Self-Punitive Habit Syndrome: A Theoretical Model and Cognitive-Behavioral Intervention Strategy
This article proposes a model of a cognitive-behavioral disorder that is manifested by a neurotic tendency to rely on self-punishment strategies to motivate and correct one’s own behavior rather than using insight into its causes and elements. The individual suffering from this disorder appears generally hostile, overdemanding, and unhappy; feels out of control; and verbalizes a sense of deserving to experience difficulties in life. In the extreme, this syndrome might be related to a long-standing inability or unwillingness to enter into intimate social relationships. Its maintenance can be described within a framework of simple behavioral realities. The syndrome is subtle and essentially cognitive and, therefore, covert, and its presence and effects can go unrecognized within the context of more overt pathologies. Three brief case examples are presented, and a set of cognitive-behavioral interventions is described that has had promising results with individuals exhibiting this syndrome. Implications for possible future research are briefly discussed.