View in EDS HTML Full Text PDF Full Text

I Don't Deserve Anything Good: Perfectionistic Self‐Recrimination in a Case of Comorbid Personality and Eating Disorder.

Saved in:
Bibliographic Details
Title: I Don't Deserve Anything Good: Perfectionistic Self‐Recrimination in a Case of Comorbid Personality and Eating Disorder.
Authors: Cheli, Simone (AUTHOR), Cavalletti, Veronica (AUTHOR), Gazzillo, Francesco (AUTHOR), Brüne, Martin (AUTHOR), Hewitt, Paul L. (AUTHOR)
Source: Journal of Clinical Psychology. Mar2025, Vol. 81 Issue 3, p171-181. 11p.
Subjects: Personality disorders, Borderline personality disorder, Eating disorders, Group psychotherapy, Anorexia nervosa
Abstract: In this case study we present the course of the psychotherapy of Myriam, a 19‐year old female with a severe personality disorder and comorbid eating disorder. During the initial assessment she reported high levels of neuroticism that parallel the diagnosis of obsessive‐compulsive personality disorder, borderline personality disorder, and anorexia nervosa. Myriam showed a severely impaired personality functioning defined by perfectionism, self‐criticism, interpersonal guilt and overcontrol. Her daily experience was shaped by a self‐recriminative inner dialogue associated with maladaptive patterns in the form of food, water and sleep restrictions, self‐harm behaviors, and suicidal ideation. She accessed an integrative treatment based on individual (Evolutionary Systems Therapy) and group psychotherapy (Mindful Compassion for Perfectionism). At the end of 14‐month intervention she remitted from all the categorical diagnoses and showed reliable changes in several measures. These outcomes were maintained at 3‐month follow‐up. We describe the integrative conceptualization based on Myriam's perfectionistic self‐recrimination patterns, and the consequent treatment that targeted these patterns rather than focusing on symptom reduction exclusively. [ABSTRACT FROM AUTHOR]
Copyright of Journal of Clinical Psychology is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
Full text is not displayed to guests.
FullText Links:
  – Type: pdflink
Text:
  Availability: 1
Header DbId: pbh
DbLabel: Psychology and Behavioral Sciences Collection
An: 183988693
AccessLevel: 6
PubType: Academic Journal
PubTypeId: academicJournal
PreciseRelevancyScore: 0
IllustrationInfo
Items – Name: Title
  Label: Title
  Group: Ti
  Data: I Don't Deserve Anything Good: Perfectionistic Self‐Recrimination in a Case of Comorbid Personality and Eating Disorder.
– Name: Author
  Label: Authors
  Group: Au
  Data: <searchLink fieldCode="AR" term="%22Cheli%2C+Simone%22">Cheli, Simone</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Cavalletti%2C+Veronica%22">Cavalletti, Veronica</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Gazzillo%2C+Francesco%22">Gazzillo, Francesco</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Brüne%2C+Martin%22">Brüne, Martin</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Hewitt%2C+Paul+L%2E%22">Hewitt, Paul L.</searchLink> (AUTHOR)
– Name: TitleSource
  Label: Source
  Group: Src
  Data: <searchLink fieldCode="JN" term="%22Journal+of+Clinical+Psychology%22">Journal of Clinical Psychology</searchLink>. Mar2025, Vol. 81 Issue 3, p171-181. 11p.
– Name: Subject
  Label: Subjects
  Group: Su
  Data: <searchLink fieldCode="DE" term="%22Personality+disorders%22">Personality disorders</searchLink><br /><searchLink fieldCode="DE" term="%22Borderline+personality+disorder%22">Borderline personality disorder</searchLink><br /><searchLink fieldCode="DE" term="%22Eating+disorders%22">Eating disorders</searchLink><br /><searchLink fieldCode="DE" term="%22Group+psychotherapy%22">Group psychotherapy</searchLink><br /><searchLink fieldCode="DE" term="%22Anorexia+nervosa%22">Anorexia nervosa</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: In this case study we present the course of the psychotherapy of Myriam, a 19‐year old female with a severe personality disorder and comorbid eating disorder. During the initial assessment she reported high levels of neuroticism that parallel the diagnosis of obsessive‐compulsive personality disorder, borderline personality disorder, and anorexia nervosa. Myriam showed a severely impaired personality functioning defined by perfectionism, self‐criticism, interpersonal guilt and overcontrol. Her daily experience was shaped by a self‐recriminative inner dialogue associated with maladaptive patterns in the form of food, water and sleep restrictions, self‐harm behaviors, and suicidal ideation. She accessed an integrative treatment based on individual (Evolutionary Systems Therapy) and group psychotherapy (Mindful Compassion for Perfectionism). At the end of 14‐month intervention she remitted from all the categorical diagnoses and showed reliable changes in several measures. These outcomes were maintained at 3‐month follow‐up. We describe the integrative conceptualization based on Myriam's perfectionistic self‐recrimination patterns, and the consequent treatment that targeted these patterns rather than focusing on symptom reduction exclusively. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Journal of Clinical Psychology is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=183988693
RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1002/jclp.23753
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 11
        StartPage: 171
    Subjects:
      – SubjectFull: Personality disorders
        Type: general
      – SubjectFull: Borderline personality disorder
        Type: general
      – SubjectFull: Eating disorders
        Type: general
      – SubjectFull: Group psychotherapy
        Type: general
      – SubjectFull: Anorexia nervosa
        Type: general
    Titles:
      – TitleFull: I Don't Deserve Anything Good: Perfectionistic Self‐Recrimination in a Case of Comorbid Personality and Eating Disorder.
        Type: main
  BibRelationships:
    HasContributorRelationships:
      – PersonEntity:
          Name:
            NameFull: Cheli, Simone
      – PersonEntity:
          Name:
            NameFull: Cavalletti, Veronica
      – PersonEntity:
          Name:
            NameFull: Gazzillo, Francesco
      – PersonEntity:
          Name:
            NameFull: Brüne, Martin
      – PersonEntity:
          Name:
            NameFull: Hewitt, Paul L.
    IsPartOfRelationships:
      – BibEntity:
          Dates:
            – D: 01
              M: 03
              Text: Mar2025
              Type: published
              Y: 2025
          Identifiers:
            – Type: issn-print
              Value: 00219762
          Numbering:
            – Type: volume
              Value: 81
            – Type: issue
              Value: 3
          Titles:
            – TitleFull: Journal of Clinical Psychology
              Type: main
ResultId 1