The evaluation of a cognitive behavioural treatment protocol on perfectionism & low self-esteem amongst clients with mood and anxiety disorders : an interpretative phenomenological approach

Hdl Handle:
http://hdl.handle.net/10545/337575
Title:
The evaluation of a cognitive behavioural treatment protocol on perfectionism & low self-esteem amongst clients with mood and anxiety disorders : an interpretative phenomenological approach
Authors:
Pantelidi, Irene C.
Abstract:
Perfectionism can be constructed as a trans diagnostic concept that co exists and probably contributes to the onset development and maintenance of a number of Axis 1 disorders. There is also a significant relationship between perfectionism and low self- esteem. There is considerable theoretical debate in the literature concerning whether perfectionism is uni or multi-dimensional with most therapies being based upon uni dimensional conceptualisations and thus overlooking interpersonal factors. This is also reflected in the relative absence of qualitative studies that explore perfectionism from a lived experience perspective. Aims: This study aims to explore the experiences of perfectionism and low self-esteem in different life domains. It also aims to evaluate the client’s experiences and efficacy of a proposed treatment protocol that targets perfectionism from a multidimensional perspective. Method: The study is divided into three phases. A Multiple baseline design is used to evaluate the treatment protocol including cognitive and behavioural interventions, compassionate mind training and assertiveness training to target perfectionism and low self-esteem. Two clinical groups experiencing Axis 1 disorders and high perfectionism are divided amongst the different phases of this study, 13 and 8 participants respectively. Mixed methods are administered to analyse the data with greater emphasis on the qualitative ones. Measures administered include the Beck Depression & Anxiety Inventories; the Rosenberg Self Esteem Scale; the Dysfunctional Attitudes Scale; the Multidimensional Perfectionism Scale by Frost and the Perfectionistic Self Presentation Scale. 8 semi-structured interviews are analysed utilising Interpretative Phenomenological Approach (IPA). Results: from the analysis of data it is evident that perfectionism is a multidimensional construct with strong interpersonal features that affect several different life domains. The proposed treatment protocol appears significantly effective in reducing perfectionism and Axis 1 disorder symptomatology. Additionally, there is a significant increase in self- esteem. Interventions that appear most helpful are behavioural experiments, assertiveness training, compassionate mind training, continuum and positive logging.
Advisors:
Townend, Michael; Brannigan, Chris
Publisher:
University of Derby
Issue Date:
16-Jan-2015
URI:
http://hdl.handle.net/10545/337575
Type:
Thesis or dissertation
Language:
en
Appears in Collections:
Faculty of Education, Health & Science

Full metadata record

DC FieldValue Language
dc.contributor.advisorTownend, Michaelen
dc.contributor.advisorBrannigan, Chrisen
dc.contributor.authorPantelidi, Irene C.en
dc.date.accessioned2014-12-23T11:33:30Zen
dc.date.available2014-12-23T11:33:30Zen
dc.date.issued2015-01-16en
dc.identifier.urihttp://hdl.handle.net/10545/337575en
dc.description.abstractPerfectionism can be constructed as a trans diagnostic concept that co exists and probably contributes to the onset development and maintenance of a number of Axis 1 disorders. There is also a significant relationship between perfectionism and low self- esteem. There is considerable theoretical debate in the literature concerning whether perfectionism is uni or multi-dimensional with most therapies being based upon uni dimensional conceptualisations and thus overlooking interpersonal factors. This is also reflected in the relative absence of qualitative studies that explore perfectionism from a lived experience perspective. Aims: This study aims to explore the experiences of perfectionism and low self-esteem in different life domains. It also aims to evaluate the client’s experiences and efficacy of a proposed treatment protocol that targets perfectionism from a multidimensional perspective. Method: The study is divided into three phases. A Multiple baseline design is used to evaluate the treatment protocol including cognitive and behavioural interventions, compassionate mind training and assertiveness training to target perfectionism and low self-esteem. Two clinical groups experiencing Axis 1 disorders and high perfectionism are divided amongst the different phases of this study, 13 and 8 participants respectively. Mixed methods are administered to analyse the data with greater emphasis on the qualitative ones. Measures administered include the Beck Depression & Anxiety Inventories; the Rosenberg Self Esteem Scale; the Dysfunctional Attitudes Scale; the Multidimensional Perfectionism Scale by Frost and the Perfectionistic Self Presentation Scale. 8 semi-structured interviews are analysed utilising Interpretative Phenomenological Approach (IPA). Results: from the analysis of data it is evident that perfectionism is a multidimensional construct with strong interpersonal features that affect several different life domains. The proposed treatment protocol appears significantly effective in reducing perfectionism and Axis 1 disorder symptomatology. Additionally, there is a significant increase in self- esteem. Interventions that appear most helpful are behavioural experiments, assertiveness training, compassionate mind training, continuum and positive logging.en
dc.language.isoenen
dc.publisherUniversity of Derbyen
dc.subjectPerfectionismen
dc.subjectClinical perfectionismen
dc.subjectIPAen
dc.subjectPhenomenologyen
dc.subjectMixed methods methodologyen
dc.subjectCognitive behaviour therapyen
dc.subjectMultiphase designen
dc.subjectTreatment of perfectionismen
dc.subjectSelf- esteemen
dc.subjectLow self- esteem and perfectionismen
dc.titleThe evaluation of a cognitive behavioural treatment protocol on perfectionism & low self-esteem amongst clients with mood and anxiety disorders : an interpretative phenomenological approachen
dc.typeThesis or dissertationen
dc.publisher.departmentUniversity of Derbyen
dc.type.qualificationnamePhDen
dc.type.qualificationlevelDoctoralen
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