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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.

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TO CHANGE, OR NOT TO CHANGE?

My goal in writing this weekly blog is to encourage readers to make some changes that can lead to improvements in the quality of their relationships.  But some people have no patience for this line of thought. Below is a slightly edited version of a discussion that illustrates this view.  Names have been changed for privacy considerations.

The Discussion

open mindEd: I do not understand why adults would care about the opinions of others or why they would want to be with someone that does not want to be with them.  When people don’t like you for who you are, they can go take a hike.

Sue: I don’t think relationship break-ups should be dismissed out of hand. There is much to be said for not jumping from one relationship to another. It is better to grieve the loss and to spend some time alone trying to figure out what went wrong in order to prevent the same issues from presenting themselves next time.

Ron: Some people don’t mind being alone, so if they lose all of their relationships it doesn’t bother them.  But for those who don’t like to be lonely, making some changes can make sense. I’ve seen too many friends rush into a new relationship and repeat history. They end up hurting about being lonely once again but never stop to think about what changes they can make.

Sue: Too many people do not know the difference between being alone and being lonely. They go from one relationship to the next…without thought to the collective damage they do to themselves…and to others.

Ed: I disagree. Nothing goes wrong unless your two personalities do not match. If you broke up, that means you should move on. Trying to change yourself to accommodate the next possible relationship would simply be making yourself dishonest in the relationship and misrepresenting your true self. I have been in relationships in which I had to make a constant effort. It sucked. I am now in a relationship in which I am just myself and so is my wife. We will be celebrating our tenth anniversary this year and we have never had any problems with our relationship. We do not fight as there is no reason for us to fight.

Sue: It’s not about changing who you are.

Ron: In many cases, people who have one relationship after another find themselves dealing with the exact same issues from one relationship to the next. In this case, unless we DO change ourselves, our expectations, or whatever it is that keeps creating the problems that end our relationships, we will not ever know the happiness of a true relationship. There are a lot of damaged people in this world. Nothing wrong with that. Just a lot of people who have to do a lot of work in order to move past that which damaged them, and is preventing them from finding happiness within a relationship.

Sue: I agree with those pointing out the responsibility aspect of relationships. I do think it’s important to get out and spend time around people, get involved in groups and activities. Coop anyone up with nothing to do and they’ll become depressed. But just jumping into a relationship seems kind of selfish, just using the first person who comes along to distract from your own problems.

Ron: I think with any important decision, whether it’s voting, or a relationship, or even researching a given topic, it’s important to be careful and make choices responsibly with care to how they affect others and not just oneself, which is all I think many here are saying.

Some of My Thoughts On This Discussion

There are a few people out there who really don’t care much about having relationships.  They enjoy being alone and if a relationship comes along that they value, this is fine, but if not, this is fine as well.

For the rest of us, having a few valued relationships is up there with fine food and drink.  And if a boy gets used to having his meal served to him by his mother, if she dies, he will soon learn to get his meals some other way.  This new way may not be as pleasant to him, particularly at first.  It may not feel like he is acting “like this is his natural self,”  but in time, it will come to feel more and more comfortable and “natural.”

When we learn a new skill, at first it may not feel “natural” to us.  With practice, the skill soon becomes so smoothly executed that we don’t have to think much about it.  At that point, it does feel “natural.”

Now, there are people who, upon entering into a relationship, come to see that they would have to change so much about themselves in order to make the relationship work that they end up deciding to try to find someone else.  Some of these people find that very soon after the break-up they meet someone that is just right for them.  From these people’s experience, Ed’s comments in the above discussion might make sense.  Ed had decided to end his relationship with some woman rather than making any changes in his life, and he soon found a woman he enjoys being with.  So Ed’s strategy worked for him.  The only thing that Ed is wrong about is that just because this worked out so well for him doesn’t mean it will work out as well for many others.  He seems not to be open to this possibility. Nevertheless, I wish him well.

For other people, efforts to find someone whom they can have a rewarding relationship with may meet with one failure after another.  And for still others, even after a single relationship break-up, feelings of regret may lead to thoughts of “what if?”  These types of experiences can lead them to learn new skills to try out.

Some changes that a person might try out may never come to feel “natural.” When this happens, it makes sense to leave them by the wayside.  But some changes, with practice, may not only come to feel “natural,” but may also lead to treasured relationships.

Well, that’s my post for this week.  I hope you stop by again soon.

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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.