Hi Kanga, nice to see you again!
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My DD has perfectionist tendencies, but they show up differently. In her case, she has the mental construct of perfect, and because she knows she can't do it, she gives a half-a$$ effort that's obvious to everyone she didn't try. It's almost as if she's being purposely sloppy and non-attentive to protect herself from admitting she couldn't produce the perfect product.
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So, since it looks a bit different in our kids, I'll write out our approach, and hopefully something will give you some ideas. You might also want to search the gifted board for ideas. I'm pretty sure that's where this has come up in the past. You do seem to be doing the textbook stuff on helping a kid with perfectionism, but my kid evidently never read the textbook.
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First, we've named it. We call it perfectionism. I had been avoid this for some reason, but evidently it is a huge topic they go over in the gifted summer camp she went to last summer. We acknowledge perfection isn't possible, and at the same time, we discuss the things that should be close to perfect (recital performances, tests, major school projects). Our theme -- again addressing these things from a perfectionism-causing-underperformance-effect -- has been that effort begets achievement. 100% effort, the kind that makes your brain and hand hurt and leaves you exhausted, isn't really a realistic target for day to day work and practice. We've settled on 85% effort necessary to make progress towards our goals of allowing DD to show what she knows. We'll reserve the 100% effort for those things that should be close to perfect. We drew little thermometers to visualize the effort and achievement links. I marked where I thought her cuttlefish project fell (100% on both -- it was really an amazing performance) and what low effort communicated to her teachers ("I don't care" and "I don't respect you as my teacher"), and wrote descriptions of what solid efforts looked like according to her strengths (clarity, accuracy) and weaknesses (handwriting and spelling).
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We started this conversation in the summer when DD was chagrined to discover she'd forgotten her multiplication tables. With the effort-achievement construct in front of us, we agreed that the appropriate action would be to practice multiplication for 5 minutes a day at 85% effort. The goal was to do this every day until school started, about 35 days (=effort) and 100 problems in 5 minutes (=achievement). She earned two separate awards for meeting each goal.Â
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This turned out to be an excellent demonstration for her as math is one of those things that comes easily. We recorded and plotted her performance, and it was something like 10 days to go from 40 to 100 problems, and by the end of the summer she was doing problems at the limit of her ability to write the answers (160-170).Â
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Along the way, I have also introduced a process of forcing her to make statements to show coping with the situation. It's very scripted and structured, and is anti-MDC mentally manipulative, but it seems to work. When she gets upset over a mistake, I will ask her "big deal or little deal?" She must answer me. (She'll often try to not answer in her "grandma is laughing at me she's so like her mother" stubborn kinda way.) "Little deal." "Make a coping statement." "I messed up but I can find an eraser/try again/no one will notice." "I'm still learning this, but it's something I can practice."
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That approach seems to be helping frame her mindset around these things, but I'm still not sure how well the approach will work or if it will ever become closer to automatic.