PERSONALITY OR DISORDER? PERSONALITY DISORDERS

psikolojiozel10-1-25kapak

Obsessive-Compulsive Personality Disorder

Buket ÜNVERa
aFeyziye Schools Foundation Işık University Faculty of Economics, Administrative and Social Sciences, Department of Psychology, İstanbul, Türkiye

Ünver B. Obsessive-compulsive personality disorder. Tunç P, ed. Personality or Disorder? Personality Disorders. 1st ed. Ankara: Türkiye Klinikleri; 2025. p.83-92.

ABSTRACT
Obsessive-Compulsive Personality Disorder (OCPD) is characterized by ego-syntonic perfectionism and a need for control, distinguishing it from Obsessive-Compulsive Disorder (OCD). Despite its high prevalence in both clinical and general populations, comprehensive research on this disorder remains limited. This chapter aims to provide an in-depth evaluation of the diagnostic criteria, epidemiology, etiology, and psychodynamics of OCPD. Additionally, it seeks to offer guiding information on understanding the disorder and developing treatment strategies through a psychodynamic perspective.

Keywords: Compulsive personality disorder; personality disorders

Referanslar

  1. Pinto A, Ansell E, Wheaton MG, Krueger RF, Morey L, Skodol AE, et al. Obsessive–compulsive personality disorder and component personality traits. In: Livesley WJ, Larstone R, eds. Handbook of personality disorders: Theory, research, and treatment. New York, NY: The Guilford Press; 2018. p.459-79.
  2. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders (5th ed.). American Psychiatric Association. 2013. [Crossref]
  3. Gabbard OG, Psychodynamic psychiatry in clinical practice, 5th ed. Washington, DC. American Psychiyatric Publishing. 2014. [Crossref]
  4. Ruscio AM, Stein DJ, Chiu WT, Kessler RC. The epidemiology of obsessive-compulsive disorder in the National Comorbidity Survey Replication. Mol Psychiatry. 2010;15(1):53-63. [Crossref]  [PubMed]  [PMC]
  5. Coles ME, Pinto A, Mancebo MC, Rasmussen SA, and Eisen JL, OCD with comorbid OCPD: a subtype of OCD? J Psychiatr Res. 2008;42:289-96. [Crossref]
  6. Eisen JL, Coles ME, Shea MT, Pagano ME, Stout RL, Yen S, et al. Clarifying the convergence between obsessive compulsive personality disorder criteria and obsessive compulsive disorder. J Pers Disord. 2006;20(3):294-305. [Crossref]  [PubMed]  [PMC]
  7. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. 1st ed. 1952. [Crossref]
  8. Grant JE, Chamberlain SE, Pinto A. Obsessive-Compulsive Personality Disorder. American Psychiatric Association Publishing; 2020. [Crossref]
  9. Diedrich A, Voderholzer U. Obsessive–compulsive personality disorder: a current review. Curr Psychiatry Rep. 2015;17:1-10. [Crossref]
  10. Mancebo MC, Eisen JL, Grant JE, Rasmussen SA. Obsessive compulsive personality disorder and obsessive compulsive disorder: clinical characteristics, diagnostic difficulties, and treatment. Ann Clin Psychiatry. 2005;17(4):197-204. [Crossref]
  11. Mancebo MC, Eisen JL, Sibrava NJ, Dyck IR, Rasmussen SA. Patient utilization of cognitive-behavioral therapy for OCD. Behavior therapy, 2011; 42(3):399-412. [Crossref]  [PubMed]  [PMC]
  12. Coid J, Yang M, Tyrer P, Roberts A, Ullrich S. Prevalence and correlates of personality disorder in Great Britain. Br J Psychiatry. 2006;188:423-31. [Crossref]
  13. Henry JD, Crawford JR. The short-form version of the Depression Anxiety Stress Scales (DASS-21): construct validity and normative data in a large non-clinical sample. Br J Clin Psychol. 2005;44(Pt 2):227-39.
  14. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. 4th ed. (Text rev). American Psychiatric Association, 2000. [Crossref]
  15. Rossi A, Marinangeli MG, Butti G, Kalyvoka A, Petruzzi C. Pattern of comorbidity among anxious and odd personality disorders: The case of obsessive–compulsive personality disorder. CNS Spectrums, 2000;5:23–6. [Crossref]
  16. Zimmerman M, Rothschild L, & Chelminski I. The prevalence of DSM-IV personality disorders in psychiatric outpatients. American Journal of Psychiatry, 2005; 162(10), 1911-1918. [Crossref]
  17. Grant JE, Mooney ME, Kushner MG. Prevalence, correlates, and comorbidity of DSM-IV obsessive-compulsive personality disorder: results from the National Epidemiologic Survey on Alcohol and Related Conditions. J Psychiatr Res. 2012;46(4):469-75. [Crossref]
  18. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. 2nd ed. 1968. [Crossref]
  19. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. 3rd ed. 1980. [Crossref]
  20. Liggett J, Sellbom M. Examining the DSM-5 alternative model of personality disorders operationalization of obsessive-compulsive personality disorder in a mental health sample. Personal Disord. 2018;9(5):397-407. [Crossref]
  21. Rizvi A, Torrico TJ. Obsessive-compulsive personality disorder. In StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing, 2023. Available from: [Link]
  22. Gjerde LC, Czajkowski N, Røysamb E, Ystrom E, Tambs K, Aggen SH, et al. A longitudinal, population-based twin study of avoidant and obsessive-compulsive personality disorder traits from early to middle adulthood. Psychol Med. 2015;45(16):3539-48. [Crossref]  [PubMed]  [PMC]
  23. Bienvenu OJ, Samuels JF, Wuyek LA, Liang KY, Wang Y, Grados MA, et al. Is obsessive-compulsive disorder an anxiety disorder, and what, if any, are spectrum conditions? A family study perspective. Psychol Med. 2012;42(1):1-13.
  24. Freud S. Character and anal eroticism. In: Strachey J, ed. The Standard Edition of Complete Psychological Works of Sigmund Freud. London: Hogarth Press; 1908;9:169–75.
  25. Aycicegi-Dinn A, Dinn WM, Caldwell-Harris CL. Obsessive-compulsive personality traits: Compensatory response to executive function deficit? International Journal of Neuroscience. 2009;119(4):600-8. [Crossref]
  26. Pitman RK. Janet's obsessions and psychasthenia: A synopsis. Psychiatric Quarterly. 1984; 56, 291-314.
  27. Quinodoz JM. Reading Freud: A Chronological Exploration of Freud's Writings. Taylor & Francis Ltd., 2005. [Crossref]
  28. McWilliams N. Psychoanalytic Diagnosis: Understanding Personality Structure in the Clinical Process. 2nd ed. The Guilford Press; 2011. [Crossref]
  29. Millon T, Grossman S, Millon C, Meagher S, Ramnath R. Personality Disorders in Modern Life. 2nd ed. John Wiley & Sons, Inc., 2004.
  30. Abraham K. Contributions to the theory of the anal character. In Selected Papers on Psychoanalysis, London: Hogarth Press; 1927 (original work published 1921).
  31. Reich W. Character Analysis. 3rd Enlarged ed. Trans.: Carfagno V. Touchstone; 1973 (original work published 1933).
  32. Fromm E. Man for Himself; An Inquiry into the Psychology of Ethics. Rinehart & Winston; 1947. [Crossref]
  33. Rado S. Obsessive behavior. In: Arieti S, ed. American Handbook of Psychiatry, Basic Books; 1959.
  34. Shapiro D. Neurotic Styles. New York: Basic Books; 1965.
  35. Salzman L. Treatment of the Obsessive Personality. New York: Aranson; 1985.
  36. Gabbard OG. Psychodynamic Psychiatry in Clinical Practice. Washington, DC: American Psychiatric Press, 1994. [Crossref]
  37. Pollak J. Relationship of obsessive-compulsive personality to obsessive-compulsive disorder: a review of the literature. J Psychol. 1987;121(2):137-48. [Crossref]
  38. Feinstein RE, deGruy III FV. “Difficult Patients”. In: Rakel RE, Rakel DP, ed. Textbook of Family Medicine. 8th ed. Saunders; 2012. [Crossref]
  39. Haslam N. Anal Expulsive/Anal Retentive Personality. In: Zeigler-Hill V, Shackelford T, eds. Encyclopedia of Personality and Individual Differences. Springer, Cham; 2016. [Crossref]
  40. Steenkamp MM, Suvak MK, Dickstein BD, Shea MT, Litz BT. Emotional Functioning in Obsessive-Compulsive Personality Disorder: Comparison to Borderline Personality Disorder and Healthy Controls. J Pers Disord. 2015;29(6):794-808. [Crossref]
  41. Fenichel O. The Psychoanalytic Theory of the Neurosis. New York: Norton; 1945.
  42. Odağ C. Nevrozlar-2. İzmir: Odağ Psikanaliz ve Psikoterapi Eğitim Hizmetleri Org. Ltd. Şti. Yayınları, 2023. [Crossref]
  43. Rowland TA, Jainer AK, Panchal R. Living with obsessional personality. BJPsych Bull. 2017;41(6):366-7. [Crossref]  [PubMed]  [PMC]
  44. Pinto A, Teller J, Wheaton MG. Obsessive-compulsive personality disorder: A review of symptomatology, impact on functioning, and treatment focus. Focus. 2022;20(4):389-96. [Crossref]  [PubMed]  [PMC]
  45. Hummelen B, Wilberg T, Pedersen G, Karterud S. The quality of the DSM-IV obsessive-compulsive personality disorder construct as a prototype category. J Nerv Ment Dis. 2008;196(6):446-55. [Crossref]
  46. Emmelkamp PMG. Phobic and Obsessive-Compulsive Disorders: Theory, Research, and Practice. Springer Science & Business Media, 1982.
  47. Aycicegi A, Harris CL, & Dinn WM. Parenting style and obsessive‐compulsive symptoms and personality traits in a student sample. Clinical Psychology & Psychotherapy: An International Journal of Theory & Practice, 2002;9(6):406-17. [Crossref]
  48. Cain NM, Ansell EB, Simpson HB, Pinto A. Interpersonal functioning in obsessive–compulsive personality disorder. Journal of Personality Assessment, 2015; 97(1):90-9. [Crossref]  [PubMed]  [PMC]