college students: a mediational analysis. Eating Disorders, 20, 60–72.

    PubMed  Google Scholar 

  • Garland, E. L., Gaylord, S. A., & Frederickson, B. L. (2011). Positive reappraisal mediates the stress-reductive effects of mindfulness: an upward spiral process. Mindfulness, 2, 59–67.

    Google Scholar 

  • Goldberg, S. B., Tucker, R. P., Greene, P. A., Davidson, R. J., Wampold, B. E., Kearney, D. J., & Simpson, T. L. (2018). Mindfulness-based interventions for psychiatric disorders: a systematic review and meta-analysis. Clinical Psychology Review, 59, 52–60.

    PubMed  Google Scholar 

  • Hewitt, P. L., Blasberg, J. S., Flett, G. L., Besser, A., Sherry, S. B., Caelian, C., et al. (2011). Perfectionistic self-presentation in children and adolescents: development and validation of the Perfectionistic Self-Presentation Scale – Junior Form. Psychological Assessment, 23, 125–142.

    PubMed  Google Scholar 

  • Hewitt, P. L., Chen, C., Smith, M. M., Zhang, L., Habke, M., Flett, G. L., & Mikail, S. F. (2020). Patient perfectionism and clinical impression formation during an initial interview. Psychology and Psychotherapy: Research and Practice. https://doi.org/10.1111/papt.12266.

    Book  Google Scholar 

  • Hewitt, P. L., & Flett, G. L. (1991). Perfectionism in the self and social contexts: conceptualization, assessment, and association with psychopathology. Journal of Personality and Social Psychology, 60, 456–470.

    CAS  PubMed  Google Scholar 

  • Hewitt, P. L., & Flett, G. L. (2002). Perfectionism and stress in psychopathology. In G. L. Flett & P. L. Hewitt (Eds.), Perfectionism: theory, research, and treatment (pp. 255–284). Washington, DC: APA Press.

    Google Scholar 

  • Hewitt, P. L., & Flett, G. L. (2004). Multidimensional Perfectionism Scale: technical manual Toronto. ON: Multi-Health Systems Inc..

    Google Scholar 

  • Hewitt, P. L., Flett, G. L., & Mikail, S. F. (2017). Perfectionism: a relational approach to assessment, treatment, and conceptualization. New York: Guilford.

    Google Scholar 

  • Hewitt, P. L., Flett, G. L., Sherry, S. B., Habke, M., Parkin, M., Lam, R. W., et al. (2003). The interpersonal expression of perfection: perfectionistic self-presentation and psychological distress. Journal of Personality and Social Psychology, 84, 1303–1321.

    PubMed  Google Scholar 

  • Hewitt, P. L., Mikail, S. F., Flett, G. L., Tasca, G. A., Flynn, C. A., Deng, X., Kaldas, J., & Chen, C. (2015). Psychodynamic/interpersonal group psychotherapy for perfectionism: evaluating the effectiveness of a short-term treatment. Psychotherapy, 52, 205–217.

    PubMed  Google Scholar 

  • Hewitt, P. L., Smith, M. M., Deng, C., Chen, C., Ko, A., Flett, G. L., & Patterson, R. (in press). The perniciousness of perfectionism in group therapy for depression: a test of the perfectionism social disconnection model. Psychotherapy.

  • Hill, A. P., & Curran, T. (2016). Multidimensional perfectionism and burnout: a meta-analysis. Personality and Social Psychology Review, 20, 269–288.

    PubMed  Google Scholar 

  • Hill, A. P., Hall, H. K., & Appleton, P. R. (2010). Perfectionism and athlete burnout in junior elite athletes: the mediating role of coping tendencies. Anxiety, Stress, and Coping, 23, 415–430.

    PubMed  Google Scholar 

  • Hill, A. P., Hall, H. K., Appleton, P. R., & Kozub, S. A. (2008). Perfectionism and burnout in junior elite soccer players: the mediating influence of unconditional self-acceptance. Psychology of Sport and Exercise, 9, 630–644.

    Google Scholar 

  • Hinterman, C., Burns, L., Hopwood, D., & Rogers, W. (2012). Mindfulness: seeking a more perfect approach to coping with life’s challenges. Mindfulness, 3, 275–281.

    Google Scholar 

  • Hofmann, S. G., Sawyer, A. T., Witt, A. A., & Oh, D. (2010). The effect of mindfulness-based therapy on anxiety and depression: a meta-analytic review. Journal of Consulting and Clinical Psychology, 78, 169–183.

    PubMed  PubMed Central  Google Scholar 

  • Irving, J. A., Park-Saltzman, J., Fitzpatrick, M., Dobkin, P. L., Chen, A., & Hutchison, T. (2014). Experiences of health care professionals enrolled in the mindfulness-based medical practice: a grounded theory model. Mindfulness, 5, 60–71.

    Google Scholar 

  • James, K., & Rimes, K. A. (2018). Mindfulness-based cognitive therapy vs. pure cognitive behavioural self-help for perfectionism: a pilot randomized study. Mindfulness, 9, 801–814.

    PubMed  Google Scholar 

  • Jermann, F., Billieux, J., Larøi, F., d’Agembeau, A., Bondolfi, G., Zermatten, A., & Van der Linden, M. (2009). Mindful Attention Awareness Scale (MAAS): psychometric properties of the French translation and exploration of its relations with emotion regulation strategies. Psychological Assessment, 21, 506–514.

    PubMed  Google Scholar 

  • Kabat-Zinn, J. (2009). Full catastrophe living. New York: Bantam Dell.

    Google Scholar 

  • Keng, S.-L., Smoski, M. J., & Robins, C. J. (2011). Effects of mindfulness on psychological health: a review of empirical studies. Clinical Psychological Review, 31, 1041–1056.

    Google Scholar 

  • Khoury, B., Lecomte, T., Fortin, G., Masse, M., Therien, P., Bouchard, V., Chapleau, M.-A., Paquin, K., & Hofmann, S. G. (2013). Mindfulness-based therapy: a comprehensive meta-analysis. Clinical Psychology Review, 33, 763–771.

    PubMed  Google Scholar 

  • Koerten, H. R., Watford, T. S., Dubow, E. F., & O’Brien, W. H. (in press). Cardiovascular benefits of brief mindfulness meditation among perfectionists experiencing failure. Psychophysiology. https://doi.org/10.1111/psyp.13517.

  • Lindsay, E. K., Young, S., Brown, K. W., Smyth, J. M., & Creswell, J. D. (2019). Mindfulness training reduces loneliness and increases social contact in a randomized controlled trial. Proceedings of the National Academy of Sciences, 116, 3488–3493.

    CAS  Google Scholar 

  • Lundh, L.-G. (2004). Perfectionism and acceptance. Journal of Rational-Emotive and Cognitive-Behavior Therapy, 22, 251–265.

    Google Scholar 

  • Masuda, A., Anderson, P. L., & Sheehan, S. T. (2009). Mindfulness and mental health among African American college students. Complementary Health Practice Review, 14, 115–127.

    Google Scholar 

  • Masuda, A., Wendell, J. W., Chou, Y.-Y., & Feinstein, A. B. (2010). Relationships among self-concealment, mindfulness, and negative psychological outcomes in Asian American and European American college students. Personality and Individual Differences, 50, 243–247.

    Google Scholar 

  • McCown, W. G., & Carlson, G. (2004). Narcissism, perfectionism, and self-termination from treatment in outpatient cocaine users. Journal of Rational-Emotive and Cognitive-Behavior Therapy, 22, 325–336.

    Google Scholar 

  • Olson, M. L., & Kwon, P. (2008). Brooding perfectionism: rethinking the roles of rumination and perfectionism in the etiology of depression. Cognitive Therapy and Research, 32, 788–802.

    Google Scholar 

  • Radloff, L. S. (1977). The CES-D Scale: a self-report depression scale for research in the general population. Applied Psychological Measurement, 1, 385–401.

    Google Scholar 

  • Raes, F., & Williams, J. M. G. (2010). The relationship between mindfulness and uncontrollability of ruminative thinking. Mindfulness, 1, 199–203.

    Google Scholar 

  • Ramel, W., Goldin, P. R., Carmona, P. E., & McQuaid, J. R. (2004). The effects of mindfulness meditation on cognitive processes and affect in patients with past depression. Cognitive Therapy and Research, 28, 433–455.

    Google Scholar 

  • Rawana, J. S., Diplock, B. D., & Chan, S. (2018). Mindfulness-based programs in school settings: current state of the research. In A. Leschied, D. H. Saklofske, & G. L. Flett (Eds.), The handbook of school-based mental health promotion: an evidence informed framework for implementation (pp. 323–355). New York: Springer, Cham.

    Google Scholar 

  • Sapthiang, S., Van Gordon, W., & Shonin, E. (2019). Mindfulness in schools: a health promotion approach to improving adolescent mental health. International Journal of Mental Health and Addiction, 17, 112–119.

    Google Scholar 

  • Schafer, J. L., & Graham, J. W. (2002). Missing data: our view of the state of the art. Psychological Methods, 7, 147–177.

    PubMed  Google Scholar 

  • Scott, J. (2007). The effects of perfectionism and unconditional self-acceptance on depression. Journal of Rational-Emotive and Cognitive-Behavior Therapy, 25, 35–64.

    Google Scholar 

  • Shanmugasegaram, S., Flett, G. L., Madan, M., Oh, P., Marzolini, S., Reitav, J., Hewitt, P. L., & Sturman, E. C. (2014). Perfectionism, type D personality, and illness-related coping styles in cardiac rehabilitation patients. Journal of Health Psychology, 19, 417–426.

    PubMed  Google Scholar 

  • Short, M. M., & Mazmanian, D. (2013). Perfectionism and negative repetitive thoughts: examining a multiple mediator model in relation to mindfulness. Personality and Individual Differences, 55, 716–721.

    Google Scholar 

  • Sironic, A., & Reeve, R. A. (2015). A combined analysis of the Frost Multidimensional Perfectionism Scale (FMPS), Child and Adolescent Perfectionism Scale (CAPS), and Almost Perfect Scale-Revised (APS-R): different perfectionist profiles in adolescent high school students. Psychological Assessment, 27, 1471–1483.

    PubMed  Google Scholar 

  • Slaney, R. B., Rice, K. G., & Ashby, J. S. (2002). A programmatic approach to measuring perfectionism: the almost perfect scales. In G. L. Flett & P. L. Hewitt (Eds.), Perfectionism, theory, research and treatment (pp. 63–88). Washington, DC: American Psychological Association.

    Google Scholar 

  • Smith, M. M., Sherry, S. B., Chen, S., Saklofske, D. H., Mushquash, C., Flett, G. L., & Hewitt, P. L. (2018). The perniciousness of perfectionism: a meta-analytic review of the perfectionism-suicide relationship. Journal of Personality, 86, 522–542.

    PubMed  Google Scholar 

  • Smith, M. M., Sherry, S. B., Ray, C. M., Lee-Baggley, D. L., Hewitt, P. L., & Flett, G. L. (2020). The existential model of perfectionism and depressive symptoms: test of unique contributions and mediating mechanisms in a sample of depressed individuals. Journal of Psychoeducational Assessment, 38, 112–126.

    Google Scholar 

  • Steele, A. L., & Wade, T. D. (2008). A randomized trial investigating guided self-help to reduce perfectionism and its impact on bulimia nervosa: a pilot study. Behaviour Research and Therapy, 46, 1316–1323.

    PubMed  Google Scholar 

  • Thienot, E., Jackson, B., Dimmock, J., Grove, J. R., Bernier, M., & Fournier, J. F. (2014). Development and preliminary validation of the Mindfulness Inventory For Sport. Psychology of Sport and Exercise, 15, 72–80.

    Google Scholar 

  • Van Gordon, W., Shonin, E., Zaganeh, M., & Griffiths, M. D. (2014). Can mindfulness really improve work-related mental-health and job performance? International Journal of Mental Health and Addiction, 12, 129–137.

    Google Scholar 

  • Vidic, Z., & Cherup, N. (2019). Mindfulness in classroom: effect of a mindfulness-based relaxation class on college students’ stress, resilience, self-efficacy, and perfectionism. College Student Journal, 53, 130–144.

    Google Scholar 

  • Weinstein, N., Brown, K. W., & Ryan, R. M. (2009). A multi-method examination of the effects of mindfulness on stress attribution, coping, and emotional well-being. Journal of Research in Personality, 43, 374–389.

    Google Scholar 

  • Wheeler, H. A., Blankstein, K. R., Antony, M. M., McCabe, R. E., & Bieling, P. J. (2011). Perfectionism in anxiety and depression: comparisons across disorders, relations with symptom severity, and role of comorbidity. International Journal of Cognitive Therapy, 4, 66–91.

    Google Scholar 

  • Wimberley, T. E., Mintz, L. B., & Suh, H. (2016). Perfectionism and mindfulness: effectiveness of a bibliotherapy intervention. Mindfulness, 7, 433–444.

    Google Scholar 

  • Woolhouse, H., Knowles, A., & Crafti, N. (2012). Adding mindfulness to CBT programs for binge eating: a mixed-methods evaluation. Eating Disorders: The Journal of Treatment and Prevention, 20, 321–339.

    Google Scholar 

  • Xie, Y., Kong, Y., Yang, J., & Chen, F. (2019). Perfectionism, worry, rumination, and distress: a meta-analysis of the evidence for the perfectionism cognition theory. Personality and Individual Differences, 139, 301–312.

    Google Scholar 

  • Zheng, S., Sun, S., Huang, C., & Zou, Z. (2020). Authenticity and subjective well-being: the mediating role of mindfulness. Journal of Research in Personality, 84. https://doi.org/10.1016/j.jrp.2019.103900.

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Gordon L. Flett.

Ethics declarations

Conflict of Interest

The authors declare that they have no conflict of interest.

Ethical Approval

All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1975, as revised in 2000.

Additional information

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

The first author was supported by a Tier 1 Canada Research Chair in Personality and Health.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Flett, G.L., Nepon, T., Hewitt, P.L. et al. Why Perfectionism Is Antithetical to Mindfulness: a Conceptual and Empirical Analysis and Consideration of Treatment Implications. Int J Ment Health Addiction 19, 1625–1645 (2021). https://doi.org/10.1007/s11469-020-00252-w

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11469-020-00252-w

Keywords

Navigation