Obsessive-Compulsive Personality Disorder
Obsessive-compulsive personality disorder (OCPD) prototypic description:
Obsessive-compulsives are perfectionists and need to get every detail right. As such, they are anxious and want to be in control of situations, so to avoid mistakes. They find comfort in schedules, rules and details, but their devotion to perfection interferes with their relationships and life outside of work or school. They have a tendency to hoard and are unusually tight with money, just in case.
Features of OCPD
- Triggering Event(s): Unstructured situations; meeting other’s standards (in all aspects of life: work, family, etc)
- Behavioral Style: Perfectionists; workaholics; dependable, stubborn, possessive; indecisive, prone to procrastination
- Interpersonal Style: Very aware of social hierarchy; deferential to superiors and haughty to subordinates; polite and loyal; insist that their way is the right way to do things, because they are anxious to ensure perfection; stubborn; devoted to work which interferes with relationships
- Cognitive Style: Rule & detail oriented; difficulty with prioritising; inflexible, unimaginative; conflicted between assertiveness & defiance vs obedience & pleasing people
- Affective Style: Sombre, difficulty expressing feelings; avoids emotions that will make them vulnerable; comes across as stiff and stilted
- Temperament: Irritable, difficult, anxious
- Attachment Style: Preoccupied
- Parental Injunction: “You must do/be better to be worthwhile.”
- Self-View: Responsible for anything that goes wrong, so they must be perfect
- World-View: Life is unpredictable and expects too much, so they manage this by being in control and being perfectionists
- Maladaptive Schemas: Unrelenting standards; punitiveness; emotional inhibition
- Optimal Diagnostic Criterion: Perfectionism that interferes with life
- Defining Strategy & Belief: Ritualism; details are crucial.
While OCPD is on the obsessive-compulsive disorder spectrum, it's a separate disorder from OCD.
Subtypes: Bedeviled; Conscientious; Parsimonious; Puritanical (Millon)
Often comorbid with: anxiety disorders, OCD, depression, bipolar disorders, eating disorders
Often confused with: OCD, hoarding disorder, NPD, AsPD, SzPD