OCPD

Question 1

OCPD

Answer 1

Preocc w orderliness, perfectionism and control at the expense of flexibility, efficiency and openness. 4om

1. Preoccupied w details, organisation, rules etc to extend that point of activity is lost
2. Shows perfectionism that interferes w task completion
3. Is excessively devoted to work/productivity
4. Overconscientious and inflexible about morality/values
5. Unable to discard worn-out/useless objects
6. Reluctant to delegate tasks or work w others
7. Miserly spending style; hoarding for catastrophe
8. Rigid and stubborn

Question 2

Epidemiology

Answer 2

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

Question 3

Three phases of personality land

Answer 3

1. Self from non-self, mother is first experienced intrinsically, then slowly to unique entity
2. Attachment’ connection w mother grows, differentiation and autonomy
3. object constancy. knowing that attachment can remain constant

Theorised that distortion in these phases (till 3 yrs) increase likelihood of PDs.

Question 4

Blatt’s two dimensions

Answer 4

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.

Question 5

Distinctions betw OCD and OCPD

Answer 5

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

Question 6

Evidence for treatment

Answer 6

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