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Suicide, Perfectionism, and Criticism

male criticismSometimes I’m asked why I write so much about dealing with criticism. The answer mostly has to do with the types of concerns that have been expressed to me over the years. Some involve the desire to be liked and respected.  Others have to do with seeking to gain control over anger.  And still others come from parents who find that how they go about disciplining their children has been a serious source of stress in their lives. Providing and responding to criticism in a pleasant, thoughtful manner involves skills that can be learned fairly quickly, and are clearly helpful when addressing these types of concerns.

Additionally, conflicts that bring forth negative criticism, if handled in an immature manner, can escalate and result in a destructive relationship between parent and child, the parting of a relationship between two valued friends, the loss of a job, serious injury, and prison time.  And then there is the relationship between certain ways that people handle criticism and suicide.

Rebecca Sedwick

Rebecca Sedwick

In an earlier post, titled “Teenage Suicide and Cyberbullying: A Case Study,” I wrote about 12-year-old Rebecca Sedwick who had leaped to her death after more than a year of being incessantly criticized by a coterie of 15 middle-school children.  Today, once again I take up the subject of the relationship between criticism and suicide because of an article I just read in this September’s Review of General Psychology by Gordon L. Flett, Paul L. Hewitt, and Marnin J Heisel titled, “The Destructiveness of Perfectionism Revisited:  Implications for the Assessment of Suicide Risk and the Prevention of Suicide.” It’s written for research-minded people and has far more nuanced information than I can share in a single blog post designed for the general reader. Nevertheless, I’m going to summarize a few of its key points for I think they are very much worth considering as we move forward in our quest to become masters at dealing with name calling, insults and teasing.

Suicide and Criticism

suicide3The media is filled with stories about the Ebola virus, which has so far killed close to 4,000 people worldwide, and one person in North America.  In contrast, it is estimated that over one million people worldwide, including 40,000 people in North America, kill themselves on an annual basis.  Recent U.S. data indicate that suicide is the second leading cause of death among people who are under 40 years of age. For every person who commits suicide, several more attempt it, resulting in anguish for family and friends, and financial costs from emergency room and aftercare services that are estimated to be several billion dollars.

Of course, there are a number of reasons why people kill themselves, but the article I just read makes the following argument:

suicide1Chronic exposure to situations and contexts that place excessive pressure (or percieved pressure) on the individual to be perfect can have a destructive effect on most individuals and this is heightened among those people who are vulnerable and hypersensitive to criticism and social comparison feedback.  Consider, for instance, the vulnerable perfectionist exposed regularly to a hypercritical parent, (boss/supervisor) or romantic partner who is ever-present and seemingly impossible to please.  Alternatively, the vulnerable perfectionist may have a work environment where mistakes are simply not allowed and excessive standards are required by a tyrannical boss.

Now, I hasten to point out that most parents, bosses and supervisors who encourage quality performance don’t cause anyone to commit suicide. Moreover, the vast majority of people who may view themselves as perfectionists, even those who see themselves as particularly sensitive to criticism, don’t end up killing themselves. Nevertheless, the consistent evidence from studies that link suicide behavior with chronic exposure to external pressure to be perfect and the relationship between perfectionistic characteristics and an increased risk of lethal suicide behavior leads one to pause.  Perhaps there may be some ways to encourage quality performance without increasing suicide risks.

Ideas about Prevention

suicide2Many people who view themselves as perfectionists tend to remain silent about any despair that they may experience.  And those who demand that their children or workers be perfect don’t see anything wrong with this. So these people are unlikely to show up and ask to learn some skills to improve their behavior. Prevention programs, therefore, must be designed proactively and implemented broadly to reach these people. Schools, colleges and business organizations, if they are to impact people at risk, must provide education about these issues to their entire population.  Thus, Flett and his colleagues recommend the following key themes be incorporated into school-based programs:

(a) fostering self-acceptance and compassion instead of experiencing shame and self-criticism; (b) promoting appropriate goal-setting and goal appraisal versus setting and maintaining impossible standards; (c) combating ambivalence about giving up the need to be perfect since the distressed perfectionist must be highly motivated to change; and (d) developing resilience to feelings of shame and ability to cope with interpersonal conflict and feelings of being rejected by others.

For the work environment, Flett and his colleagues state:

Prevention efforts should include an organizational focus on reducing pressures to be perfect.  When perfectionism prevails as part of the culture and values of the workplace, it tends to promote poorer performance rather than superior performance (Gillett & Stenfert-Kroese, 2003) and it is linked with job dissatisfaction, poorer communication quality, role conflict, reduced likelihood of staying, and a poorer perceived fit between the person and the work environment (Balthazard, Cooke, & Potter, 2006; Rousseau, 1990). 

Although, as a general statement, these ideas are worthwhile to think about, a far more detailed process is necessary to foster the goals of these researchers. For those who can afford counseling services designed to teach self compassion, along with addressing each individual’s concerns, I recommend working with either of the two counselors described HERE. For those who can’t access counseling services because of the financial costs, although not as ideal as direct one to one counseling, there is available for free a curriculum that teaches the necessary skills at this blog site (see below).

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Some people will enjoy reading this blog by beginning with the first post and then moving forward to the next more recent one; then to the next one; and so on. This permits readers to catch up on some ideas that were presented earlier and to move through all of the ideas in a systematic fashion to develop their emotional and social intelligence. To begin at the very first post you can click HERE.

Providing Negative Criticism: The Newest Guidelines
Exaggerating the Benefits of Anger

About the Author

Jeffrey Rubin grew up in Brooklyn and received his PhD from the University of Minnesota. In his earlier life, he worked in clinical settings, schools, and a juvenile correctional facility. More recently, he authored three novels, A Hero Grows in Brooklyn, Fights in the Streets, Tears in the Sand, and Love, Sex, and Respect (information about these novels can be found at http://www.frominsultstorespect.com/novels/). Currently, he writes a blog titled “From Insults to Respect” that features suggestions for working through conflict, dealing with anger, and supporting respectful relationships.

7 Comments

  1. jolouiseallen says:

    In your post, you mention ……..One such curriculum is available for free and can be found at this blog site (see below). What is the curriculum, and I didn’t find a link to the blog site. Thank you.

    • Hi jolouiseallen. Above this “Comment” section, but just below the post that ends “(see below)” there is a line of dashes and then there is a paragraph that begins, “Some people will enjoy reading this blog….” That paragraph explains how this blog can be used as a free emotional and social intelligence curriculum. Thanks for your interest.

  2. Marv Brilliant AA says:

    Some people who have thoughts of suicide, or actually commit the act are not perfectionists. There are those who are deeply depressed and suffer from Major Depressive Disorder (MDD). These individuals may feel just the opposite of perfectionists. Perhaps they feel they want to accomplish a certain goal, but they constantly can’t reach the peak of the mountain. These people may drive themselves crazy, due to the fact that they are banging their heads against a wall. As the article stated, it would be best to reach achievable goals and to know the limits of their talents. We all have certain talents, whether it be fixing a car, or simply liking what we do. No one is perfect, for that is unrealistic. As stated, courses dealing with exploratory means of alleviating these negative thoughts must be taught in all universities, and schools. Beginning in middle schools and high schools would constitute a good start. Parents who have children who suffer with these behavioral anomalies must also be educated. We need to make this topic a priority.

    • Alain Bos says:

      Hi Marvin,
      I consider myself to be a human with the same capacities as any other human who lived, lives or soon will live on this pancake. I am therefor also capable of achieving much more than you perceive is unrealistic. I’ve set my mind for many years on achieving many goals where changing the world for the better is one of them. To obtain this goal, I’ve cried out to any thinkable ‘helpers’ and thus far the yield is promising. But that is on macro level and I have my own micro-goals too. They are all achievable too and as long as I wear this costume (the waterbag that is my body) I’ll strive to keep ‘upgrading’ the macro as well as many micro-worlds including my own.
      I responded to you because I consider all goals achievable, being perfect is one of them and thus not unrealistic. It’s not the art of perceiving ones limits and adjusting to them but to crave for your ultimate ‘wish’ and demand you are going to get it. My ultimate craving is world peace and as self-pronounced worldleader (one of many) I have the opportunity to demand this from all earth-denizens, also you Marv. There still has been no real opposition towards me and my demand. It is not impossible that my initiation will have a ripple effect that equals the ‘wishing for worldpeace’ by buddhist. In my personal opinion just ‘demanding’ supersedes ‘wishing’ because it lays an irrevocable claim to obtain all possible help to achieve this goal.

      Perhaps I’m not suffering from MDD but I’m perhaps not literally banging my head against the wall but I’ve got to reach that mountaintop too. I’ve set myself the task of requiring the necessary skills to ge there and I only accept any new skill when I’m a 100% sure of its validity of being 100% acquired. This may seem perfectionism and I see it as a safety measure because creating an illusion of acquired skills while in fact I do not master them will not get me to the mountain top. I rather set one step forward knowing I will not slide two steps back. And as I always state: “the journey to Rome starts with a single step forward and my perfectionism is preventing me from sliding so far back that I’ll end up at the North-pole. Now I may move along like a snail but I’ve adjusted my pace to ensure being able. I’m afraid that if I settle for skills (tools) that will sometimes fail to do the job, I will lose valuable time & energy to dealing with these occurrences.

      One of my micro-goals is to better my social-skills in order to achieve better conversations and thus prevent being distracted from having fun and being happy. If you’ve read this far, I deeply apologize for I’m afraid I’ve absented myself (and perhaps you too 😉 from my initial purpose to tell myself that responding to you because I disagree with anything related for being unrealistic, is okay. Well, we can certainly say that I’ve yet to master this skill.

      So I’ll leave you with a simple but all-explaining (as far as is possible for a human to explain & understand) oneliner that answers the question “who am I ?”

      “In the emptiness of knowing, all that I perceive is an illusion of sorts. You see, my eyes too are an illusion.”

      Thank you for reading and have a nice day anyway …. 😉
      friendly greetings from
      Alain (the Netherlands)

      PS. I do agree with practically all your assumptions and suggestions !

  3. Hi Marv. I like the way you explain in a very specific way that there are other reasons that people might seek to commit suicide other than perfectionism. Well done. You then highlight how important it is that our culture provide education that can lead to reducing the negative patterns of thoughts that appear to be a significant contributor to an increase risk of suicide. Nice. Much thanks for your comment.

  4. S.kay Martin says:

    I don’t think its about wanting to be perfect at all. I am laughed at, and whispered about at least once a day. People just want to live without being attacked. People need freedom. I am a married woman 42 years old, my skin is a little damaged from rosacea AnD sun exposure. So that does not give anyone any right to harass me. If I had no children I don’t think I would be able to live like this anymore.

    • Dr. Jeffrey Rubin says:

      Thanks for sharing with us your experience, S. Kay Martin. I certainly agree with you that it is wrong to harass you for the damage to your skin. Being laughed at and whispered about on a daily basis is understandably a tough situation to have to put up with. The emotional pain that you have been experiencing because of this situation may be best dealt with using some techniques I describe in my post titled “Dealing with Emotional Pain” which you can access at the following link: http://www.frominsultstorespect.com/2013/07/08/dealing-with-emotional-pain/

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