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This practical resource provides an evidence-based framework for treating clients struggling with perfectionism, whether as the main presenting problem or in conjunction with depression, eating disorders, anxiety disorders, or obsessive-compulsive disorder. Using a case formulation approach, the authors draw on their extensive cognitive-behavioral therapy (CBT) experience to present specific techniques and interventions. Coverage spans treatment planning, the therapeutic alliance, key obstacles that may arise, relapse prevention, and emerging research. Reproducible assessment scales and 36 patient handouts are included; purchasers get access to a Web page where they can download and print the reproducible materials in a convenient 8 1/2" x 11" size. "At last, an authoritative guide to the understanding and treatment of severe perfectionism. Well written, comprehensive, and with many clinical illustrations. Highly recommended."--Christopher G. Fairburn, DM, FMedSci, FRCPsych, Professor of Psychiatry, University of Oxford, United Kingdom


"Maladaptive perfectionism is notoriously difficult to treat. Egan et al. provide expert, empirically informed, state-of-the-art advice for understanding, assessing, and treating this common clinical problem. This book will likely become the gold-standard clinician's guide. It offers comprehensive, step-by-step advice that will benefit both trainees and experienced therapists."--Steven Taylor, PhD, Department of Psychiatry, University of British Columbia, Canada


"A 'perfect' book about the treatment of perfectionism! The authors clearly describe the nature of dysfunctional perfectionism and its relationship to psychopathology, and offer a wonderfully nuanced approach to treatment, alone or in the context of various psychological disorders. They know their material inside and out and give the reader all the tools to approach the assessment and treatment of this often vexing and difficult clinical problem. They also provide interventions that can be applied to the treatment of any clinical problem, making the book very useful for both beginning and seasoned clinicians. Bravo!"--Richard G. Heimberg, PhD, Department of Psychology and Director, Adult Anxiety Clinic of Temple, Temple University

Cognitive-Behavioral Treatment of Perfectionism

1. Nature and Causes of Perfectionism

2. Research on the Treatment of Perfectionism

3. Perfectionism across Psychopathology

4. Perfectionism as a Transdiagnostic Process

5. Assessment of Perfectionism

6. Treatment Planning, Homework, and Supervision

7. The Cognitive-Behavioral Model of Perfectionism and Collaborative Formulation

8. The Therapeutic Alliance and Engagement

9. Self-Monitoring, Psychoeducation, and Surveys

10. Thinking Errors

11. Cognitive Strategies

12. Behavioral Experiments

13. Self-Evaluation and Self-Criticism

14. Procrastination and Time Management

15. Relapse Prevention

16. Emerging Approaches in Treatment of Perfectionism

Appendix 1. Resources

Appendix 2. Handouts

Appendix 3. Self-Report Measures

References

Index