Ep 57: OCPD: Secrets Inside the Psyche

🎬In this episode of the Personality Couch Podcast, we (licensed clinical psychologists Doc Bok and Doc Fish) explore the inner conflict in those with OCPD: to comply or to defy. We look at defense mechanisms and early attachment (and even potty training!) that drives their fixated behavior.

⚠️Note: this podcast does not constitute a professional relationship. If you’re in need of professional help, please seek out appropriate resources in your area. ⚠️

Additional Podcast References

  • Ekleberry, S. C. (2009). Cluster C: Obsessive-compulsive personality disorder and substance use disorders. In Integrated treatment for co-occurring disorders: Personality disorders and addiction. Routledge. https://doi.org/10.4324/9780203843710
  • Millon, T. (1981). Disorders of personality: DSM-III, Axis II (1st ed.). Wiley.

Chapters

  • 00:00 Intro & Definition of OCPD
  • 02:47 Obsessive vs Compulsive Defined
  • 04:04 OCPD vs OCD: Ego-syntonic vs ego-dystonic
  • 05:29 The Internal Dysfunction in OCPD
  • 05:58 The Role of Potty Training in Developing OCPD
  • 08:31 Why is Potty Training Connected with Personality?
  • 10:38 The Central Conflict of Defying or Complying
  • 14:16 Defense Mechanisms in OCPD
    • 14:20 Reaction Formation Defined
    • 15:29 Isolation of Affect
    • 16:21 Emotional Exceptions: Righteous Anger & Shame
  • 18:21 OCPD vs Schizoid
  • 19:36 OCPD vs Psychosis
  • 20:26 Compulsive Behavior of Undoing
  • 20:53 When Compulsive Behavior is Pathological (and Not)
  • 21:58 Compulsivity and Omnipotent Control
  • 22:46 Thoughts Behind Compulsive Behavior
  • 24:28 Our Thoughts & Clinical Experience with OCPD
    • 25:23 The Compulsive Personality Shell
    • 26:31 Compulsive Flavors in Other Personalities
  • 28:32 Summary & Conclusion