Unrelenting Standards

Explore the unrelenting standards schema - a longstanding pattern where individuals strive to meet extremely high internalized standards related to their behavior or performance.

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Professional version

Offers theory, guidance, and prompts for mental health professionals. Downloads are in Fillable PDF format where appropriate.

Client version

Includes client-friendly guidance. Downloads are in Fillable PDF format where appropriate.

Overview

Schema therapy posits that psychological difficulties stem from early maladaptive schemas (EMS) and clients’ characteristic responses to them, referred to as ‘coping styles’. This Unrelenting Standards information handout forms part of the Psychology Tools Schema series. It is designed to help clients and therapists to work more effectively with common early maladaptive schemas (EMS).

Why Use This Resource?

Schema therapy identifies EMS as central in longstanding psychological difficulties. Unrelenting standards can drive significant psychological distress, including anxiety, depression, and burnout. The Unrelenting Standards handout helps clients:

  • Explore their early maladaptive schemas.
  • Recognize how the Unrelenting Standards schema operates in their lives.
  • Reflect on the origins of this schema.
  • Understand what healing this schema might entail.

Key Benefits

Insight

Gain a deep understanding of the unrelenting standards schema and its origins.

Awareness

Clarify how this schema manifests in day-to-day life and where it comes from.

Prepare

Help clients prepare for addressing this schema.

Who is this for?

Perfectionism

Clients struggling with extreme standards and fear of mistakes or failure.

Social Anxiety

Where striving to meet high standards contributes to social anxiety and fear of negative evaluation.

Eating Disorders

Useful when perfectionism plays a role in disordered eating and negative body image.

Other Difficulties

Unrelenting standards has been associated with addictions, bipolar disorder, burnout, depression, and personality disorders.

Integrating it into your practice

01

Educate

Provide clients with psychoeducation on schemas.

02

Explore

Discuss whether clients relate to the Unrelenting Standards schema.

03

Monitor

Encourage clients to monitor their schemas between sessions.

04

Intervene

Use cognitive, emotional, behavioral, and relational interventions to address the Unrelenting Standards schema.

Theoretical Background & Therapist Guidance

Schema therapy integrates various psychological approaches and interventions to address EMS that stem from unmet core emotional needs during childhood. Addressing EMS requires experiential and relational interventions, including a 'need-meeting' therapeutic style.

People with an unrelenting standards EMS strive to meet high internalized standards relating to their behavior or performance and are often driven by a fear of criticism or disapproval (Young, 2014; Young et al., 2003). They are often extremely detail-focused, concerned about mistakes, and tend to underestimate their abilities. Other features associated with this schema include drivenness, fear of failure, hypercriticalness, and compulsiveness.

What's inside

  • Detailed overview of schema theory and key schema therapy concepts.
  • Insight into early maladaptive schemas and their development.
  • Comprehensive description of the Unrelenting Standards schema and its aetiology.
  • Detailed descriptions of coping styles linked to this schema.
  • Step-by-step guidance for exploring this schema with clients.
Get access to this resource

FAQs

It is a pattern of internalized, rigid, and extreme expectations, often accompanied by self-criticism, anxiety, and chronic dissatisfaction. Individuals feel compelled to perform flawlessly, often at the cost of wellbeing and relationships.
Look for high pressure to succeed, fear of failure, intense self-criticism, compulsive behaviors (e.g., overworking), and difficulty enjoying achievements or relaxing.
While both involve striving, the critical distinction is that while approval-seekers strive for external validation, people with unrelenting standards pursue internalized standards.

How This Resource Improves Clinical Outcomes

This resource enhances clinical outcomes by:

  • Increasing client awareness of the unrelenting standards schema.
  • Informing schema case conceptualizations and treatment planning.
  • Helping clients generate ideas about how they can begin to address this schema.

References And Further Reading

  • Abedi, A., Sepahvandi, M. A., & Mirderikvand, F. (2018). Investigating the role of early maladaptive schemas in body image disturbance. Journal of Advanced Pharmacy Education and Research, 8, 51-57.
  • Ahmadian, A., Mirzaee, J., Omidbeygi, M., Holsboer-Trachsler, E., & Brand, S. (2015). Differences in maladaptive schemas between patients suffering from chronic and acute posttraumatic stress disorder and healthy controls. Neuropsychiatric Disease and Treatment, 11, 1677-1684. https://doi.org/10.2147/NDT.S85959
  • Ak, M., Lapsekili, N., Haciomeroglu, B., Sutcigil, L., & Turkcapar, H. (2012). Early maladaptive schemas in bipolar disorder. Psychology and Psychotherapy: Theory, Research and Practice, 85, 260-267. https://doi.org/10.1111/j.2044-8341.2011.02037.x
  • Alba, J., Calvete, E., Wante, L., Van Beveren, M. L., & Braet, C. (2018). Early maladaptive schemas as moderators of the association between bullying victimization and depressive symptoms in adolescents. Cognitive Therapy and Research, 42, 24-35. https://doi.org/10.1007/s10608-017-9874-5
  • Arntz, A., Rijkeboer, M., Chan, E., Fassbinder, E., Karaosmanoglu, A., Lee, C. W., & Panzeri, M. (2021). Towards a reformulated theory underlying schema therapy: Position paper of an international workgroup. Cognitive Therapy and Research, 45, 1007-1020. https://doi.org/10.1007/s10608-021-10209-5
  • Askari, A. (2021). New concepts of schema therapy: The six coping styles. Amir Askari.
  • Bach, B., Lockwood, G., & Young, J. E. (2018). A new look at the schema therapy model: organization and role of early maladaptive schemas. Cognitive Behaviour Therapy, 47, 328-349. https://doi.org/10.1080/16506073.2017.1410566
  • Baumeister, R. F. (2014). Self-regulation, ego depletion, and inhibition. Neuropsychologia, 65, 313-319. https://doi.org/10.1016/j.neuropsychologia.2014.08.012
  • Baumeister, R. F., Schmeichel, B. J., & Vohs, K. D. (2007). Self-regulation and the executive function: The self as controlling agent. In A. W. Kruglanski & E. T. Higgins (Eds.), Social psychology: Handbook of basic principles (pp. 516-539). Guilford Press.
  • Beck, A. T., Freeman, A., & Davis, D. D. (2004). Cognitive therapy of personality disorders. Guilford Press.
  • Belsky, J. (2013). Differential susceptibility to environmental influences. International Journal of Child Care and Education Policy, 7, 15-31. https://doi.org/10.1007/2288-6729-7-2-15
  • Berticelli, L. Z., Vaz, R. T. G., Lima, C. P., & Trentini, C. M. (2021). Burnout and Early Maladaptive Schemas in students of psychology courses from Porto Alegre and metropolitan area. Revista Brasileira de Terapias Cognitivas, 17, 30-38. https://doi.org/10.5935/1808-5687.20210005
  • Bishop, A., Younan, R., Low, J., & Pilkington, P. D. (2022). Early maladaptive schemas and depression in adulthood: A systematic review and meta-analysis. Clinical Psychology and Psychotherapy, 29, 111-130. https://doi.org/10.1002/cpp.2630
  • Bowlby, J. (1977). The making and breaking of affectional bonds: I. Aetiology and psychopathology in the light of attachment theory. British Journal of Psychiatry, 130, 201-210. https://doi.org/10.1192/bjp.130.3.201
  • Briedis, J., & Startup, H. (2020). Somatic perspective in schema therapy: The role of the body in the awareness and transformation of modes and schemas. In G. Heath & H. Startup (Eds.), Creative methods in schema therapy: Advances and innovations in practice (pp. 60-75). Routledge.
  • Brockman, R. N., Simpson, S., Hayes, C., Wijingaart, R. V. D., & Smout, M. (2023). Cambridge guide to schema therapy. Cambridge University Press.
  • Brownell, K. D. (1991). Dieting and the search for the perfect body: Where physiology and culture collide. Behavior Therapy, 22, 1-12. https://doi.org/10.1016/S0005-7894(05)80239-4
  • Carver, C. S., & Scheier, M. (1981). Attention and self-regulation: A control-theory approach to human behavior. Springer-Verlag.
  • Casale, S., Fioravanti, G., Rugai, L., Flett, G. L., & Hewitt, P. L. (2016). The interpersonal expression of perfectionism among grandiose and vulnerable narcissists: Perfectionistic self-presentation, effortless perfection, and the ability to seem perfect. Personality and Individual Differences, 99, 320-324. https://doi.org/10.1016/j.paid.2016.05.026
  • Castro, J. R., & Rice, K. G. (2003). Perfectionism and ethnicity: Implications for depressive symptoms and self-reported academic achievement. Cultural Diversity and Ethnic Minority Psychology, 9, 64-78. https://doi.org/10.1037/1099-9809.9.1.64
  • Chang, E. C. (2000). Perfectionism as a predictor of positive and negative psychological outcomes: Examining a mediation model in younger and older adults. Journal of Counseling Psychology, 47, 18-26. https://doi.org/10.1037/0022-0167.47.1.18
  • Chen, C., Hewitt, P. L., & Flett, G. L. (2019). Adverse childhood experiences and multidimensional perfectionism in young adults. Personality and Individual Differences, 146, 53-57. https://doi.org/10.1016/j.paid.2019.03.042
  • Curran, T. (2018). Parental conditional regard and the development of perfectionism in adolescent athletes: The mediating role of competence contingent self-worth. Sport, Exercise, and Performance Psychology, 7, 284-296. https://doi.org/10.1037/spy0000126
  • Curran, T., & Hill, A. P. (2019). Perfectionism is increasing over time: A meta-analysis of birth cohort differences from 1989 to 2016. Psychological Bulletin, 145, 410-429. https://doi.org/10.1037/bul0000138
  • Curran, T., Hill, A. P., & Williams, L. J. (2017). The relationships between parental conditional regard and adolescents' self-critical and narcissistic perfectionism. Personality and Individual Differences, 109, 17-22. https://doi.org/10.1016/j.paid.2016.12.035
  • Cutland Green, T., & Balfour, A. (2020). Assessment and formulation in schema therapy. In G. Heath & H. Startup (Eds.), Creative methods in schema therapy: Advances and innovation in clinical practice (pp. 19-47). Routledge.
  • Da Luz, F. Q., Sainsbury, A., Hay, P., Roekenes, J. A., Swinbourne, J., Da Silva, D. C., & da S. Oliveira, M. (2017). Early maladaptive schemas and cognitive distortions in adults with morbid obesity: Relationships with mental health status. Behavioral Sciences, 7, 1-11. https://doi.org/10.3390/bs7010010
  • Dikmen, S. N. T., & Safak, Y. (2020). Effect of early maladaptive schemas and sexual self-schemas in vaginismus. International Journal of Medical Reviews and Case Reports, 4, 15-21. https://doi.org/10.5455/IJMRCR.Effect-schemas-sexual-self-schemas-vaginismus
  • Duval, S., & Wicklund, R. A. (1972). A theory of objective self-awareness. Academic Press.
  • Egan, S. J., Piek, J. P., Dyck, M. J., Rees, C. S., & Hagger, M. S. (2013). A clinical investigation of motivation to change standards and cognitions about failure in perfectionism. Behavioural and Cognitive Psychotherapy, 41, 565-578.
  • Egan, S. J., Wade, T. D., Shafran, R., & Antony, M. M. (2014). Cognitive-behavioral treatment of perfectionism. Guildford Press.
  • Elion, A. A., Wang, K. T., Slaney, R. B., & French, B. H. (2012). Perfectionism in African American students: Relationship to racial identity, GPA, self-esteem, and depression. Cultural Diversity and Ethnic Minority Psychology, 18, 118-127. https://doi.org/10.1037/a0026491
  • Eisenberg, N., Fabes, R. A., Shepard, S. A., Guthrie, I. K., Murphy, B. C., & Reiser, M. (1999). Parental reactions to children's negative emotions: Longitudinal relations to quality of children's social functioning. Child Development, 70, 513-534. https://doi.org/10.1111/1467-8624.00037
  • Farrell, J. M., Reiss, N., & Shaw, I. (2014). The schema therapy clinician's guide: A complete resource for building and developing individual, group and integrated schema mode treatment programs. John Wiley and Sons.
  • Flanagan, C. (2010). The case for needs in psychotherapy. Journal of Psychotherapy Integration, 20, 1-36. https://doi.org/10.1037/a0018815
  • Flett, G. L., Hewitt, P. L., Oliver, J. M., & Macdonald, S. (2002). Perfectionism in children and their parents: A developmental analysis. In G. L. Flett & P. L. Hewitt (Eds.), Perfectionism: Theory, research, and treatment (pp. 89-132). American Psychological Association.
  • Flett, G. L., Nepon, T., & Hewitt, P. L. (2016a). Perfectionism, worry, and rumination in health and mental health: A review and conceptual framework for a cognitive theory of perfectionism. In F. M. Sirois & D. S. Molnar (Eds.), Perfectionism, health, and well-being (pp. 121-155). Springer.
  • Flett, G. L., Nepon, T., Hewitt, P. L., & Fitzgerald, K. (2016b). Perfectionism, components of stress reactivity, and depressive symptoms. Journal of Psychopathology and Behavioral Assessment, 38, 645-654. https://doi.org/10.1007/s10862-016-9554-x
  • Greenwald, M., & Young, J. (1998). Schema-focused therapy: An integrative approach to psychotherapy supervision. Journal of Cognitive Psychotherapy, 12, 109-126.
  • Haaland, A. T., Vogel, P. A., Launes, G., Haaland, V. Ã., Hansen, B., Solem, S., & Himle, J. A. (2011). The role of early maladaptive schemas in predicting exposure and response prevention outcome for obsessive-compulsive disorder. Behaviour Research and Therapy, 49, 781-788. https://doi.org/10.1016/j.brat.2011.08.007
  • Hahn, J., & Oishi, S. (2006). Psychological needs and emotional well-being in older and younger Koreans and Americans. Personality and Individual Differences, 40, 689-698. https://doi.org/10.1016/j.paid.2005.09.001
  • Hamachek, D. E. (1978). Psychodynamics of normal and neurotic perfectionism. Psychology, 15, 27-33.
  • Henker, J., Keller, A., Reiss, N., Siepmann, M., Croy, I., & Weidner, K. (2019). Early maladaptive schemas in patients with somatoform disorders and somatization. Clinical Psychology and Psychotherapy, 26, 418-429. https://doi.org/10.1002/cpp.2363
  • Hewitt, P. L., Flett, G. L., & Mikail, S. F. (2017). Perfectionism: A relational approach to conceptualization, assessment, and treatment. Guildford Press.
  • Hewitt, P. L., Flett, G. L., Sherry, S. B., Habke, M., Parkin, M., Lam, R. W., McMurtry, B., Ediger, E., Fairlie, P., & Stein, M. B. (2003). The interpersonal expression of perfection: Perfectionistic self-presentation and psychological distress. Journal of Personality and Social Psychology, 84, 1303-1325. https://doi.org/10.1037/0022-3514.84.6.1303
  • Hewitt, P. L., Flett, G. L., & Turnbull, W. (1992). Perfectionism and Multiphasic Personality Inventory (MMPI) indices of personality disorder. Journal of Psychopathology and Behavioral Assessment, 14, 323-335. https://doi.org/10.1007/BF00960777
  • Horney, K. (1950). Neurosis and human growth. Norton.
  • Ishida, H. (2005). College students' perfectionism and task-strategy inefficiency: Why their efforts go unrewarded? The Japanese Journal of Social Psychology, 20, 208-215.
  • Jalali, M. R., Zargar, M., Salavati, M., & Kakavand, A. R. (2011). Comparison of early maladaptive schemas and parenting origins in patients with opioid abuse and non-abusers. Iranian Journal of Psychiatry, 6, 54-60.
  • James, K., Verplanken, B., & Rimes, K. A. (2015). Self-criticism as a mediator in the relationship between unhealthy perfectionism and distress. Personality and Individual Differences, 79, 123-128. https://doi.org/10.1016/j.paid.2015.01.030
  • Kaeding, A., Sougleris, C., Reid, C., van Vreeswijk, M. F., Hayes, C., Dorrian, J., & Simpson, S. (2017). Professional burnout, early maladaptive schemas, and physical health in clinical and counselling psychology trainees. Journal of Clinical Psychology, 73, 1782-1796. https://doi.org/10.1002/jclp.22485
  • Kawamura, K. Y., Frost, R. O., & Harmatz, M. G. (2002). The relationship of perceived parenting styles to perfectionism. Personality and Individual Differences, 32, 317-327. https://doi.org/10.1016/S0191-8869(01)00026-5
  • Kebritchi, A., & Mohammadkhani, S. (2016). The role of marital burnout and early maladaptive schemas in marital satisfaction between young couples. International Journal of Medical Research and Health Sciences, 5, 239-246.
  • Kiff, C. J., Lengua, L. J., & Zalewski, M. (2011). Nature and nurturing: Parenting in the context of child temperament. Clinical Child and Family Psychology Review, 14, 251-301. https://doi.org/10.1007/s10567-011-0093-4
  • Kobori, O., Hayakawa, M., & Tanno, Y. (2009). Do perfectionists raise their standards after success? An experimental examination of the revaluation of standard setting in perfectionism. Journal of Behavior Therapy and Experimental Psychiatry, 40, 515-521. https://doi.org/10.1016/j.jbtep.2009.07.003
  • Koerner, N., Tallon, K., & Kusec, A. (2015). Maladaptive core beliefs and their relation to generalized anxiety disorder. Cognitive Behaviour Therapy, 44, 441-455. https://doi.org/10.1080/16506073.2015.1042989
  • Kudryavtsev, V. T. (2011). The phenomenon of child creativity. International Journal of Early Years Education, 19, 45-53. https://doi.org/10.1080/09669760.2011.570999
  • Kunst, H., Lobbestael, J., Candel, I., & Batink, T. (2020). Early maladaptive schemas and their relation to personality disorders: A correlational examination in a clinical population. Clinical Psychology and Psychotherapy, 27, 837-846. https://doi.org/10.1002/cpp.2467
  • Lockwood, G., & Perris, P. (2012). A new look at core emotional needs. In M. van Vreeswijk, J. Broersen, & M. Nadort (Eds.), The Wiley-Blackwell handbook of schema therapy: Theory, research, and practice (pp. 41-66). John Wiley and Sons.
  • Loose, C., Graaf, P., Zarbock, G., & Holt, R. A. (2020). Schema therapy for children and adolescents (ST-CA): A practitioner's guide. Pavilion.
  • Lorzangeneh, S., & Esazadegan, A. (2022). The role of early maladaptive schema domains and childhood trauma in predicting cognitive distortions. Journal of Research in Psychopathology, 3, 1-8. https://doi.org/10.22098/JRP.2022.10098.1049
  • Louis, J. P., Wood, A. M., Lockwood, G., Ho, M.-H. R., & Ferguson, E. (2018). Positive clinical psychology and Schema Therapy (ST): The development of the Young Positive Schema Questionnaire (YPSQ) to complement the Young Schema Questionnaire 3 Short Form (YSQ-S3). Psychological Assessment, 30, 1199-1213. https://doi.org/10.1037/pas0000567
  • Mackinnon, S. P., Battista, S. R., Sherry, S. B., & Stewart, S. H. (2014). Perfectionistic self-presentation predicts social anxiety using daily diary methods. Personality and Individual Differences, 56, 143-148. https://doi.org/10.1016/j.paid.2013.08.038
  • Maher, A., Cason, L., Huckstepp, T., Stallman, H., Kannis-Dymand, L., Millear, P., Mason, J., Wood, A., & Allen, A. (2022). Early maladaptive schemas in eating disorders: A systematic review. European Eating Disorders Review, 30, 3-22. https://doi.org/10.1002/erv.2866
  • Miller, J. L., & Vaillancourt, T. (2007). Relation between childhood peer victimization and adult perfectionism: Are victims of indirect aggression more perfectionistic? Aggressive Behavior, 33, 230-241. https://doi.org/10.1002/ab.20183
  • Molnar, D. S., Sirois, F. M., & Methot-Jones, T. (2016). Trying to be perfect in an imperfect world: Examining the role of perfectionism in the context of chronic illness. In F. M. Sirois & D. S. Molnar (Eds.), Perfectionism, health, and well-being (pp. 69-99). Springer.
  • Moser, J. S., Slane, J. D., Alexandra Burt, S., & Klump, K. L. (2012). Etiologic relationships between anxiety and dimensions of maladaptive perfectionism in young adult female twins. Depression and Anxiety, 29, 47-53. https://doi.org/10.1002/da.20890
  • Nia, M. K., & Sovani, A. (2014). Cross cultural comparison role of early maladaptive schemas and coping styles between women with depressive symptoms in Iran and India. Journal of Applied Environmental and Biological Sciences, 4, 57-65.
  • Noor, R., & Dildar, S. (2021). Childhood traumatic experiences, early maladaptive schemas and personality dysfunctions in shelter home residents. Pakistan Journal of Applied Psychology, 1, 10-23.
  • Neumeister, K. L. S. (2004). Factors influencing the development of perfectionism in gifted college students. Gifted Child Quarterly, 48, 259-274. https://doi.org/10.1177/001698620404800402
  • Neumeister, K. L. S., & Finch, H. (2006). Perfectionism in high-ability students: Relational precursors and influences on achievement motivation. Gifted Child Quarterly, 50, 238-251. https://doi.org/10.1177/001698620605000304
  • O’Sheedy, B. (2021). Is connectedness to nature a core human need? Schema Therapy Bulletin, 23, 10-14.
  • Orosz, G., Tóth-Király, I., Büki, N., Ivaskevics, K., Bőthe, B., & Fülöp, M. (2018). The four faces of competition: The development of the Multidimensional Competitive Orientation Inventory. Frontiers in Psychology, 9, 1-16. https://doi.org/10.3389/fpsyg.2018.00779
  • Pekdoğan, S., & Kanak, M. (2022). Child temperament as a predictor of parents’ potential for emotional abuse. The Journal of Nervous and Mental Disease, 210, 330-334. https://doi.org/10.1097/NMD.0000000000001449
  • Pilkington, P. D., Bishop, A., & Younan, R. (2021). Adverse childhood experiences and early maladaptive schemas in adulthood: A systematic review and meta-analysis. Clinical Psychology & Psychotherapy, 28, 569-584. https://doi.org/10.1002/cpp.2533
  • Pinto-Gouveia, J., Castilho, P., Galhardo, A., & Cunha, M. (2006). Early maladaptive schemas and social phobia. Cognitive Therapy and Research, 30, 571-584. https://doi.org/10.1007/s10608-006-9027-8
  • Rafaeli, E., Berstein, D. P., & Young, J. E. (2011). Schema therapy: Distinctive features. Routledge.
  • Rafaeli, E., Maurer, O., Lazarus, G., & Thoma, N. C. (2016). The self in schema therapy. In M. Kyrios, R. Moulding, G. Doron, S. S. Bhar, M. Nedeljkovic, & M. Mikulincer (Eds.), The self in understanding and treating psychological disorders (pp. 59-70). Cambridge University Press.
  • Rice, K. G., & Richardson, C. M. E. (2014). Classification challenges in perfectionism. Journal of Counseling Psychology, 61, 641-648. https://doi.org/10.1037/cou0000040
  • Rice, K. G., Richardson, C. M., & Tueller, S. (2014). The short form of the revised almost perfect scale. Journal of Personality Assessment, 96, 368-379. https://doi.org/10.1080/00223891.2013.838172
  • Rice, K. G., Tucker, C. M., & Desmond, F. F. (2008). Perfectionism and depression among low-income chronically ill African American and White adolescents and their maternal parent. Journal of Clinical Psychology in Medical Settings, 15, 171-181. https://doi.org/10.1007/s10880-008-9119-6
  • Riley, C., & Shafran, R. (2005). Clinical perfectionism: A preliminary qualitative analysis. Behavioural and Cognitive Psychotherapy, 33, 369-374. https://doi.org/10.1017/S1352465805002122
  • Sametoğlu, S., Denissen, J. J., De Clercq, B., & De Caluwé, E. (2022). Towards a better understanding of adolescent obsessive-compulsive personality traits and obsessive-compulsive symptoms from growth trajectories of perfectionism. Development and Psychopathology, 34, 1468-1476. https://doi.org/10.1017/S0954579421000195
  • Shafran, R., Cooper, Z., & Fairburn, C. G. (2002). Clinical perfectionism: A cognitive-behavioural analysis. Behaviour Research and Therapy, 40, 773-791. https://doi.org/10.1016/S0005-7967(01)00059-6
  • Simeone-DiFrancesco, C., Roediger, E., & Stevens, B. A. (2015). Schema therapy with couples: A practitioner's guide to healing. John Wiley and Sons.
  • Simpson, S., Simionato, G., Smout, M., van Vreeswijk, M. F., Hayes, C., Sougleris, C., & Reid, C. (2019). Burnout amongst clinical and counselling psychologist: The role of early maladaptive schemas and coping modes as vulnerability factors. Clinical Psychology and Psychotherapy, 26, 35-46. https://doi.org/10.1002/cpp.2328
  • Sirois, F. M., & Molnar, D. S. (2016). Perfectionism, health, and well-being. Springer.
  • Sirois, F. M., & Pascual-Leone, A. (2013). A meta-analytic view of the associations of perfectionism with low self-compassion. Paper presented at the 25th Annual Convention of the Association for Psychological Science (APS), Washington, DC.
  • Smith, M. M., Saklofske, D. H., Yan, G., & Sherry, S. B. (2016). Cultural similarities in perfectionism: Perfectionistic strivings and concerns generalize across Chinese and Canadian groups. Measurement and Evaluation in Counseling and Development, 49, 63-76. https://doi.org/10.1177/0748175615596785
  • Stalmeisters, D. (2012). An investigation into the relationship between early maladaptive schemas and myalgic encephalomyalitis / chronic fatigue syndrome [Unpublished Doctoral Thesis]. University of Derby.
  • Stöber, J. (1998). The Frost Multidimensional Perfectionism Scale revisited: More perfect with four (instead of six) dimensions. Personality and Individual Differences, 24, 481-491. https://doi.org/10.1016/S0191-8869(97)00207-9
  • Stoeber, J. (2011). Perfectionism, efficiency, and response bias in proof-reading performance: Extension and replication. Personality and Individual Differences, 50, 426-429. https://doi.org/10.1016/j.paid.2010.10.021
  • Stoeber, J., & Otto, K. (2006). Positive conceptions of perfectionism: Approaches, evidence, challenges. Personality and Social Psychology Review, 10, 295-319. https://doi.org/10.1207/s15327957pspr1004_2
  • Stoeber, J., Madigan, D. J., Damian, L. E., Esposito, R. M., & Lombardo, C. (2017). Perfectionism and eating disorder symptoms in female university students: The central role of perfectionistic self-presentation. Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity, 22, 641-648. https://doi.org/10.1007/s40519-016-0297-1
  • Stoeber, J., & Stoeber, F. S. (2009). Domains of perfectionism: Prevalence and relationships with perfectionism, gender, age, and satisfaction with life. Personality and Individual Differences, 46, 530-535. https://doi.org/10.1016/j.paid.2008.12.006
  • Sundag, J., Zens, C., Ascone, L., Thome, S., & Lincoln, T. M. (2018). Are schemas passed on? A study on the association between early maladaptive schemas in parents and their offspring and the putative translating mechanisms. Behavioural and Cognitive Psychotherapy, 46, 738-753. https://doi.org/10.1017/S1352465818000073
  • Van Genderen, H., Rijkeboer, M., & Arntz, A. (2012). Theoretical model: Schemas, coping styles, and modes. In M. van Vreeswijk, J. Broersen, & M. Nadort (Eds.), The Wiley-Blackwell handbook of schema therapy: Theory, research, and practice (pp. 27-40). John Wiley and Sons.
  • Van Vreeswijk, M., Broersen, J., & Schurink, G. (2014). Mindfulness and schema therapy: A practical guide. John Wiley and Sons.
  • Visvalingam, S., Magson, N. R., Newins, A. R., & Norberg, M. M. (2023). Going it alone: Examining interpersonal sensitivity and hostility as mediators of the link between perfectionism and social disconnection. Journal of Personality. https://doi.org/10.1111/jopy.12868
  • Voderholzer, U., Schwartz, C., Thiel, N., Kuelz, A. K., Hartmann, A., Scheidt, C. E., Schlegl, S., & Zeeck, A. (2014). A comparison of schemas, schema modes and childhood traumas in obsessive-compulsive disorder, chronic pain disorder and eating disorders. Psychopathology, 47, 24-31. https://doi.org/10.1159/000348484
  • Waller, G., Kennerley, H., & Ohanian, V. (2007). Schema-focused cognitive-behavioral therapy for eating disorders. In L. P. Riso, P. L. D. Toit, D. J. Stein, & J. E. Young (Eds.), Cognitive schemas and core beliefs in psychological problems (pp. 139-175). American Psychological Association.
  • Walton, G. E., Hibbard, D. R., Coughlin, C., & Coyl-Shepherd, D. D. (2020). Parenting, personality, and culture as predictors of perfectionism. Current Psychology, 39, 681-693. https://doi.org/10.1007/s12144-018-9793-y
  • Wells, A., & Hackmann, A. (1993). Imagery and core beliefs in health anxiety: Content and origins. Behavioural and Cognitive Psychotherapy, 21, 265-273. https://doi.org/10.1017/S1352465800010511
  • Yalcin, O., Marais, I., Lee, C. W., & Correia, H. (2023). The YSQ-R: Predictive Validity and Comparison to the Short and Long Form Young Schema Questionnaire. International Journal of Environmental Research and Public Health, 20, 1-14. https://doi.org/10.3390/ijerph20031778
  • Yorulmaz, O., Karancı, A. N., & Tekok-Kılıç, A. (2006). What are the roles of perfectionism and responsibility in checking and cleaning compulsions? Journal of Anxiety Disorders, 20, 312-327. https://doi.org/10.1016/j.janxdis.2005.02.009
  • Young, J. E. (1990). Cognitive therapy for personality disorders: A schema-focused approach. Practitioner's Resource Exchange.
  • Young, J. E. (1999). Cognitive therapy for personality disorders: A schema-focused approach (3rd ed.). Professional Resource Press.
  • Young, J. E., & Klosko, J. S. (1994). Reinventing your life: The breakthrough program to end negative behavior and feel great again. Plume.
  • Young, J. E., Klosko, J. S., & Weishaar, M. E. (2003). Schema therapy: A practitioner's guide. Guilford Press.
  • Young, J. E., Zangwill, W. M., & Behary, W. E. (2002). Combining EMDR and schema-focused therapy: The whole may be greater than the sum of the parts. In F. Shapiro (Ed.), EMDR as an integrative psychotherapy approach: Experts of diverse orientations explore the paradigm prism (pp. 181-208). American Psychological Association.
  • Zeigler-Hill, V., Green, B. A., Arnau, R. C., Sisemore, T. B., & Myers, E. M. (2011). Trouble ahead, trouble behind: Narcissism and early maladaptive schemas. Journal of Behavior Therapy and Experimental Psychiatry, 42, 96-103. https://doi.org/10.1016/j.jbtep.2010.07.004
  • Zentner, M., & Bates, J. E. (2008). Child temperament: An integrative review of concepts, research programs, and measures. European Journal of Developmental Science, 2, 7-37.