Hostname: page-component-84b7d79bbc-dwq4g Total loading time: 0 Render date: 2024-07-31T22:36:23.307Z Has data issue: false hasContentIssue false

Exploring Drive for Thinness as a Perfectionistic Strategy to Escape from Shame Experiences

Published online by Cambridge University Press:  20 May 2015

Cláudia Ferreira*
Affiliation:
Universidade de Coimbra (Portugal)
Inês A. Trindade
Affiliation:
Universidade de Coimbra (Portugal)
Luísa Ornelas
Affiliation:
Universidade de Coimbra (Portugal)
*
*Correspondence concerning this article should be addressed to Cláudia Ferreira. CINEICC. Faculdade de Psicologia e Ciências da Educação. Universidade de Coimbra. Rua do Colégio Novo. Apartado 6153. 3001–802. Coimbra (Portugal). Phone: +351–239851450. Fax: +351–239851462. E-mail: claudiaferreira@fpce.uc.pt

Abstract

Perfectionistic self-presentation defines the attempt at presenting the self as perfect through the public concealment of personal defects and/or through the display of attributes perceived as capable to gather positive attention of others. Although perfectionism has long been considered a central aspect of eating psychopathology mediational studies between this construct and these conditions are scarce. This study aimed at examining the mediational role of body image-related perfectionistic self-presentation in the effects of external shame and internal shame on drive for thinness, in a sample of young women. Results revealed body image-related perfectionistic self-presentation as a significant mediator (p < .05) of the relationships between external and internal shame, and drive for thinness. Furthermore, 86% and 69% of the effects of external shame and internal shame, respectively, were explained by their indirect effects through body image-related perfectionistic self-presentation on drive for thinness (95% CI). These results highlight that the control over eating may emerge as a maladaptive strategy to deal with shame when mediated by an endorsement in the belief that presenting a perfect body image is crucial to be accepted and valued by others. Study findings suggest that this perfectionistic strategy should be targeted while treating eating psychopathology.

Type
Research Article
Copyright
Copyright © Universidad Complutense de Madrid and Colegio Oficial de Psicólogos de Madrid 2015 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Bardone-Cone, A. M., Wonderlich, S. A., Frost, R. O., Bulik, C. M., Mitchell, J. E., Uppala, S., & Simonich, H. (2007). Perfectionism and eating disorders: Current status and future directions. Clinical Psychology Review, 27, 384405. http://dx.doi.org/10.1016/j.cpr.2006.12.005 Google Scholar
Baumeister, R. F., & Leary, M. R. (1995). The need to belong: Desire for interpersonal attachments as a fundamental human motivation. Psychological Bulletin, 117, 497529. http://dx.doi.org/10.1037//0033-2909.117.3.497 Google Scholar
Buote, V. M., Wilson, A. E., Strahan, E. J., Gazzola, S. B., & Papps, F. (2011). Setting the bar: Divergent sociocultural norms for women’s and men’s ideal appearance in real-world contexts. Body Image, 8, 322334. http://dx.doi.org/10.1016/j.bodyim.2011.06.002 Google Scholar
Cohen, J., Cohen, P., West, S., & Aiken, L. (2003). Applied multiple regression/correlation analysis for the behavioral sciences (3th Ed.). New Jersey, NJ: Lawrence Erlbaum Associates.Google Scholar
Cook, D. R. (1994). Internalized Shame Scale: Professional manual. Menomonie, WI: Channel Press.Google Scholar
Cook, D. R. (2001). Internalized Shame Scale: Technical manual. North Towanda, NY: Multi-Health Systems, Inc.Google Scholar
Fairburn, C. G. (2008). Cognitive behavior therapy and eating disorders. New York, NY: Guilford Press.Google Scholar
Ferreira, C., Duarte, C., Pinto-Gouveia, J., & Lopes, C. (2013). The need to present a perfect body image and its impact on disordered eating. Manuscript submitted for publication.Google Scholar
Ferreira, C., Pinto-Gouveia, J., & Duarte, C. (2013). Physical appearance as a measure of social ranking: The role of a new scale to understand the relationship between weight and dieting. Clinical Psychology and Psychotherapy, 20, 5566. http://dx.doi.org/10.1002/cpp.769 Google Scholar
Garner, D. M., Olmsted, M. P., & Polivy, J. (1983). Development and validation of a multidimensional Eating Disorder Inventory for anorexia nervosa and bulimia. International Journal of Eating Disorders, 2, 1534. http://dx.doi.org/10.1002/1098-108X(198321)2:2%3C15::AID-EAT2260020203%3E3.0.CO;2-6 3.0.CO;2-6>CrossRefGoogle Scholar
Gatward, N. (2007). Anorexia nervosa: An evolutionary puzzle. European Eating Disorders Review, 15, 112. http://dx.doi.org/10.1002/erv.718 Google Scholar
Gee, A., & Troop, N. A. (2003). Shame, depressive symptoms and eating weight and shape concerns in a nonclinical sample. Eating and Weight Disorders, 8, 7275. http://dx.doi.org/10.1007/BF03324992 Google Scholar
Gilbert, P. (1998). What is shame? Some core issues and controversies. In Andrews, B. & Gilbert, P. (Eds.), Shame: Interpersonal behavior, psychopathology, and culture (pp. 331). New York, NY: Oxford University Press.Google Scholar
Gilbert, P. (2000). The relationship of shame, social anxiety and depression: The role of the evaluation of social rank. Clinical Psychology & Psychotherapy, 7, 174189. http://dx.doi.org/10.1002/1099-0879(200007)7:3<174::AID-CPP236>3.0.CO;2-U 3.0.CO;2-U>CrossRefGoogle Scholar
Gilbert, P. (2002). Body shame: A biopsychosocial conceptualization and overview with treatment implications. In Gilbert, P. & Miles, J. (Eds.), Body Shame: Conceptualization, research and treatment (pp. 347). New York, NY: Brunner-Routledge.Google Scholar
Gilbert, P. (2005). Social mentalities: A biopsychosocial and evolutionary reflection on social relationship. In Baldwin, M. W. (Ed.), Interpersonal cognition (pp. 299335). New York, NY: Guilford.Google Scholar
Gilbert, P., Price, J., & Allan, S. (1995). Social comparison, social attractiveness and evolution: How might they be related? New Ideas in Psychology, 13, 149165. http://dx.doi.org/10.1016/0732-118X(95)00002-X Google Scholar
Goss, K., & Gilbert, P. (2002). Eating disorders, shame and pride: A cognitive-behavioral functional analysis. In Gilbert, P. & Miles, J. (Eds.), Body Shame: Conceptualization, research and treatment (pp. 218249). New York, NY: Brunner-Routledge.Google Scholar
Goss, K., Gilbert, P., & Allan, S. (1994). An exploration of shame measures: The other as Shamer Scale. Personality and Individual Differences, 17, 713717. http://dx.doi.org/10.1016/0191-8869(94)90149-X Google Scholar
Grabhorn, R., Stenner, H., Stangier, U., & Kaufhold, J. (2006). Social anxiety in anorexia and bulimia nervosa: The mediating role of shame. Clinical Psychology & Psychotherapy, 13, 1219. http://dx.doi.org/10.1002/cpp.463 Google Scholar
Hewitt, P., & Flett, G. (2002). Perfectionism and stress processes in psychopathology. In Flett, G. L., & Hewitt, P. L. (Eds.), Perfectionism: Theory, research, and treatment (pp. 255284). Washington, DC: American Psychological Association.Google Scholar
Hewitt, P. L., Flett, G. L., & Ediger, E. (1995). Perfectionism traits and perfectionistic self-presentation in eating disorder attitudes, characteristics, and symptoms. International Journal of Eating Disorders, 18, 317326. http://dx.doi.org/10.1002/1098-108X(199512)18:4%3C317::AID-EAT2260180404%3E3.0.CO;2-2 Google Scholar
Hewitt, P. L., Flett, G. L., Sherry, S. B., Habke, M., Parkin, M., Lam, R., … Stein, M. B. (2003). The interpersonal expression of perfection: Perfectionistic self-presentation and psychological distress. Journal of Personality and Social Psychology, 84, 13031325. http://dx.doi.org/10.1037/0022-3514.84.6.1303 Google Scholar
Jose, P. E. (2013). MedGraph-I: A program to graphically depict mediation among three variables: The internet version, version 3.0. Wellington, New Zealand: Victoria University of Wellington. Retrieved from http://pavlov.psyc.vuw.ac.nz/paul-jose/medgraph Google Scholar
Kline, R. B. (1998). Principles and practices of structural equation modeling. New York, NY: Guilford.Google Scholar
Machado, P. P. P., Gonçalves, S., Martins, C., & Soares, I. C. (2001). Portuguese version of the eating disorders inventory: Evaluation of its psychometric properties. European Eating Disorders Review, 9, 4352. http://dx.doi.org/10.1002/erv.359 Google Scholar
Matos, M., Pinto-Gouveia, J., & Duarte, C. (2011). Other as Shamer: Versão Portuguesa e propriedades psicométricas de uma medida de vergonha externa. [Other as Shamer: Portuguese Version and psychometric properties of a measure of external shame]. Manuscript submitted for publication.Google Scholar
Matos, M., Pinto-Gouveia, J., & Duarte, C. (2012). When I don’t like myself: Study of the psychometric properties of the Portuguese version of the Internalized Shame Scale. The Spanish Journal of Psychology, 15, 14111423. http://dx.doi.org/10.5209/rev_SJOP.2012.v15.n3.39425 Google Scholar
McGee, B., Hewitt, P., Sherry, S., Parkin, M., & Flett, G. (2005). Perfectionistic self-presentation, body image, and eating disorder symptoms. Body Image, 2, 2940. http://dx.doi.org/10.1016/j.bodyim.2005.01.002 Google Scholar
Myers, T. A., & Crowther, J. H. (2009). Social comparison as a predictor of body dissatisfaction: A meta-analytic review. Journal of Abnormal Psychology, 118, 683698. http://dx.doi.org/10.1037/a0016763 Google Scholar
Peterson, J. (2003). An argument for proactive attention to affective concerns of gifted adolescents. The Journal of Secondary Gifted Education, 14, 6270.Google Scholar
Pinto-Gouveia, J., Ferreira, C., & Duarte, C. (2014). Thinness in the pursuit for social safeness: An integrative model of social rank mentality to explain eating psychopathology. Clinical Psychology and Psychotherapy, 21, 154165. http://dx.doi.org/10.1002/cpp.1820 Google Scholar
Steele, A. L., O'Shea, A., Murdock, A., & Wade, T. D. (2011). Perfectionism and its relation to overevaluation of weight and shape and depression in an eating disorder sample. International Journal of Eating Disorders, 44, 459464. http://dx.doi.org/10.1002/eat.20817 Google Scholar
Strahan, E. J., Wilson, A. E., Cressman, K. E., & Buote, V. M. (2006). Comparing to perfection: How cultural norms for appearance affect social comparisons and self image. Body Image, 3, 211227. http://dx.doi.org/10.1016/j.bodyim.2006.07.004 Google Scholar
Swan, S., & Andrews, B. (2003). The relationship between shame, eating disorders and disclosure in treatment. British Journal of Clinical Psychology, 42, 367378. http://dx.doi.org/10.1348/014466503322528919 Google Scholar
Tabachnick, G. G., & Fidell, L. S. (2007). Experimental designs using ANOVA. Belmont, CA: Duxbury.Google Scholar
Tangney, J., & Fischer, K. (1995). Self-conscious emotions: The psychology of shame, guilt, embarrassment, and pride. New York, NY: The Guilford Press.Google Scholar
Trampe, D, Stapel, D. A., & Siero, F. W. (2007). On models and vases: Body dissatisfaction and proneness to social comparison effects. Journal of Personality and Social Psychology, 92, 106118. http://dx.doi.org/10.1037/0022-3514.92.1.106 Google Scholar
Troop, N. A., Allan, S., Treasure, J. L., & Katzman, M. (2003). Social comparison and submissive behavior in eating disorder patients. Psychotherapy, 76, 237249. http://dx.doi.org/10.1348/147608303322362479 Google Scholar