Saturday, April 21, 2012
"it's black, it's white"- OCPD
Among the various other personality disorders, Obsessive Compulsive Personality Disorder (OCPD) is another highly diagnosed problem in the world. About one in a hundred people have it in the United States. This disorder was first "discovered" in the early 1900's by Freud. He observed OCPD and labelled them "anal characters".This means that during their anal stages, as described in Freud's Psychosexual development theories, the person was suppressed and threatened by the learning process of during those stages .
People with OCPD have features that include indecisiveness, emotionally controlling, and generally depressed. Indecisiveness means that the person cannot, or is unable to, make a choice of their own, such as selecting which college major they want. These usually results in procrastination, which only exacerbates the problem because they don't have enough time to get the actual work completed. This indecisiveness is met with perfectionism. Every single minute detail must be perfectly clear. They are incapable of having a simple conversation without noting all the problems with the conversation. Emotionally, OCPD sufferers can seem like bipolar people. Anxiety becomes the chief issue with OCPD, which is only followed by out-bursts of anger and uncontrollable rage and a sense of vulnerability. Their constant depressed mood is generally expressed with the idea that everything is either right or wrong, black or white, and good and bad. There is no shade of grey or middle grounds. Things are either done perfectly or not done at all. 
One of the more severely demonstrated issues that come along with OCPD is the development of compulsive hoarding. The idea or perfectionism hinders the OCPD person from actually completing anything, only having various dreams or the like on their minds, which they could never complete. This hoarding is characterized by excessive saving and keeping things from ages ago. They believe they have so many other "to do" things that their dreams are so piled up and they continue every little thing they have ever worked on.
Many people believe that OCPD is caused by the child's parents' behaviors. Their parents could be withholding and distance, or they are controlling and overprotective. It has been observed that the child is punished for doing something wrong, however minor, and is not rewarded for doing something right, much like how the parents believe it should have been. Due to this, the child is unable to feel joy and cannot express their anger at their parents and therefore develop a sort of internal conflict and other habits to deal with that suppressed anger. Other factors include cultural upbringings, especially those of Asian cultures. The devotion to work in Japanese culture calls for strict obedience and it may not always be a harmful effect. 
The main treatment for OCPD is psychotherapy, which can help the OCPD sufferer with their emotions. It helps them cope and control their emotions and in return, acknowledge them. They learn how to identify their state of emotion and through that process, learn how to deal with them effectively. Many therapists encourage their patients to describe how they feel and get them to relate their problems. Sometimes patients are hospitalized because they cannot acknowledge their problems or they fail to see how their "owning the truth" is wrong and that there are other alternatives than their own. 
OCPD is often mistaken for OCD. They are different and unique in their own ways. People with OCPD are usually unaware or are unwilling to acknowledge their problems, whereas people with OCD do. OCPD sufferers are more concerned with daily tasks and life issues, while OCD people are more involved with irrelevant or sometimes seemingly trifle things to other people. OCD is generally more involved with the patient itself, while OCPD is more broad and is more interpersonal, meaning that the relationships with other at work or home is usually perceived as strained or non-functional. OCPD people believe that in order for them to be right, others have to be wrong, that their way is the correct way and other alternatives are unacceptable and are wrong. Relationships with OCPD people is extremely difficult as the OCPD people will always criticize and evaluate them. 
* in my speech symptoms part, I used this website for the case studies:
in the intro I used: