Experiential Avoidance and Obsessive Compulsive Personality Disorder
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- Опубліковано 2 чер 2024
- This video answers the question: What is the relationship between experiential avoidance and obsessive-compulsive personality disorder (OCPD)? When we talk about obsessive-compulsive personality disorder, we're talking about a Cluster C personality disorder in the Diagnostic and Statistical Manual. OCPD is different than obsessive-compulsive disorder OCD. We see a number of symptoms in the symptom criteria for OCPD including, a preoccupation with details, perfectionism, excessive devotion to work and productivity, overconscientiousness, an inability to throw out worn out or worthless items, reluctance to delegate tasks, a miserly spending style, and being rigid and stubborn. We also know that OCPD is a fairly common personality disorder. About 8% of population would qualify for a diagnosis of OCPD and it's thought to be the most prevalent personality in the general population. In clinical populations, it's thought to be the third most prevalent, so it's behind avoidant and borderline personality disorders. In terms of the prevalence, of course, it depends on which research studies you look at. There's not perfect agreement about prevalence, but either way we know that OCPD is fairly common and there's not a lot of research about this disorder. We know that with OCPD there is impaired functioning, but there's also some potential benefits with this disorder and this makes it a little bit unusual as compared to the other personality disorders. Even though we think the negative aspects of OCPD are worse than the positive aspects are good, we know there are some positive aspects particularly around work productivity. This shouldn't be surprising considering that's one of the symptom criteria with OCPD.
Experiential avoidance is an unwillingness to experience unpleasant thoughts, sensations, and emotions. These attempts to avoid unpleasant feelings that we see with experiential avoidance oftentimes result in an increase in symptom severity, duration, and frequency. This is exactly the opposite expectation that somebody would have when they try to avoid unpleasant feelings. With OCPD, the mechanism of avoidance is thought to be maladaptive attempts to control. There is a positive correlation between experiential avoidance and OCPD. We also see that higher experiential avoidance in individuals who have OCPD was associated with a lower quality of life.
Wheaton, M. G., & Pinto, A. (2017). The role of experiential avoidance in obsessive-compulsive personality disorder traits. Personality Disorders: Theory, Research, And Treatment, 8(4), 383-388. doi:10.1037/per0000200
I’m a therapist and, after a recent breakup, I went through a difficult anxious and depressive episode. My relationship lasted 2.5 years but the most struggles occurred in the last 9 months. Given my personal and relational issues, i recently brought up the idea of OCPD to my therapist. He wasn’t keen on that, so I let it go. But, I felt something else had to be involved. We’re looking into the possibility of Asperger’s now. I’m 28.
This brings more questions re OCPD..e.g.: What is the relationship between OCPD and functional misery ( my word for dysthymia)?...yet there is, to that person, no way else to be...and they think this is the "right" way to be.
Really interesting info on experiential avoidance and the paradoxical increase in distress. I have many traits of both OCD and OCPD but don't pursue a diagnosis as treatments seem to be contraindicated for me. I struggle a lot at times and found this on a mission to stop intrusive thoughts tonight. Thanks
Uh-Oh...This is hitting close to home. I wonder if OCPD tendencies are associated with addictions. Sadly, and to my own alarm, I have noticed that when I do not have specific work projects for a while (a billability gap), I get increasingly stressed. Perhaps this is what workaholism means... But hoarding, thankfully, is not my thing :)
Thank You Dr Grande. I watch your videos and take notes at the same time. I find these topics utterly fascinating.. As did 3 strangers who were pretending not to watch your video over my shoulder whilst we were all tightly squeezed on the tube in London today!! Hee!! Hee!! Amazing!! Thanks once again for your dedication. It is truly appreciated by not only me, but by people I don't even know!! ☺ L.J.
You are quite welcome!
Great video.
Thank you!
Oh, I am iterested in more insight on ACT, acceptance and commitment therapy! Have you considered making a video on it, I'm not sure I saw it in your playlist on CBT...
This is very interesting. I suspect trauma might exacerbate the symptoms, and personal training in the theatrical arts might elevate some of the outward symptoms. But more study definitely needs to go into the inner demons that exist within the ocpd/avoidance personality paradigm. More info Please!
OCPD must feel good on the inside, but it is frustratingly moronic from the outside. I see a lot of self-satisfaction in overcomplicating very simple tasks to the level that it holds everyone else back. If anyone tries to move forward onto more productive and valuable efforts, the OCPD person will bring everything grinding to a halt and then hold us all at square one where no one can anything done.
One person that worked with him confided "he was kind of dodgy to figure out. And he spoke in circles a lot. You'd say, I think we should do it this way, and he'd agree, but then repeat what he'd just said, which is contrary to what you just disagreed with. So you'd be like oh, guess he didn't understand me, so you'd repeat what you'd said, and he'd agree again, and then repeat his original statement that was completely contrary."
OCPD is in the workplace. Most of my managers and supervisors have it.
Most people I’ve even known with OCPD are mean as heck. And they enjoy it.
years of hypoglycemia i was wondering what my exact diagnosis is ... OCPD N A I L E D it .... sugar sugar honey honey ... thats my problem.
zloben9000 what are you talking about?