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Obsessive-compulsive personality disorder and behavioral disinhibition
Nicole R Villemarette-Pittman1, Matthew S Stanford, Kevin W Greve
1Department of Psychology, University of New Orleans, USA.
The Journal of Psychology
|April 22, 2004
Summary
Obsessive-compulsive personality disorder (OCPD) can present with both compulsive and impulsive aggression. A new compensatory theory explains this paradox in patients referred for aggression issues.
Area of Science:
- Psychiatry
- Clinical Psychology
- Behavioral Science
Background:
- Obsessive-compulsive personality disorder (OCPD) is typically not linked to behavioral disinhibition.
- Clinical observations reveal occasional explosive aggressive outbursts in some OCPD patients.
- Current etiological models do not account for the co-occurrence of compulsive and impulsive traits in OCPD.
Purpose of the Study:
- To propose a compensatory theory for OCPD.
- To explain the presence of OCPD in individuals with aggression problems.
- To reconcile the coexistence of compulsive and impulsive features in OCPD.
Main Methods:
- Theoretical model development.
- Clinical case analysis.
- Literature review on OCPD and aggression.
Main Results:
- A compensatory theory of OCPD is presented.
- The theory addresses the paradox of compulsive and impulsive aggression in OCPD.
- The theory accounts for a higher-than-expected OCPD diagnosis rate among aggression-referred patients.
Conclusions:
- The proposed compensatory theory offers a novel framework for understanding OCPD.
- This theory may explain the observed link between OCPD and aggressive behaviors.
- Further research is needed to validate the compensatory theory of OCPD.