Modern Wisdom - #1025 - Dr Paul Hewitt - Understanding the Psychology of Perfectionism

Episode Date: November 27, 2025

Dr Paul Hewitt is a physicist, educator, and author. Why do so many of us struggle with perfectionism? For some, it started in childhood—but its impact as an adult can be exhausting. So how do you ...actually break the cycle and get comfortable with things being imperfect? Expect to learn what they archetypal perfectionist is and how they became themselves, the bevaviour of a perfectionist and how to differentiate between productive and toxic perfectionism, if perfectionism is related to burnout, why having high standards might not be a great thing, how to get out of the perfectionism trap, and much more… Sponsors: See discounts for all the products I use and recommend: https://chriswillx.com/deals Sign up for a one-dollar-per-month trial period from Shopify at https://shopify.com/modernwisdom Get up to 60% off during Gymshark's Black Friday Sale at ⁠https://gym.sh/modernwisdom⁠ (use code MODERNWISDOM10) Get a Free Sample Pack of LMNT’s most popular flavours with your first purchase at https://drinklmnt.com/modernwisdom Extra Stuff: Get my free reading list of 100 books to read before you die: https://chriswillx.com/books Try my productivity energy drink Neutonic: https://neutonic.com/modernwisdom Episodes You Might Enjoy: #577 - David Goggins - This Is How To Master Your Life: https://tinyurl.com/43hv6y59 #712 - Dr Jordan Peterson - How To Destroy Your Negative Beliefs: https://tinyurl.com/2rtz7avf #700 - Dr Andrew Huberman - The Secret Tools To Hack Your Brain: https://tinyurl.com/3ccn5vkp - Get In Touch: Instagram: https://www.instagram.com/chriswillx Twitter: https://www.twitter.com/chriswillx YouTube: https://www.youtube.com/modernwisdompodcast Email: https://chriswillx.com/contact - Learn more about your ad choices. Visit megaphone.fm/adchoices

Transcript
Discussion (0)
Starting point is 00:00:00 Give me a better than most people probably already have working definition of perfectionism. Well, first off, perfectionism is kind of a deeply ingrained personality style that people use to kind of navigate their path through life. So we talk about it as a way of being in the world. and it's kind of the sense that at the core I'm not enough, that there's something that is flawed, defective, I'm just not enough either to have worth or to be acceptable to other people, to fit, to belong, to have a place in the world.
Starting point is 00:00:50 And so it's a way of trying to navigate that because when we have that sense of being flawed and defective where I don't fit, we don't just typically say, okay, that's the way it is. We try to do something about it. We try to rectify it. One of the ways that a person can do that, and they learn this often very early in life,
Starting point is 00:01:15 is that if I am perfect or if I can appear to others is perfect, then I will be acceptable to them, I will be loved, I will be cared for, I will belong, I will matter to other people, and by virtue of that, I will have worth. It will repair this sense of being flawed and defective at the core. So what it is is this sort of way of navigating the world of trying to conceal imperfections, trying, yes, to be perfect in tasks and activities in that, but really it's more of a drive not to be imperfect. So that's kind of the way we understand.
Starting point is 00:02:06 So this typical sort of upbringing of somebody that grows up to be a perfectionist is love contingent on performance? And that can be an element of it. I think what we talk about in terms of the development would be a sense of, this comes from the attachment literature that people have probably heard the term before, but also some writing, in Solzacanalytic writing, on the development of this by Heinz Kohut. And it's the notion that very early on in our lives we develop,
Starting point is 00:02:47 a sense of who we are and a sense of the way other people work in our lives. And so very often, the very early kind of lives of individuals who develop this flawed sense of self or this not fitting is there's what we call an asynchrony or a non-attumment. It's at these basic very human needs to have worth and to be a acceptable, or to fit and belong, are not met early in the person's life. So they have a sense that I'm just not enough, there's something wrong with me, and they try to navigate that. As I said, often very, very early in life.
Starting point is 00:03:35 So they do have a sense of caregivers or family members or people that are supposed to be caring for them as they're incapable of giving me what I need, they're don't care, they're abusive, or we just miss, we just don't connect. So it's not to say that the parents are to blame or bad. It's just that somehow what the child needs is just not attainable in that interaction. That's kind of the essence of attachment. And what's the lesson from the burgeoning proto-perfectionist? What is the lesson that that child takes away, that I am not getting what I need, therefore
Starting point is 00:04:27 I need to be more than I am in order to get what I need? If I can be more impressive, less imperfect, then the world might support me and love me in the way that I want? Yes, but it's not that sophisticated at that very early age. It's a sense of, I'm just not enough, there's something wrong with me, and try in some sort of fashion to try to deal with that. And in a way, I mean, in a way, it's a very elegant solution to the pain of that because a child will learn this sort of sense. Well, if I am perfect, or if I can appear to others as if I am perfect or conceal my, imperfections, then all of these wonderful things are going to happen. I will be acceptable
Starting point is 00:05:18 to others. I'll feel good about myself. I'll have worth. And I will fit and belong in the world. Now, it's a very childlike solution to the problem, but it's very elegant at that sort of stage of development. And it grabs on with these people. Sorry, you're going to say something. It makes sense if you say that one of the key drivers in a child that is continued into adulthood of a perfectionist is, I am not enough, then the value judgment is, if I can be more, then I may be enough. And more is more perfect, better in terms of my performance, higher in terms of my achievement, less in terms of my error and my mistake making. all of those all of those kind of things but at the at the basis of it is this sense that yeah i need i need to be more uh and it's it's a nebulous kind of concept of course so each person's perfectionism is entirely unique both in terms of how they feel about or how they understand themselves but also
Starting point is 00:06:32 how they try to navigate that how they try to be perfect or appear to be perfect in the world. So it's quite idiosyncratic in terms of what that kind of looks like for each person. So for some, it can be absolutely striving and driving and trying to do lots of things. For many people, it's a concern with that, but paralysis. They don't really do anything. But they have this internal sort of dialogue, this sense of this is what I should be doing, I need to be doing this in order to solve the problem. But there's just paralysis that exists. What does it feel like to live inside a perfectionist's mind? Abusive, harsh, critical. I mean, there's a component of perfectionism that we call the
Starting point is 00:07:27 intra-individual or the self-relational component. And the way to think about it is, Chris, just like you can have a way of relating to other people, and it's a stylistic way. You know, you're open, you're kind, you talk to people, you listen carefully, and that's a style you have of relating to other people. Just like you can have that style with others, there's a style we have of relating to the self. And often we don't kind of think of it that way, but one of the ways to kind of capture the nature of the relationship that person has, as with themselves, is by that dialogue that we have. So every day we have these conversations with ourselves.
Starting point is 00:08:14 And most of the time, they're quite benign, brushing your teeth in the morning, and you're thinking, hey, I've got to do this interview today. I've got to make sure I read that article before. And they're benign sorts of things. But every once in a while, that a style can be triggered where the individual is evaluating themselves or anticipating. some kind of performance and this stylistic, oh, I've got to do this perfectly, I've got to make sure I have all this covered, I've got to make sure I don't, I don't stutter, I don't mispronounce a word, I don't look
Starting point is 00:08:45 silly or foolish, or my voice shit, this kind of dialogue, or after an experience, why did I say that? I can't believe I was so stupid when I say that. And it's this kind of relational thing. And if you took that dialogue and spoke it to your spouse, your child, and I'll ask patience this, like, what if you use that dialogue with your spouse? And they'd say, I would be divorced and I'd probably be arrested. And I'd say, well, isn't that interesting that you could be that, you know, that abusive, you're not that abusive to left ones in your life. but somehow you are to yourself
Starting point is 00:09:29 and when you put it in those terms with patients very often it just makes an incredible amount of sense and so inside the mind of perfectionistic people that secret sort of world we live in that's only sort of there for us it's pretty horrific so I guess one obvious question is How do you distinguish healthy, striving, and standards of ambition from toxic perfectionism?
Starting point is 00:10:04 Well, absolutely. No, it's a great question. I mean, it's confusing even in the literature because people use the term healthy, adaptive perfectionism. And really what they're talking about, I believe, is an entirely different construct. And to use perfectionism in the term is inappropriate. We're talking about achievement, striving, conscientiousness, having really high, difficult to attain standards, striving for those absolutely healthy and adaptive in some of the most wonderful things that exists in our world are because of that. When it's driven by this sense that there's something wrong with me, and the whole purpose in navigating the world is to correct that to somehow feel. work, that's something entirely different. So it's kind of at the basis of the motivation for the behavior.
Starting point is 00:11:04 If the person is trying to correct themselves or correct the sense of fitting in the world, it becomes very maladaptive. If it's striving for pushing oneself or attaining really difficult standards or even trying to attain the impossible things, Elon Musk is kind of, trying to do throughout it. That's wonderful. That's very, very helpful. So the distinction is the way we understand it. There are two very different psychological constructs. One is to repair the self and another is to push this off and attain and accomplish different things. I think one of the challenges people will be thinking about here is, well, I am my work in many
Starting point is 00:11:54 ways. I feel existentially connected to the things that I do, the way that I perform, my sense of self and my performance in my sport of choice or my job or my relationship or how well the date went or that presentation that I gave or the most recent opera that I sang at or whatever it is. That is bleeding into who we are, who we are and what we do now don't have particularly well demarcated territories and by fixing if you if you underperform in a sports game the world series is going on at the moment and if you have a horrendous couple of games back to back well yeah your performance within the game right wasn't particularly great but we all know that well does that mean that i am not good as a person i am not worthy as a person um
Starting point is 00:12:53 I think a lot of people that are high performers, and maybe this is just a selection effect that lots of people who end up being high performers have perfectionistic traits. I think that at least for me, when I think about it, trying to delineate between the two is really, to me, they are very much the same thing. We're very much sort of talking about the same thing,
Starting point is 00:13:15 that if I do well, I am good, if I do badly, I am bad. And I think that at least in my experience, knowing that I was going to have this conversation, with you and talking to some friends about this, I think this is a very common interpretation where the difference between what you do
Starting point is 00:13:31 and who you are, so the difference in improving and becoming more ambitious inside of the domain of your pursuit and trying to fix yourself because you are your pursuit is often seen as one and the same.
Starting point is 00:13:47 You're right, and very perfectionistic people will do that. I will repair myself by becoming even better at what I'm trying to do. And in the clinical work I do with Olympians, with high performance all over the place, there is a distinction. And I think you alluded to it in one of the things you said that, you know, screwing up in two games in a row in the World Series,
Starting point is 00:14:18 for those individuals, how do they continue? Well, it's because they can demarcation. this is what I do, but who I am and my being still has worth. So there's a resiliency that's there. It's not about I'm engaging in play in the World Series in order to repair myself in order to do something about this defective sense of self. So you're right. On one level there is this.
Starting point is 00:14:50 Who I am constitutes a major portion of my own. identity. But I mean, I work with Olympians. I work with artists. I work with professionals who are highly successful in their career. And it doesn't touch their sense of, yeah, but who I am really at the core. I'm just awful. I'm not good enough. And people will actually make a distinction. You know, between, if I can use you as an example, Mr. Williamson versus Chris. And Mr. Williamson can do all of these incredible things, you know, have a very successful podcast, interview people, connect with people in these amazing ways, the accolades. But then there's Chris, who is this person, was a child, you know, is just this guy who's really,
Starting point is 00:15:53 not Mr. Williamson. And I'm making this up with you, of course, because I don't know you at all. But when you make that distinction with people and with professionals, absolutely they understand that, especially when you're doing in a therapeutic context, that they'll say, yeah, absolutely, it's incomprehensible. When I sit back and think, wow, I actually did do all those things, but it really doesn't solve the problem of me feeling, like, I'm just not worthy enough.
Starting point is 00:16:27 I'm just not acceptable. I just don't fit. Yeah, I suppose that's an interesting, an interesting part of this. Does achievement relieve perfectionism? No. No. That's an uncomfortable realization, isn't it? That's the fantasy for these individuals.
Starting point is 00:16:51 The fantasy, if I am perfect, then that will solve the problem of my work, and then pick a domain, find a domain, do something that you get some accolades, some attention, or some interest in, and grab onto it with the belief that if I achieve these high, high standards or get these accolades, that's going to solve the problem. and it's just the wrong tool for trying to solve the problem. But to grab onto the fantasy and maintain it, and it's particularly pernicious when you're thinking about perfectionism because you can have individuals decide that this is going to be the thing. If I can do this perfectly or if I can conceal all my imperfections in this context, that will solve the problem. And they engage in this, and they could do a fantastic job,
Starting point is 00:17:51 and then they come away from it, feel good for a few moments, and then, oh, I still feel this way. It wasn't perfect enough. And then it ups the ante even the next time. And rather than saying maybe this is the wrong tool for trying to feel worth or feel like I'm deserving of anything in this work, say up the ante and think, okay, it's got to be more perfect next time. So success doesn't touch the underlying belief of unacceptability?
Starting point is 00:18:29 No, that's my experience. That's not the solution. Does a lack of success worsen the underlying belief of unacceptable? Yes, yeah. Right, okay, so success doesn't relieve it, but failure confirms it. Yes. Absolutely.
Starting point is 00:18:52 It's the wrong tool. You know, if you're trying to pound a nail in and all you have is a screwdriver, you think you can pound them. You're usually going to make a huge mess, but the odd time, it might actually get the screw, it might actually get the nail in.
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Starting point is 00:19:48 takes care of all of that and allows you to focus on the job that you came here to do, which is designing and selling an awesome product. Upgrade your business and get the same checkout that I use with Newtonic on Shopify. Right now, you can sign up for a $1 per month trial period by going to the link in the description below. I heading to Shopify.com slash modern wisdom, all lowercase. That's Shopify.com slash modern wisdom to upgrade your self. selling today. It feels to me like perfectionism self-perpetuating then. Achievement doesn't relieve this sense that I'm not enough. In fact, it reinforces in many ways, oh, I must be more perfect. It's not playing in front of 500 people. It's playing in front of 2,000 people. It's not achieving
Starting point is 00:20:36 this job title at work. It's achieving the C-suite. It's not getting a master's degree. It's the doctorate degree. It's getting the residency. It's continuing to up the ante. So success is never sufficient and failure is always confirmation of your insufficiency. And it's always failure. It's always failure. Even a special kind of success is a type of failure because it didn't fix the problem. Yeah, I can tell you about a patient I had, I read about this at one of my books, a fellow who was very perfectionist, and very suicidal, and I started seeing him. He was a university student in a particularly challenging program.
Starting point is 00:21:25 And I started seeing him just at the end of the school year after he had been discharged from hospital, actually. And he talked about in his program, there was this one course that was a definitive course in the program. And if you did well in the course, it was going to essentially say, well, yeah, you're going to do well in this field. And if you didn't do well in the course,
Starting point is 00:21:46 you essentially, well, you should just leave this field and go. So it's a very definitive course. And he talked about, I want to do really well in this course. I have to get an A plus. And I want to have the highest mark of any other student in there. And so I had just started working with him. And it had maybe been four weeks, I think, that we had been together. He came to a session when I knew he would have been given feedback
Starting point is 00:22:17 and gotten the mark for the course. He was very depressed and more depressed than I had seen him actually over the course of that time. And he said to me, well, I got the grade. I got the A plus and I actually got the highest score in the course. And then for any of us that would have been cause to celebrate and break out the champagne and for but he said you know but i i got that but all it did is illustrate i had to work so hard to get it like i had to really work hard to get that hard it just illustrates that i really am not capable if i had been able to get the course without working so hard that would have that would have done it's so slippery it's that is not unusual It's not unusual to turn abject successes into abject failures.
Starting point is 00:23:18 Wow. Let me give you my own personal example of that from when I used to run nightclubs back in the day. So my criteria for success kept on morphing to always move away from me. So first off, it was that the event needed to be successful. We needed to be full. then not only did the event need to be successful I had drawn a link between when I suffer because I work very hard typically the event does better
Starting point is 00:23:50 and what that resulted in was eventually landing at the point where if the event was successful but I hadn't suffered that meant that the success of the event wasn't quite as much or good or whatever as it should have been. And what I'd basically done was completely bypassed. So the event was a failure. I was a failure. So that was one source of potential upset.
Starting point is 00:24:16 The event was a success, but I hadn't suffered. That was another potential source of upset. The event was a success and I had suffered. That was kind of a source of satisfaction for me. But obviously I'd suffered. So I was unhappy at the fact that I'd say it was so slippery. And that kind of reminds me of the story that you were. You were talking about with your ex-patient there.
Starting point is 00:24:37 I also have this, I've been having this conversation at the live shows I've been doing around the US at the moment, this sense, is your presiding feeling when things go well one of happiness or simply the abatement of fear? Is it joy or is it relief? And I feel like all of this sort of ties together. Oh, absolutely does. I mean, one of the paradoxes of perfectionism is that striving for these successes, as you say, and getting the success, and as I just illustrated, turning it into a failure, or probably more commonly, is just not having a sense of satisfaction, a sense of celebration, a sense of, okay, I did do this, I did accomplish this, and they just don't, don't experience a sense of satisfaction.
Starting point is 00:25:34 So again, the majority of us, when things go well, we evaluate and hopefully we have a sense in ourselves to sort of feel good about that, but also other people to celebrate and to share in that experience, which is something that's missing usually in perfectionist life, all their life, the sense of sharing, shared pride and something. but just don't they just okay that's done that it can be thank god that's over with it but it's okay well move on to the next thing and it's just simply a progression uh often up in the upping the ante each time i like the idea that i mean i need to think about it a bit more that if you suffered i guess if you suffered in a successful thing there was some comfort in that because I guess I'd let you know, okay, I really did this. I was really pushing myself for the success. It's almost the inverse of what your patient had, right, which I guess goes to show the idiosyncrasy of how this comes about. My British Puritan work ethic was showing. But I can see how his mindset would be the fact that I had to work so hard shows just how not enough I am that I've had to compensate for my not
Starting point is 00:26:59 enoughness with all of my effort. I think at least a part of mine was things that are successful should be difficult. They should be hard. And if you arrive at them without suffering and without challenge, that it belies a kind of laziness. There's a sense of mailing it in. There's maybe a fragility or a tenuousness to your hold on this? Because, well, how much did you really contribute here? How much of this was fluke? Well, if you really hurt for a good while leading up to this, if you had two sleepless nights trying to make sure that the event was full or that, you know, you really, you know, made your mark. You put a dent in the universe by doing it that way. Makes some sense to me. Yeah. I mean, what your talk about is actually healthy.
Starting point is 00:27:56 I think than what than the kind of people that we're talking about in the I will I will take that as the the oddest kind of compliment that I have ever reverse engineer that into a compliment I have I guess I'm interested if there's if there's different types
Starting point is 00:28:12 of perfectionism I know that you've said it's idiosyncratic sort of where it comes from each person is slightly different but there must be chunks taxonomies categories different ways that it shows what are those yeah it's quite complex in some ways so there's three different levels that we sort of describe or define perfectionism. And one is like a dispositional or trait level, a consistent kind of need to be perfect, if you like. And, you know, very simply we can
Starting point is 00:28:42 talk about individuals, some individuals that will be characterized by, I need me to be perfect. And it comes from the self, it's directed toward the self. And so, I require perfection of myself, and it's a very autonomous kind of state for individuals. There's also another dimension, or I don't like to say type of perfectionism because they're all intertwined, but another dimension is where I don't need me to be perfect, but I need you to be perfect. I need my spouse to be perfect. I need my children to be perfect. I need anybody that I come in contact with or anybody that I have a relationship
Starting point is 00:29:26 with to be perfect. And that's one kind. It still serves the purpose of well, let me get to that in a second. I'll continue to talk about the different sort of dimensions. So there's
Starting point is 00:29:46 I need me to be perfect. I need you to be perfect. And then there's the sense or the perception that I have that other people need me to be perfect. And this can be my parents, my spouse, the world, and general requires perfection of me. And those are sort of foundational, dispositional ways of kind of navigating the world. There's this other level where not only do we require this perfection, we express our perfection interpersonally. Most of the time, not most of the time, often we are interacting with
Starting point is 00:30:26 other people. And it may not be that I need, I need to be perfect, but I sure need to appear to you as if I'm perfect. So I will promote myself for perfect. I'll tell you how wonderful I am, what amazing skills and abilities I have. That's one way to try to demonstrate my perfection to you or express my perfection to you. The other is I will never display any imperfection. So I know if I do this
Starting point is 00:30:58 performance, you're going to see a flaw. So if I public speak, you're going to see that I stutter. I stumble over words. And so I will never speak in public. So I will not display any imperfection. And then
Starting point is 00:31:14 another piece of it is in a relationship, I will never disclose any imperfections. I will not talk about things that don't go well with me. I will not reveal to you verbally anything about anything that I see is imperfect. So it's getting complicated because there's this need to be perfect. I need me to be perfect. I need you. I perceive it. And then there's as I need to appear perfect to you in these different ways. And then finally there's this other piece that we have already talked about, this self-relational expression of perfection is that this dialogue,
Starting point is 00:31:56 this harsh, negative, critical inner relationship that we have. So those are all different facets of this way of being perfectionistic in the world, of trying to be perfect in the world. So it does get kind of complicated. What about sort of you, the self-oriented, other-oriented, and socially prescribed elements to this too? Yes. Yeah, the self-oriented, I need me to be perfect, other-oriented, I need you to be perfect and socially prescribed is I have the perception that other people require me to be perfect. Oh, okay, and that shows up as in I need to be perfect, as in I need to not do anything which would risk me not being perfect.
Starting point is 00:32:45 And I need to not divulge to you anything that you would see as me being imperfect. Yeah. Well, one is a driver of the behavior, the self-other social. And then these other pieces is, like, I can require myself to be perfect, and you're kind of irrelevant to me. But it may be that my perfectionism is about, I know I'm not perfect, I will never be there, but I want to convince you that I am perfect. And so I try to navigate the social context in teaching you how perfect I am. So that's the distinction. Yeah, it's interesting the difference between needing perfection and needing to appear perfect.
Starting point is 00:33:32 Yes, yes. Think of a politician. Do they need to be perfect in their work? Not particularly, do they need to appear? Absolutely. That's the emphasis of that domain. This episode is brought you by Jim Shark. You want to look and feel good when you're in the gym. Jim Shark makes the best men's and girls gym wear on the planet. Let's face it, the more that you like your gym kit, the more likely you are to train. Their hybrid training
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Starting point is 00:34:51 this unfettered 10 out of 10. Yeah, there is exactly those elements, especially in the interpersonal world is about, I'm going to show you how perfect I am. Where it is a little bit different is the perfectionistic individual knows they're flawed, they're defective, they feel that way, they feel they know that, and I don't fit in the world. And for the narcissism, at times, they can almost be delusional in the sense that, okay, I am perfect. But very similar roots, very similar pathways, but they're divergent. What other personality traits does this cross over with? I would imagine conscientiousness, neuroticism, maybe some depression.
Starting point is 00:35:40 What else do you see typically? Depression for sure. And in fact, the depressive personality style, which is, that's not a DSM category. That's a psychodynamic diagnostic systems category. But a very depressive personality style. There's some, yeah, neuroticism, if you're thinking about the Big Five.
Starting point is 00:36:09 Conscientiousness, actually not so much. that's more that healthier piece. And actually there's a domain of research that distinguishes perfectionism from what's called excellenceism. It's kind of hard to pronounce, but this notion of striving for excellence versus striving for perfection.
Starting point is 00:36:33 And when we talk about, when people talk about healthy and adaptive stuff, that's more in the domain of striving for excellence as opposed to striving for, to perfect the self. So there's that component. You know, when we start looking at the outcomes of the perfectionism, and especially as we've kind of conceptualized it, there's psychiatric, psychological problems that come from it,
Starting point is 00:37:01 so it's overlapping with anxiety, depression, eating disorders, all kinds of difficulties. there's relationship problems, and as I probably delineated some of the perfectionism components, you could say that, yeah, if I'm perfectionistic for my wife, yeah, that's probably not going to go well. And indeed, it does not go well. But there's relationship problems that come from that, from intimacy problems to dysfunctional, intimate relationships to sexual problems, physical health problems. perfectionism associated with, it just, the perfectionist just increases the person's level of
Starting point is 00:37:45 stress and everything that comes along with that elevated cortisol, all sorts of hormonal stuff. And so there's physical health problems, most particularly, and this wasn't worked from my lab or my colleague, Gordon Fet's lab, where perfectionism associated with early death. So when you look at other risk factors for early death, perfectionism, self-oriented and socially prescribed, are associated with early death among people. So the thought is that it just elevates the level of stress in people's lives to a degree that it will deteriorate physiological symptoms. So there's all these domains of outcomes of the perfectionism that it's been,
Starting point is 00:38:37 that have been associated with those kind of outcomes. Yeah, you had perfectionism predict suicide even when controlling for depression. And hopelessness. Two factors that are historically predictive of suicide would be depression, hopelessness. And we've shown in several studies that it socially prescribed predicts beyond that. So, and, you know, in some ways, it's sort of dovetails nicely with some of the work that's been going on in terms of loneliness or alienation and the impact that has on physical health for people and, of course, suicide. But if you have a process that ensures that you have this disconnection with others, that you can't connect with other people and you live a life of isolation and loneliness,
Starting point is 00:39:37 yeah, suicide is a easy thing to kind of predict from that. And that's one of the paradoxes of perfectionism is you're striving for this connection with people. You're doing all this stuff to try to be acceptable, to be lovable, to be connect. and fit, and your behaviors actually create the opposite. They push people away because you're distance, you're not genuine, you're prickly, and you push people away. That's a good point. How do perfectionists come across to other people? If a big part of the drive for perfectionists is I am not good enough and I must be good enough, I would like to be enough, I would like to be accepted, wanted, needed, validated, seen by the world.
Starting point is 00:40:24 How do, how does the world typically see perfectionists? Well, if you think about if I meet you for the very first time, probably not in this kind of, but face to face, and I say, oh, let me tell you how wonderful I am. Let me, I can do this and I can do that, and I'm fantastic. And immediately, you're going to take a step back and say, get me away from this person. Or if I come across as KG, I'm not really revealing,
Starting point is 00:41:01 you interact with me and you think, I'm not getting the whole story here. We also kind of pull back. And so in trying to create safety for myself as a perfectionist a person, I'm not going to let you see who I really truly am inside. I'm going to curate an image for you. And people picked that up. So they pull away.
Starting point is 00:41:26 Is there not, surely there must be people who are such good perfectionists that they have realized that programming imperfection in is a way that other people will tend to like them more. Like the performative vulnerability, the performative imperfectionism, the downplaying, the modesty, oh, no, no, I understand that you see me in this sort of a way, but no, not me. because they're so desperate for that positive reinforcement. And if they've split tested it enough times, they will work out, well, this seems to work a little bit more effectively
Starting point is 00:41:57 at getting people to like me. And what I want is for people to like me. So I'm even going to downplay like the imperfect perfectionist, so perfect that they've even put imperfection in. That's very interesting. I think people would still pick up the lack of genuineness. I think it's kind of like when you watch, and I'm fascinated by this, when you watch certain actors in a performance, and you think, oh, yeah, I recognize that's actor,
Starting point is 00:42:32 so-and-so doing that role, and then sometimes you watch an actor and you just believe they are the character, like there's a genuineness to it. So I might assume that really good professional actors might be able to do that. But I think in the real world, generally, we pick up, there's something missing here. There's a, I don't want to say a creepiness to it, but I'm not, I don't have the full picture. This is kind of making me uncomfortable. Yeah. So just going back to how deadly and dangerous perfectionism can be.
Starting point is 00:43:10 Yeah. I have to assume as well that perfectionists would probably delay seeking help for stuff. Oh, absolutely. Admitting illness must feel like a failure. Absolutely. You hit it right on the head because that is revealing an imperfection. And many of the clinicians that I see in my practice, it's very difficult for them to to seek help in that vein.
Starting point is 00:43:43 And they forestall. So I had a patient who had, there was a newspaper back in the day when they actually had newspapers, a newspaper article about some of my work. And this was a, he was a professional musician, a classical musician. And I didn't talk in the article about my musical background or anything, But I talked about perfectionism, and he had read this article, cut it out and fold, put it in his wallet, thinking somehow this guy seems to know this world of what it's like for a distressed classical musician in this context, in perfection, carried it around for six months in his wallet until he had a failed suicide attempt. and his wife brought him to my office finally saying you either get treatment or work on, meaning the family.
Starting point is 00:44:46 So he knew he needed to seek help. He had seemingly found someone need that might actually be of a help to him, but still didn't seek out help until it got, like he got right to the edge, almost literally, to the edge. So it's very difficult for those folks to seek help. Once they do get in therapy, it's difficult. You have to navigate it very carefully because you're asking them to do something they've lived their life not doing, which is essentially tell me about you and your imperfection and your flawed sense of that's what we're going to work with. And that you have to work with kit gloves. with folks on that.
Starting point is 00:45:37 Yeah. Well, look, I think I'm kind of fascinated by the idea of recovery with a perfectionist mindset because I have to assume that pain and suffering is worsened by an all-or-nothing mindset. If recovery isn't total, then it's going to be worthless. If my recovery from some sort of illness or shortcoming or failure or whatever isn't in its entirety, then there was no, even my recovery from an imperfection must be perfect. Well, hopefully you're working on the perfectionism, so they don't have that judgment about treatment outcome. But the way to think about it is not so much about getting rid of
Starting point is 00:46:23 the perfectionism. It's about dealing with those deeper issues about worth and about belongingness and connectedness with others. So in the therapy, that we do with perfection. We don't really talk about perfectionism very much at all. We talk more about those deeper issues, about worth, about needing to feel acceptable to other people,
Starting point is 00:46:45 about connecting with other people. And it's also about growth. So the way to think about therapy is not as, not, okay, we're going to reduce the person's perfectionism from this level
Starting point is 00:47:01 to this level. It's more about the person being relieved of that personality style in order to navigate the world because that tool does not work to have worth or to feel connected with the world. And so it's more about helping the person kind of grow and develop new ways of developing worth and connectedness. In other news, Elements' newest flavor lemonade sold out immediately, but now it's back in stock.
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Starting point is 00:48:24 That's drinklmnt.com slash modern wisdom. Is perfectionism a performance enhancer? I see the traits that you're talking about among lots of high achievers. And if your sole goal in life is to achieve this thing and you're saying, I'm happy to even completely blow up the texture of my own mind and the enjoyment of the process and all of these things along the way, perfectionism might be less of a pathology and more just the price of being the best. Sure.
Starting point is 00:48:56 Well, there's been some research done on perfectionism and performance in the workplace or in people's career with the assumption that when in one very early study, they looked at this, how did they do this, the commissions, people who are in careers that they have commissions. So the better they work, the higher money, the higher the commission, the more money they make. And they found that perfectionistic individuals, with the assumption that more perfectionistic he would have higher income, no, it's the opposite. There's another study we did looking at university professors, and one of the measures of success in university professors is number of publications, number of times your work is cited and so forth, and looked at perfectionism in those university students, professors, to see if higher levels of perfectionism was associated with higher productivity, the opposite again.
Starting point is 00:50:02 It interfered with their productivity. Now, having said that, there are many very famous people who are noted to be highly perfectionistic, and Steve Jobs comes to mind for me, but also a lot of people in the music world who are kind of like that. And we can say, well, somebody like this into the perfection, look what they accomplished.
Starting point is 00:50:29 And I think we can stand back and say, wow, those are great accomplishments that the person has. But if you look at the person's personal life or their relationships in America, it's often devastated. It's often really problematic. So I guess it depends on the perspective you take that perfectionism could be good. Sorry, go ahead.
Starting point is 00:50:54 No, I just, I think, I think you're so right. I got all excited because this is one of my favorite pet theories. A lot of the time we use the people at the absolute top of the tree as a blueprint for how people trying to get toward that. should behave. Well, look at how Michael Jordan showed up. Perhaps this is how your Sunday League baseball team should look to conduct themselves. Well, look at how Steve Jobs built, you know, one of the biggest companies in the entire world and one of the most revolutionary products in history. Well, you as somebody that's a founder of a startup new business, perhaps that's the way that you're supposed to show up. But you said that what are the personal costs that most
Starting point is 00:51:45 of these people pay, and is that really something that you are prepared to sacrifice in order to achieve that thing? First off, you've got no guarantee that you're going to achieve that. There is only one Olympian in each category every four years. So in order to get that, and by design, that means that out of the whatever seven, eight billion people on the planet, almost everybody isn't even in the running for that, let alone the person that's going to be it. My point being, I think it's a dangerous strategy to use the blueprint and the playbook of people who are as far on the tail end of the distribution of outcomes as you can get literally one in a human history of a Steve Jobs to try and justify an approach that you, somebody who's falling much closer toward the middle of the bell cup, maybe, you know, on the upper end of the distribution. of success or outcomes or whatever it might be. But the price that you need to pay in order to be able to do that
Starting point is 00:52:47 is one that you typically wouldn't foot the bill for. And maybe you can reap most of the rewards of excellence without having to blow your life up with the perfectionism. And maybe you can feel worse and that you are lovable or that you are acceptable or that you fit in this planet in a different way. one of the things you said made me remember and I hope I can get this right I think Elon Musk was being interviewed by somebody probably somebody and they said I'd love to be able to think like you were to be as creative as you and Musk's response as I recall it was yeah if you lived in my mind you wouldn't like it.
Starting point is 00:53:41 It's not a good place to be. And I think that kind of captured, yeah, we can look at all this stuff, but what is it like to be inside that mind? And again, I don't know him or anything, but from that comment, it just seemed telling that. I mean, I've got, he said on Lex Friedman, most people think they would want to be me,
Starting point is 00:54:04 they do not want to be me, they don't know, they don't understand, my mind is a storm. All right, that's pretty fucking apocalyptic. Well, you said it way more elegantly than I did. I've kind of become obsessed with that passage.
Starting point is 00:54:19 So, and it's for the same reason presumably that you have. So, okay, I guess how much of perfectionism is about fear? Like this underlying fear, is that a big part? It is a sense of unsafety, ambient and safety that's sort of permeating people's lives?
Starting point is 00:54:39 I think it's an existential fear about not fitting, belonging, who am I, where am I? So I think you're right that it is about fear. And one of the ways to quell some of that existential fear, because we're social, is to have connection, to fit, belong, to matter to people, to be, to be. loved, but also fundamentally to have a sense that I'm okay, I'm deserving, I'm good enough, that I have worth. And so those deep basic issues, I think, are powerful there. And what happens when they're not met is that exactly what you're saying. It's about there's this fear. One of the more difficult stages to navigate in the therapy with folks with this is when they get to a place where they're kind of considering relinquishing this sense of if I'm perfect or if I peer perfect, as they start to relinquish it, the problem that they run into is, well, how do I navigate the world?
Starting point is 00:55:59 and it's just a void. So it's just the unknown. Because that previous motivation was so much, be perfect. So ingrained and so much a part of their life that there's just this void. And as humans, we don't navigate the unknown very, very well. And it can be terrifying if you just lose a way of being in the world and there's some other expectation. So within the therapy, we approach that, I don't want to say gingerly, but we approach it in a way that tries to help them with the fear of that and to get to a place that there's a different way of being in the world that can actually increase the probability of meeting those needs. Can you explain to me the other oriented perfectionism?
Starting point is 00:56:53 Because that feels a little bit more, a little bit more on the outside. I can understand how socially imposed and the self-oriented perfectionism, those two things. Other people need me to be perfect. I need me to be perfect if I don't fall short. But the I need other people to be perfect is still the same currency, but seems to be pointing in a very different sort of direction. Right. Right.
Starting point is 00:57:20 I would imagine, Chris, in your life, if you're out in a public content, you'll have people come up who will be very excited to meet you and they'll want to hang out and, you know, you're thinking, well, hey, I'm a person here. I don't really don't need this. But they're coming to you for a reason. And to be in the presence of somebody with high status, for example, it gives them status so if i need my uh wife to be perfect it's because i can share in her perfection and it elevates me i get status i get worth i can borrow her identity and all the good things about her and people will see me and they'll connect me with this person and I will have status for that. One of the things that, and this is an overlap with narcissism, one of the things about people with narcissistic personality style or disorder is, they'll be a business meeting and they'll walk into the meeting and they very quickly figure out who has the highest status in the
Starting point is 00:58:45 room, and I'm going to sidle up to that person and connect myself with that person. And it's about borrowing the identity of the other person in order to feel a sense of worth. That's part of what's called borderline personality disorder pathology or borderline pathology. I don't have a sense of identity, so I'll borrow yours, essentially. And that's how that works. So the ultimate goal is the same to try to elevate my sense of worth, but I'm going to come to know you and I'm going to hang out with you so that other people can see me with you and say,
Starting point is 00:59:29 oh, well, he must be pretty special if he's hanging around with this guy. And it's that kind of mechanism. And that's how other-oriented works. When people fall short, when my wife screws up, oh my god um then what the you know then that voice that inner voice that's directed toward me with other kinds of people that gets directed toward her harsh critical nasty um some people call it a narcissistic rage and it's it's like kind of captures that yeah i have to assume that intimacy and romantic relationships for these people
Starting point is 01:00:15 are very difficult. Perfectionists generally, and also if you've got the other oriented stuff in, that's just an additional difficulty level on top. No, you're right. There's very good research. There's lots of relationship problems, but intimacy in particular. And if you think about how intimacy evolves, it's this series of interactions. of each of like one person taking a risk and revealing just a little bit more about themselves and the other person recognized, not consciously, but recognizes it and then also reveals a little bit more. And it's this, over time, this revealing more and more about who we are.
Starting point is 01:01:05 And so couples that have been married 40 years, yeah, there's not a lot of secrets that kind of hang out and let it hang out. however, but brand new couples know there's still this, okay, just got to be careful here. And so that intimacy evolves with these folks who can't reveal shortcomings, shortfalls, aspirations, emotions that are difficult, vulnerabilities, intimacy is really problematic. Also, if you are, I need my partner to be perfect,
Starting point is 01:01:40 that's going to be very uncomfortable for your partner. It's not a fantastic foundation to keep a loving relationship. Even your partner who may have come into this relationship feeling safe and feeling enough, your fear of not enoughness will begin to infect them. Oh, absolutely. The complaints, for people who have other reigning perfection, don't come from the perfectionist, come from the other people in their person's life. Yeah, that's where you see the,
Starting point is 01:02:12 the distress show up. I mean, there's still distress in the perfectionist, but it can get pretty, yeah, it can get pretty awful. And it's not just partners, it's a person's children, the person's subordinates in their workplace. You know, yeah, it's very problematic for those folks. If imperfection is human, which it is, Why does failure still feel so unbearable to so many of us?
Starting point is 01:02:50 Yeah, I don't know that we... Imperfection may be common, I don't know that we embrace it in any sort of way. And, I mean, even from religious teachings for thousands of years, it's been, you know, try to be more godlike, not become a god. but, you know, try to be more like Christ or try to be more like these deities that are there or try to, and it's always talking about the imperfection, but somehow there's a, there's the promise of something if, is it, when you attain perfection? And it's that, that's, that's somehow the root to good things happening or bad things
Starting point is 01:03:37 not happening seems to lie in that domain. And whether it's from various religions that might be talking about it, or philosophies, or even, you know, children trying to navigate the world that they live in. Let me tell you a story about a patient who really, it illustrates a whole bunch of different things as we're talking. This was a woman who, in her 40s was, you know, over the course of therapy. became clear that she really had this need to conceal any imperfection, either showing it or talking about it, came to see me, knowing she needed, things were just not going well in her life and hadn't been, came to see me. And it took quite a while before we actually, she would
Starting point is 01:04:31 actually say what she wanted to be doing. But she would conceal, including from me, even elements of herself that were emotional, that were difficult, that were vulnerable. And we began to work, and she told initially a story and then retold the story over the course of the dialogue, of therapy over many months, of having been adopted as a child, very early, like as an infant. And her parents went to the experts in a very loving way and said, okay, she's adopted. Do we tell her?
Starting point is 01:05:12 Do we hide it from her? If we tell her, when do we tell her? And consulted with who I don't quite know who the experts were. But, you know, came to the conclusion that, okay, we need to tell her early on. So she knows right from the start that she's so special, she's so loving. and so they kind of told her the story as we went to the place where little babies don't have parents
Starting point is 01:05:38 and we looked at all these babies and immediately saw you and we fell in love with you and we chose you and we brought you home and gave her that story which sounds like incredibly loving thing to do and it absolutely was with the motivation out of this love and Karen
Starting point is 01:05:58 at the time she was told And it took her a while to kind of realize she had done this as we're doing therapy. She had the sense that mummy goes to the store sometimes and buys purses. And she'll bring the purse home and she'll have it for, then she starts not to like it and takes it back to the store. So that's the model that this little girl understood. So if I can be chosen from this store that has babies, I can be taken back. And that was terrifying for her.
Starting point is 01:06:39 And so from a very early in life, she made sure she was never going to do anything to be disposed of or to be taken back to the post store. And every relationship she had, including romantic relationships, was this incredible. fear that at any moment, if I reveal any imperfection or any piece of who I am that's flawed or whatever, I will be taken back. And it's just a model of the way the world works for her. And it took a while to kind of get to that understanding. So I can't remember what your original question was, but somehow it was connected to romantic relationship. relationships and relationships with people. Yeah, and this concern about imperfection being so unbearable,
Starting point is 01:07:36 the sort of failure being unbearable. I think as well, you know, the fact that we glamorize perfection so much in art, sport, entrepreneurship, as you said, religious ceremony, media, you know, a flawless performance, even some of the language that we use. and the fact again we are our work for a lot of people we don't have particularly well
Starting point is 01:08:05 distributed identities we don't hedge our identity you know I am a businessman I am a sports person I am it's very rarely well I'm a friend and I'm a brother and I'm a father and I'm a this and I'm a that yeah exactly and I have to assume that you know
Starting point is 01:08:23 the more hedged that you are the more you realize well, opportunity cost and just straight up resource constraints means that if I want to be a better father, I have to be a worse business person. Ha, in there, like, belies the fact that I cannot be perfect. So I need to adjust the deployment of my resources and my efforts in different ways. And that must be a little bit of a realization of, huh, there are tradeoffs in life. And sometimes those make things a little bit difficult. Wow. Like, you know, sort of your brain explodes. about that. Yeah. One of the things I'll do with some patients is say to them, on your deathbed in 50 years from now, as you're laying there, thinking about your life, what do you think you're
Starting point is 01:09:11 going to regret? And usually it's something you didn't do. And what are you going to regret more? another day at the office, connecting with your grandchild. And I just ask people about if they put themselves in that position, what are they going to look back on and feel like they might regret and say, well, those seem to be some of the foundational things that are important to you in your life. And it kind of tries to put that in perspective, some of those elements in perspective, in perspective as well. I mean, you've said this a couple of times, Chris,
Starting point is 01:09:53 that, you know, what we do is kind of who we are. And I think that's very true. That may be kind of a cultural thing in North America and the Western world that we define ourselves in that fashion. I think we catch up with some things at different points in our lives. So, you know, there's different stages. Like often when people become grandparents, they have a very different way of relating to their grandchildren than they
Starting point is 01:10:29 might have had when they had their own children. That's interesting. There's a degree of buffer between the two that relinquishes the, like the ownership, the directness of your impact has been sort of removed a little bit. That's kind of funny. Yeah. And I think there's just at different times, different things kind of become more important. And I think as we get older, relational pieces, I'm just guessing here because I don't really know this work. But it seems relational pieces seem to evolve. So the concept of generativity, it's the older folks who want to give more. They're not so much involved in their own success, but they want to mentor people. They want to teach people. And I think that's a part
Starting point is 01:11:21 of we just develop more relational. We pay attention to more of those relational needs at that time. So in your experience, can perfectionists ever truly let go of those patterns? It seems to me like the perfectionists in the listening will just think, well, this is just who I am. It's ingrained. It's given me some things I want in the world and maybe there's some suffering, but this is just part of the source code of me. Sure. Well, I guess the question is, what cost are you willing to pay for it? I mean, it can come down to that. Most of the people that I see in treatment are pretty desperate and pretty, it's pretty painful for them. So in the training of, especially my graduate students, to learn to work with these folks is,
Starting point is 01:12:13 to prepare them a little bit for once you open the door for these folks where they can express the emotional pain, it's pretty breathtaking and pretty powerful. So there can be a lot of pain that people kind of live with, but I guess at the end of the day, it's always, okay, you're paying a price for this. everything has a cost and a benefit and those shift and change over time in different contexts and it's just how much are you willing to pay but it's helpful for people to know
Starting point is 01:12:53 that they can make changes in that they're not trapped in it what are the steps out of perfectionism how do people learn to get past this I imagine that there is some evidence-based approach okay so taking through it Well, the work we've done is from a psychodynamic, psychedelic perspective of really trying to deal with the deeper issues that produce the perfectionism. So it's kind of the notion if you really hurt your knee, the symptom you have is pain.
Starting point is 01:13:26 And hopefully when you go to a clinician about your knee, they're not going to say, oh, the symptom is pain. Here's some medications. It'll take the pain away. and then you go about your life. Hopefully the clinicians, in truth, this is what clinicians would do and say, okay, the pain is simply an indication there's something wrong in your knee.
Starting point is 01:13:46 We need to poke around in your knee and figure out what the cause of that is and deal with the cause, and then the pain just goes away. And so with perfectionism, the psychodynamic approach is the same thing. We try to work with what's producing the perfectionism. And in this case, it's these deep relational needs, the need for worth, the need to belong, the need to be acceptable to others.
Starting point is 01:14:14 And that's where we work. So from that perspective, it's an involved process, but it's also, at the end of the day, what we're trying to do is get the person to have some sense. acceptance of themselves as who they are in truth, just some acceptance of them, that there's nothing fundamentally flawed or wrong with them. They've learned that lesson well, but there really isn't the flaws that they have, and that there's an acceptance of other people, that other people are also flawed, but there's still ways to kind of navigate a sense of fitting and belonging and connectedness with them. So it's about self-acceptance, and it's about finding a place for oneself. What are the most common interventions that you use to increase
Starting point is 01:15:20 somebody's self-acceptance? Well, you would use, in psychodynamic, work, you use the therapeutic alliance and you form a connection with the individual to provide a place of safety that they can actually begin to put that flawed stuff on the table and we'll actually look at it in a really truthful, honest way. And it's usually, it's not so flawed and not so defective. But we use the therapeutic alliance to create a place of safety for the individual to be able to do that. We also work in that context on the kinds of things that people automatically do to avoid the deep pain, the emotional stuff to actually look at who they truly are.
Starting point is 01:16:16 And so, again, we use that therapeutic alliance that way. There's a domain of treatment that likes the notion of workshed, and practice and tell yourself not to be worried about making mistakes and that sort of thing. And I find it, to be honest, I find it really silly. Like, I mean, one of the things when you work with perfectionistic people is they will say, can't you give me something to read? Can't you give me like homework? And the idea is, what we're talking about,
Starting point is 01:16:57 trying to do is teach a person. It's kind of like learning to write a bicycle. If you've never ridden a two-wheeler and you decide, okay, I'm 30 years old, I'm going to learn to do this. So I don't know, you phone up Lance Armstrong and say, I need to workshop, give me a lecture on how to ride a bicycle. And you go to the lecture. He provides all the information. You take notes, write the multiple choice exam, ace it, get out on the driveway. get on the bike, and you promptly fall over. And the tool of intellectually learning what you need to do to ride a bike, contract this muscle, relax that one,
Starting point is 01:17:40 is not going to teach you to ride a bike. But if you have, you know, if you think about how you wrote a bike, much like me, you had somebody who was holding the bike you got on, and they kind of pushed you, got you going, and they let go and grabbed on together. And you wobbled and fell and got up again and through the experience of that process, eventually you got to do this insanely complicated thing of riding a two-wheeler in traffic with lights. And if you think about how complicated that is, oh, my God, it's the experiences that have taught you how to do that,
Starting point is 01:18:24 not the information, not, you know, cognitive exercises to do that. And that's the best metaphor I have of what I am. Other psychodynamic people are trying to do to teach people new behaviors. It's through the experience of revealing the self. It's through the experience of having being able to connect with somebody and to have them kind of care for you, accept you, see all the stuff that's bad, and try to be helpful to you.
Starting point is 01:19:02 So that's the process of it. So it's not, you know, session one, you do X, session two, you do Y. That's a very CBT approach, and it's that approach in particular that we just published a paper, which really pissed off a good bunch of people. which is great, kind of like doing that, to really show what the evidence is for a CBT-based approach for perfectionism. And it's not good.
Starting point is 01:19:33 Well, when they wrote about this stuff, it was wonderful. But when we actually looked at it, we saw that the majority of people drop out from it, which means they don't tolerate it. It's no good to have a treatment that people don't continue in. There's good evidence that for some parts of perfectionism, it will change post-treatment, meaning sort of at the last session they can show these big changes. If you test them in a follow-up, a few months or six months later, no, the changes disappear. So it's not maintained.
Starting point is 01:20:13 there's very good evidence that only certain elements of perfectionism change from a CBT perspective, not the traits that we talked about, not the self-relational, those styles of expressing what, those don't change. Those are the pernicious ones. Socially prescribed doesn't change. And it's the one associated, well, along with self-oriented by suicide, early death, anorexia, depression, so those pernicious pieces don't seem to change with CBT.
Starting point is 01:20:51 In the work that we do, it's going to come as a surprise, I'm sure, but we try to deal with those underlying issues and show the changes in the more pernicious elements. And there's three different, five different studies that have shown, yeah, there's changes that are made in that. The way we do the treatment research is, you know, we've developed a treatment, we'll do a study and we'll show the effects. We then try to figure out, okay, well, how can we find it to try to get even better effects
Starting point is 01:21:25 or longer lasting effects? So use treatment not as a way of saying, hey, look at the treatment we've got, it's fantastic. We say, here's a treatment. It looks like it's pretty good or very good. How can we improve it even more? What would you say to somebody who has a perfectionist person in their life? How can those around perfectionists show up in a way that helps them to improve their worldview? I would encourage them to find somebody to work with them on it, to find a professional to work with it.
Starting point is 01:22:09 I mean, as we're talking, you can see it's pretty deep-seated. There's a lot of pain. There's a lot of outcomes with it. So it's not something that is easily changeable. But I would be encouraging people to try to find a therapist that they can work with, that they trust and that they can connect with to deal with those issues. What is the school, or is there an accreditation body that you guys ratify to say this person is perfectionism certified to be able to do this at a standard. Oh, we're in the process. We're in the process of doing that, actually,
Starting point is 01:22:44 with, again, we're at a place now where we're pretty confident that the kind of, the kind of approach that we do actually is, is helpful, and not just helpful to change the levels of perfectionism, that it's clinically relevant, like the clinically significant change in people, and that it's, actually in psychodynamic work, not only is the change maintained over, period of time. If you do it right, the change continues after the treatment ends. And it's kind of the idea of like with your knee, if you fix the problem in your knee, as soon as they fix it, there still might be pain there. But as it continues to heal, you're not doing any treatments. As it continues to heal, the pain eventually kind of goes away.
Starting point is 01:23:33 And in good psychodynamic psychotherapy, there's very good evidence that that's what happens. And it's just to know, if you get rid of the cause, the symptoms kind of go away. That's interesting. What's the role of mattering in all of this? Mattering is one of the ways that those relational needs can show up. So some people, well, I think for everybody, it's kind of a foundational part of having a sense of worth, is that I matter to somebody, that somebody communicates to me, that I'm important to them, that I'm relevant. But so generally mattering, but at an idiosyncratic level with people, it can be, that can be
Starting point is 01:24:23 manifest like I, you know, I have a voice that I grew up in a family where nobody cared. I couldn't say anything that anybody would ever hear or listen to. And the only way of understanding that was, well, if I was more important, they might actually hear my voice. And one of the ways to solve that is, okay, well, I can be narcissistic and tell everybody how wonderful, or I can try to be perfect in everything that I do. So mattering is one piece of the relational needs. But other people might need to be respected, to be seen, to be heard, not to be invisible, to be loved, and to have a sense of being lovable, two different pieces there. So it all kind of fits in very generally and sort of some of the basic needs that we need to navigate the world.
Starting point is 01:25:27 Are we becoming more perfectionist over time? Have you done any longitudinal stuff? There has been, we haven't done this work, but some colleagues of ours have actually looked at our conceptualization and looked at the scores over decades and show that indeed, yeah, perfectionism seems to be increasing over the decades. At least the trait elements seem to be, those are the only ones that have been evaluated at this point. So that self-oriented, other-oriented, socially prescribed, they're increasing. There's no, I don't know of any research that's done this, but you may know there are also rates of depression and anxiety, that sort of thing, either seem to be increasing or people are more open to admitting that they have depression and anxiety. So it makes sense that if a vulnerability factor for these problems is increasing, we make see an increase in some of the outcomes of those vulnerability factors. I haven't seen any work directly to address that, but it logically makes sense.
Starting point is 01:26:35 Heck, yeah. Dr. Paul Hewitt, ladies and gentlemen, Paul, you're great. I really appreciate this work. I think it's very of the moment. And, you know, for the sort of people that listen to podcasts, specifically stuff like this, I think many are going to feel seen and accused today. Where should people go to keep up to date with your work? Well, I have a, I mean, I have both a clinical website with more clinically relevant information, but also a website at the University of British Columbia. So there is a website. We've published books. My agent said I should do this.
Starting point is 01:27:20 I don't know. We're just signing a contract with Norton to do a trade book on Gortland. are doing a trade book on our work over the years to make it less academic and more available to people so they can kind of see the way we think about it, understand it, the problems and how to deal with it. I think that would be good for the world. Paul, I appreciate you. Thank you very much. It was a wonderful meeting you, Chris. So you have very good listening skills. I've done numerous podcasts where I get the questions
Starting point is 01:27:55 and then the person is busy trying to figure out what the next question is rather than having a dialogue. So it's very nice that way. So I appreciate that. Thank you. Okay.

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