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Obsessive-compulsive personality disorder (OCPD), or anankastic
personality disorder, is a personality disorder that is characterized
by a general psychological inflexibility, rigid conformity to
rules and procedures, perfectionism, and excessive orderliness.
Obsessive-compulsive personality disorder (OCPD) is often confused
with obsessive-compulsive disorder (OCD).
OCD is ego-dystonic where OCPD is ego-syntonic. This is to say,
those with OCD know their behavior is problematic where the symptoms
of OCPD are part of a person's personality and are generally unaware
of problematic behaviors.
Those who are suffering from OCPD do not generally feel the need
to repeatedly perform ritualistic actions (such as excessive hand-washing),
while this is a common symptom of OCD. Instead, people with OCPD
tend to stress perfectionism above all else, and feel anxious
when they perceive that things are not "right."
People with OCPD may hoard money, keep their home perfectly organized,
or be anxious about delegating tasks for fear that they won't
be completed correctly. There are three primary areas that cause
anxiety for OCPD personalities: time, dirt and money. There are
few moral gray areas for a person with OCPD; actions and beliefs
are either completely right, or absolutely wrong. As might be
expected, interpersonal relationships are difficult because of
the excessive demands placed on friends, romantic partners, and
children.


The DSM-IV-TR defines that for a patient to be diagnosed
with obsessive-compulsive personality disorder, they must exhibit
at least four of the following traits:
Preoccupation
with details, rules, lists, order, organization, bodily functions,
or schedules to the
extent
that the major point of the activity is lost.
Showing
perfectionism that interferes with task completion (e.g., is
unable to complete a project
because
his or her own overly strict standards are not met).
Excessive
devotion to work and productivity to the exclusion of leisure
activities and friendships (not
accounted
for by obvious economic necessity).
Being
over conscientious, scrupulous, and inflexible about matters
of morality, ethics, or values (not
accounted
for by cultural or religious identification).
Inability
to discard worn-out or worthless objects even when they have
no sentimental value.
Reluctance
to delegate tasks or to work with others unless they submit
to exactly his or her way of
doing
things.
Adopting
a miserly spending style toward both self and others; money
is viewed as something to be
hoarded
for future catastrophes.
Showing
rigidity and stubbornness.
Urge
to perfect every little thing.
It is important to note that while a person may exhibit any or
all of the characteristics of a personality disorder, it is not
diagnosed as a disorder unless the person has trouble leading
a normal life due to these issues.


OCD is ego dystonic, meaning that the disorder is incompatible
with the sufferer's self-concept. Because disorders that are ego
dystonic go against an individual's perception of his/herself,
they tend to cause much distress. OCPD, on the other hand, is
ego syntonic meaning the individual accepts that the characteristics
displayed as a result of this disorder are compatible with his/her
self-image. Ego syntonic disorders understandably cause no distress.
People who suffer from OCPD tend to derive pleasure from their
obsessions or compulsions, while those with OCD do not feel pleasure
but are ridden with anxiety. This is a significant difference
between these disorders.


Concluding a prevalence rate is very difficult because OCPD is
ego-syntonic therefore most people will try to deny that anything
is mentally wrong with them, hence they usually don't even consider
seeking treatment. Sadly, because OCPD is a condition where sufferers
are in denial about their irrational mental state they will often
choose to live with it, continuing to suffer and allowing it to
completely overrun their lives.


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