OCPD Flashcards
OCPD
Preocc w orderliness, perfectionism and control at the expense of flexibility, efficiency and openness. 4om
- Preoccupied w details, organisation, rules etc to extend that point of activity is lost
- Shows perfectionism that interferes w task completion
- Is excessively devoted to work/productivity
- Overconscientious and inflexible about morality/values
- Unable to discard worn-out/useless objects
- Reluctant to delegate tasks or work w others
- Miserly spending style; hoarding for catastrophe
- Rigid and stubborn
Epidemiology
One of the most common;
- Prev in general population 2.1-7.9%
- Lifetime: 7.8%
High risk factor for depressive relapse (in dep, 30%)
Comorbid w OCD and HD (23 - 19)
Also lot of overlap with other PDs
Biggest diff. with OCD is the egodystonic feature
High functioning PD
Three phases of personality land
- Self from non-self, mother is first experienced intrinsically, then slowly to unique entity
- Attachment’ connection w mother grows, differentiation and autonomy
- object constancy. knowing that attachment can remain constant
Theorised that distortion in these phases (till 3 yrs) increase likelihood of PDs.
Blatt’s two dimensions
Internally preoccupied: Focused on own thoughts/feelings/behaviour, eg schizoid, paranoid, OCPD
Externally or relationally preoccupied: Excessively focused on interpersonal relationship/what others think. Eg dependent, histrionic, borderline etc.
Distinctions betw OCD and OCPD
Symptoms
- OCD: Focal obsessions, irrationally related compulsions
- OCPD: Pervasive pattern of obsessive behaviour]
Experience of symptoms
- OCD: Egodystonic, insight of irrational
- OCPD: Egosyntonic, believes it’s reasonable
Other:
- OCD: Seeks help due to symptoms
- OCPD: Seeks help due to secondary influence/others insistence
Evidence for treatment
Gr. CBT: Distress level is predictor for treatment response
IPT is superior over CT
ST is superior to COT and TAU in recovery and dropout
SEPD: 15% retained diagnosis
