Obsessive Compulsive Personality Disorder (Obsessive-Compulsive Personality Disorder)

The DSM-5 Diagnostic Criteria Reference Manual operates within the Personality Disorder C cluster of Obsessive Compulsive Personality Disorder. If we look at the general characteristics of people diagnosed with obsessive compulsive personality disorder, it will be seen that they have a perfectionist, overly organized and inflexible attitude. These people are concerned with cleanliness, order and rules. People who have been diagnosed with obsessive compulsive personality disorder have difficulties and experience emotional limitations when it comes to decisions they need to make by relying on their emotions. Perfectionist attitudes are seen in all areas of their lives. One of the most general and common features of personality disorders, it is also valid for Obsessive Compulsive Personality Disorder (American Psychiatric Association, 2013)

Obsessive compulsive disorder (OCD), obsessions or compulsions are mental disorders that are distinguished from each other. Obsessions are thoughts, impulses or images that enter the consciousness of the person involuntarily, that are repetitive, distressing, and that the person cannot prevent even though they know they are absurd and wrong. Compulsions are generally mental actions performed with certain demands in order to prevent an obsession. Individuals with Obsessive Compulsive Personality Disorder are mostly conscious of the meaninglessness of their obsessions and continue to live both their obsessions and compulsions by feeling uncomfortable in the face of a phenomenon or situation. Obsessions can be time-consuming for the person, they pose a significant problem for the person’s normal life activities, occupational functions, normal social functions, social adaptation, friend and family relationships, and prevent the person (Öztürk, Uluşahin, 2016).

As a result of comparing the psychological aspects of individuals diagnosed with Obsessive Compulsive Personality Disorder with the psychological aspects of other individuals, it is clearly seen that they strive to be meticulous, careful, systematic and complete at an intense level. They are rule makers, they are loyal to the people they have set, and the rules they have set have unchangeable and non-expandable features.

People diagnosed with Obsessive Compulsive Personality Disorder make great efforts to cope with important issues and situations that are important to them. These people have inflexible, rigid and prescriptive attitudes when it comes to their value judgments and moral values.

If we talk about another feature of people diagnosed with Obsessive Compulsive Personality Disorder, it is seen that these people have more delusional structures compared to other people. They evaluate the positive and negative sides of those who suffer from Obsessive Compulsive Personality Disorder in as much detail as possible in the situations they are in compared to other people and in matters that have possibilities. These individuals approach decision making with more care than necessary and are afraid of making mistakes (Kernberg, 2000).

These people aim to complete the work they have started perfectly, and when the dilemmas they experience in making decisions are added to this situation, they exhibit a procrastinating attitude. Another reason for this situation is that they constantly evaluate events and situations and examine their positive and negative aspects. It can be seen that there are differences in the memory and visuospatial abilities of people with Obsessive Compulsive Personality Disorder (Yüksel, 2006).

While the individuals around them are in communication with the individuals they have social relations with, it is seen that the content of their speech is a form of discourse with intense details. (Saydam, 1996).

As stated in the DSM-5 Diagnostic Criteria Reference Manual, a person must have at least four or more of the following items in order to be diagnosed with Obsessive Compulsive Personality Disorder (American Psychiatric Association, 2013).

It is possible to state the diagnostic criteria listed in the DSM-5 Diagnostic Criteria Reference Manual for individuals with Obsessive Compulsive Personality Disorder as given below.

  1. These people spend a lot of time on the details of events and the work they need to complete, and they care much more than they should (Öztürk, Uluşahin, 2016). Sometimes they spend more time and energy on details than the work they need to complete, and during this time they spend on details, they may come to the level of forgetting the main work they need to complete (American Psychiatric Association, 2013).

  2. Individuals with Obsessive Compulsive Personality Disorder, when they are interested in a job in their daily life, show that they want that job to be smooth and perfect, as the reason why they cannot complete it in the time it should normally be completed (American Psychiatric Association, 2013).

  3. These people are so devoted to the work they have to complete that they can move away from their social environment (Öztürk, Uluşahin, 2016). It is such that these people do not give themselves time to rest and make an effort to finish the work they focus on (Öztürk, Uluşahin, 2016).

  4. It would not be wrong to define individuals with Obsessive Compulsive Personality Disorder as individuals who adhere to their own truths (American Psychiatric Association, 2013). These people show a strict attitude in matters of conscience and moral attitude. The decisions they take will be in line with the issues that feel right to them and that they believe in (Öztürk, Uluşahin, 2016). It would not be correct to explain all these processes with the religion they believe in or the characteristics of the culture they belong to (Öztürk, Uluşahin, 2016).

  5. Individuals diagnosed with Obsessive Compulsive Personality Disorder do not want to throw away or give away any of their belongings, whether they have financial or moral value or not. Even the thought of giving someone else’s belongings causes them to feel uncomfortable (American Psychiatric Association, 2013).

  6. People diagnosed with Obsessive Compulsive Personality Disorder feel confident that they will perfectly complete the task assigned to them when they work as a large group. However, they have beliefs that other group members will not act as meticulously and attentively as they do. Because of these beliefs, they generally do not show an open attitude to tasks with task sharing and tend to complete the whole task on their own (Öztürk, Uluşahin, 2016). They are more comfortable if they accept the task in a way that takes on other people’s tasks. When all these reasons are taken into consideration, people diagnosed with Obsessive Compulsive Personality Disorder have a closed attitude because they do not want to cooperate (American Psychiatric Association, 2013).

  7. The relationship of these people with money is quite remarkable. It is seen that they especially avoid spending money, and they avoid spending by exhibiting behaviors that can be considered stingy (Öztürk, Uluşahin, 2016). For these people, the fact that money should be used in an emergency and it is used outside of very urgent and important needs is disturbing (Öztürk, Uluşahin, 2016).

  8. The person diagnosed with Obsessive Compulsive Personality Disorder generally exhibits a rigid and stubborn attitude in their daily lives. It is out of the question for him to change the rules he has set for himself or someone else (American Psychiatric Association, 2013).

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