ABSTRACT

It was in the 1970s that Bruch first alluded to the perfectionist nature of Anorexia Nervosa (AN) in her characterisation of a typical AN patient as meeting every parent and teacher's idea of perfection. In line with clinical observations of the highly perfectionistic and rigid AN patient, models of eating disorders have since posited perfectionism as both a risk and maintaining factor. Change in perfectionism was not found for the cognitive behavioral therapy (CBT) for bulimia nervosa (BN) or placebo groups. Although no significant differences were found between groups on other symptoms, in the CBT for perfectionism group significant decreases were also observed for bulimic symptoms. Continuous evaluation of the feedback from patients attending the group has been invaluable in helping us to further develop the group. Through qualitative feedback, what patients feel they have gained by attending the group, as well as suggestions for improvements have been discovered.