compulsive personality disorder or OCD

no, they are different things

This is what I got from my notes

7. Compulsive Personality Disorder Conflicted personalities experience the full measure of life’s potentials, that is both ends of the pain-pleasure and self-other polarities. What is problematic in their case is that they reverse the components that make up these polarities. They are double minded. At a fundamental level the primary motives that guide their lives conflict directly with one another. Obsessive compulsives take great pride in controlling their lives, leaving little to chance, constantly evaluating both their own and others’ actions. However, they play multiple roles: prosecutor, defendant and judge. These multiple personalities not only fail to resolve their internal conflicts but are likely to intensify them.

a. What are the polarity inbalances that help characterize this disorder? I. Pain-Pleasure: AVERAGE Preservation (pain): strong interest to protect selves against potential harm and criticism WEAK Enhancement (pleasure): indifference to the experience of pleasure and joy (grim and cheerless demeanor) ii. Active-Passive: WEAK modification (active): STRONG Accommodation (passive): to ensure that one’s unconscious self-desires do not become overly manifest, the compulsive is extraordinarily accommodating, never taking the initiative about matters, always awaiting signals from others as to what they should do iii. Self-Other: CONFLICT BETWEEN POLARITIES WEAK Individuation (self): STRONG Nurturance (other): struggle between doing the bidding of others versus doing their own bidding,

b. What are the defining structural characteristics that define this personality disor`der? I. Self-Image : Conscientious. Devoted to work, industrious, reliable, meticulous and efficient, largely to the exclusion of leisure activities; fearful of error or misjudgment, overvalues aspect of self the exhibit discipline and perfection ii. Object Representations: Concealed. Conscious awareness or behavioral expression is allowed only for those internalized representations, with their associated inner affects and attitudes, that can be socially approved; as a result actions and memories are highly regulated, forbidden impulses tightly bound, conflicts denied, kept from awareness iii. Morphologic Organization: Compartmentalized. Structures rigidly organized in a tightly consolidated system that is clearly partitioned into numerous, distinct, and segregated constellations of drive, memory, and cognition, with few open channels to permit interplay among these components. I’ve. Mood or Temperament: Solemn. Is unrelaxed, tense, joyless, and grim; restrains warm feelings and keeps most emotions under tight control c. What are the defining functional characteristics that define this personality disorder? I. Expressive Acts (behavior): Disciplined. Maintains a regulated, highly structured and strictly organized life; perfectionism interferes with decision making and task completion ii. Interpersonal Conduct: Respectful. Exhibits unusual adherence to social conventions and proprieties, morality, ethics. Prefers polite, formal, and correct personal relationships iii. Cognitive Style: Constricted. Constructs world in terms of rules, regulations, schedules, hierarchies. Rigid, stubborn, indecisive and upset in novel situations I’ve. Regulatory Mechanisms: Reaction formation. Repeatedly presents positive thoughts and socially commendable behaviors that are diametrically opposite to one’s deeper contrary and forbidden feelings; displays reasonableness and maturity when faced with circumstances that evoke anger or dismay in others. d. What biological factors are hypothesized to contribute to the development and maintenance of these disorders None identified e. What social learning factors are hypothesized to contribute to the development and maintenance of these disorders? Parental overcontrol by contingent punishment: attitude of parental firmness and repressiveness, punitive only if child misbehaves, consistent mostly negative reinforcements (compared to histrionics who receive random positive reinforcements), learn what not to do (learn what they cant do, but less what they can do), fails to learn to think independently Guilt and responsibility training: “moralized” to inhibit natural inclinations toward frivolous play and impulse gratification, others told how painful and troubled their parents will be if they are inconsiderate, cause them embarrassment, parents promote sense of guilt when kids balk at restraints f. What treatment goals are typically identified for these disorders? Countering emotional and behavioral rigidities, self examination. Reestablishing polarity balance: Establishing identity that differentiates their own feelings and desires from those perceived as expected of them. Before this can happen repressed anger and fear of disapproval must become conscious and worked through emotionally. Countering perpetuating tendencies: Help loosen unattainable standards of perfection for themselves and others is a basic therapeutic goal that lays the foundation for experimentation with more spontaneous behavior and mental ventures into uncharted “dangerous” cognitive territory. Freer flexible behavior. Modifying domain dysfunctions: More fluid thinking. Be more spontaneous. Decreased obsessive behavior. g. What treatment approaches are typically identified for these disorders? Behavioral methods (desensitizing) to treat obsessive behaviors and rigid behavior. Enable the patient to openly recognize the character of the early learning experiences and to develop compassion for that child Couples therapy: power struggles manifest in female compulsives inability to give up sexual control (frequently anorgasmia), male will likely interpret any lack of submission as a seizure of control/rejection. Family therapy: finally come to an understanding with their critical parents (most often not satisfactory results) Cognitive reorientation: try and get them to stop thinking in black and white Teach patients how to relax Pharmalogical: antidepressant, anxiolytic, antiobsessive.