Personality Pathology in OCD

Author(s):  
Michael G. Wheaton ◽  
Anthony Pinto

This chapter reviews the literature on personality pathology in obsessive-compulsive disorder (OCD). It begins by comparing and contrasting OCD with obsessive-compulsive personality disorder (OCPD). These two conditions have a longstanding yet frequently misunderstood relationship. Though they share some overlapping features, recent research has established OCD and OCPD as distinct conditions. Even so, OCD and OCPD frequently cooccur. The chapter reviews the literature on comorbidity and the impact of OCPD on the clinical course and treatment of OCD, including evidence that OCPD may complicate OCD treatment. It also describes other personality disorders observed in OCD. Finally, it describes recent advances in the conceptualization of personality disorders, including dimensional approaches, and concludes with directions for future research.

Author(s):  
Robert E. Feinstein ◽  
Joseph V. Connelly

Patients with personality disorders are common in primary care and medical settings. They can elicit intense problematic reactions from the members of an integrated care team, which can affect the team’s evaluation, diagnoses, diagnostic testing, medical orders, medications, laboratory tests, treatments, recommendations, and referrals. The four most common and challenging personality disorders are borderline personality disorder, antisocial personality disorder, narcissistic personality disorder, and obsessive-compulsive personality disorder. This chapter reviews the classification, epidemiology, biological basis, psychosocial formulation, and co-occurring mental health disorders associated with these personality disorders. A personality disorder schema is presented for managing these difficult patients. The impact these patients can have on the integrated care team is described. A care pathway is outlined that can be used for management, brief treatment, and referral for treatment to a personality disorder specialist.


2006 ◽  
Vol 20 (3) ◽  
pp. 294-305 ◽  
Author(s):  
Jane L. Eisen ◽  
Meredith E. Coles ◽  
M. Tracie Shea ◽  
Maria E. Pagano ◽  
Robert L. Stout ◽  
...  

1997 ◽  
Vol 38 (1) ◽  
pp. 38-42 ◽  
Author(s):  
Giuseppina Diaferia ◽  
Ivonne Bianchi ◽  
Maria Laura Bianchi ◽  
Paolo Cavedini ◽  
Stefano Erzegovesi ◽  
...  

Sign in / Sign up

Export Citation Format

Share Document