Obsessive Compulsive Personality Disorder?

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Zhaozhou
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17 May 2007, 9:31 am

groovemeister wrote:
It is a passionate hatred of mine that people miss out the 'P' in OCPD.

This is dued to a phenomenon called clinomorphism.
http://en.wikipedia.org/wiki/Clinomorphism

The packrat tendency, common in AS, is found in OCPD and not in OCD (at least that's what wikipedia says).



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17 May 2007, 11:12 am

groovemeister wrote:
I currently have his book out on loan from the library, and I can't say I'm impressed with it. I've also just read all of the entries pertaining to OCD and he's even described what aspies have as a particular type which described all the OCPD symptoms - OCPD in all but name!


I don't have the book in front of me, but from what I remember, what he described sounded exactly like OCD, not what I've read of OCPD. There were some particular aspects of it more common to people with AS, but they were very much OCD issues, not OCPD.

Quote:
People with OCD are often preoccupied with other people's perception of them. The obsessions also seem highly illogical whereas OCPD ones are not - and aspies are highly logical creatures.


Logical or not, I'm sure he's correct that many people with AS have OCD-and what he was describing was very much OCD.

Stimming isn't logical either, nor are many other things Aspies do...and I think some OCD stuff can basically be thought of as a form of stimming.



groovemeister
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17 May 2007, 11:13 am

Zhaozhou, THANK YOU! I am going to use that reference so often now!

I love this bit:

Quote:
Obsessive-compulsive disorder and obsessive-compulsive personality disorder are two very distinct psychological disorders, but when either of them is depicted in the media it is with the former label only. This is most apparent in the television show Monk. Although characters on the show go to great lengths to never actually mention the disorder, the title character is generally referred to in reviews and discussions as having OCD. However, the early onset and global persistence of his behavior, as well as the lack of irrational obsessions, suggests that he is more likely to have OCPD.
There are SO many differences and for me, that is the defining one. Well, the most defining one at least. I pride myself on my rational ability (being a philosophy student) and don't like to get mixed up with different types.



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17 May 2007, 11:16 am

groovemeister wrote:
THANK YOU! I am going to use that reference so often now!

I love this bit:
Quote:
Obsessive-compulsive disorder and obsessive-compulsive personality disorder are two very distinct psychological disorders, but when either of them is depicted in the media it is with the former label only. This is most apparent in the television show Monk. Although characters on the show go to great lengths to never actually mention the disorder, the title character is generally referred to in reviews and discussions as having OCD. However, the early onset and global persistence of his behavior, as well as the lack of irrational obsessions, suggests that he is more likely to have OCPD.
There are SO many differences and for me, that is the defining one. Well, the most defining one at least. I pride myself on my rational ability (being a philosophy student) and don't like to get mixed up with different types.


Monk looks like classic OCD to me, and I can really relate to him and situations on there (especially

I do have some OCPD traits too, but also OCD stuff, and Monk definitely looks OCD to me, as was what Tony Attwood was describing.



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17 May 2007, 11:17 am

Zhaozhou wrote:
groovemeister wrote:
It is a passionate hatred of mine that people miss out the 'P' in OCPD.

This is dued to a phenomenon called clinomorphism.
http://en.wikipedia.org/wiki/Clinomorphism

The packrat tendency, common in AS, is found in OCPD and not in OCD (at least that's what wikipedia says).


The packrat thing isn't what Tony Attwood was describing in the book-he was very much describing OCD symptoms.

It appears that OCD AND OCPD may both be comorbid with AS quite frequently.



groovemeister
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17 May 2007, 11:27 am

Wolfpup wrote:
groovemeister wrote:
I currently have his book out on loan from the library, and I can't say I'm impressed with it. I've also just read all of the entries pertaining to OCD and he's even described what aspies have as a particular type which described all the OCPD symptoms - OCPD in all but name!


I don't have the book in front of me, but from what I remember, what he described sounded exactly like OCD, not what I've read of OCPD. There were some particular aspects of it more common to people with AS, but they were very much OCD issues, not OCPD.
I have the book in front of me. He describes OCD, which is typical OCD fare - then he goes on to mention the more common aspects of aspies with 'OCD':
Quote:
The typical behaviour of children with Asperger's syndrome includes repetitive or compulsive actions. This can include ensuring that objects are in a line or symmetrical, hoarding and counting items or having a ritual that must be completed before the child can fall asleep.
Now, after reading that see which you think is more fitting:
http://en.wikipedia.org/wiki/Obsessive- ... e_disorder
http://en.wikipedia.org/wiki/OCPD

Wolfpup wrote:
Quote:
People with OCD are often preoccupied with other people's perception of them. The obsessions also seem highly illogical whereas OCPD ones are not - and aspies are highly logical creatures.
Logical or not, I'm sure he's correct that many people with AS have OCD-and what he was describing was very much OCD.
Like I say, intelligent and learned people can be wrong, especialy given that he makes no specific reference to differentiate between the two therefore it seems he's run away with a 'one size fits all' obsessive disorder. Read above.

Wolfpup wrote:
Stimming isn't logical either, nor are many other things Aspies do...and I think some OCD stuff can basically be thought of as a form of stimming.
Stimming is not illogical, it's like pacing - just a comforting repetitive movement. OCD rituals have an associated effect through the repetition - most common being hand cleaning = clean hands. But light switches, turning on the spot, etc prevent plane crashes and whatnot - there is a purpose behind these rituals, as irrational as it may be.



Zhaozhou
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17 May 2007, 11:44 am

Wolfpup wrote:
The packrat thing isn't what Tony Attwood was describing in the book-he was very much describing OCD symptoms.

Although I may not be an expert on AS, AFAIK people with AS may have a tendency not to throw things away. This is shown even in Mozart & the Whale. I didn't even come up with the term "packrat" myself, I read it on this forum.

(sometimes I keep even used gauzes. I throw them away only after a few days :lol:)
Quote:
It appears that OCD AND OCPD may both be comorbid with AS quite frequently.

A lot of things are comorbid with AS. This syndrome likes the company of other syndromes :lol:



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17 May 2007, 12:27 pm

I've been diagnosed with it. :?



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18 May 2007, 10:27 am

I don't have OCD or OCPD
However i kind of have the money thing a bit.
"Adopting a miserly spending style toward both self and others; money is viewed as something to be hoarded for future catastrophes"

I feel a bit of guilt when i spend too much money.
I always want to make sure i spend less than i have coming in.
In this i'm the excact opposite of my brother.



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18 May 2007, 11:27 am

groovemeister wrote:
I have the book in front of me. He describes OCD, which is typical OCD fare - then he goes on to mention the more common aspects of aspies with 'OCD':
Quote:
The typical behaviour of children with Asperger's syndrome includes repetitive or compulsive actions. This can include ensuring that objects are in a line or symmetrical, hoarding and counting items or having a ritual that must be completed before the child can fall asleep.
Now, after reading that see which you think is more fitting:
http://en.wikipedia.org/wiki/Obsessive- ... e_disorder
http://en.wikipedia.org/wiki/OCPD


That's out of context. He's saying those are TYPICAL for children with AS. Right before that he describes the "compulsions" part of OCD, and right after says it's the intensity and degree that matters.

Reading through the OCD one, what he's talking about all sound like OCD symptoms, some shared with OCPD.

That section of the book is specifically about anxiety disorders, which OCD is (and I'm not sure...maybe OCPD isn't?)

Wolfpup wrote:
Stimming isn't logical either, nor are many other things Aspies do...and I think some OCD stuff can basically be thought of as a form of stimming.
Stimming is not illogical, it's like pacing - just a comforting repetitive movement. OCD rituals have an associated effect through the repetition - most common being hand cleaning = clean hands. But light switches, turning on the spot, etc prevent plane crashes and whatnot - there is a purpose behind these rituals, as irrational as it may be.[/quote]

Wait...I may be confused, but are you saying those things are all rational now? I'm not quite sure what you're saying. OCD things are done to reduce stress-I think they're similar to, or maybe just a form of stimming.

Bart21 wrote:
I feel a bit of guilt when i spend too much money.
I always want to make sure i spend less than i have coming in.
In this i'm the excact opposite of my brother.


That's a REALLY good thing to have!



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18 May 2007, 11:42 am

Zhaozhou wrote:
Wolfpup wrote:
The packrat thing isn't what Tony Attwood was describing in the book-he was very much describing OCD symptoms.

Although I may not be an expert on AS, AFAIK people with AS may have a tendency not to throw things away. This is shown even in Mozart & the Whale. I didn't even come up with the term "packrat" myself, I read it on this forum.


I'm not sure what I was originally responding to now. I wasn't saying that the packrat thing isn't associated with AS.

Quote:
It appears that OCD AND OCPD may both be comorbid with AS quite frequently.

A lot of things are comorbid with AS. This syndrome likes the company of other syndromes :lol:[/quote]

It's no wonder AS is so confusing. I'm also confused by it's relation to ADD (as per that other thread) since ADD seems to backwards from a lot of things in AS. And now I'm getting confused between the differences of OCD nad OCPD.

Unfortunately I have OCD stuff, and it looks like I may also have OCPD. Hurray! :? Thankfully I don't have either to the point that they control my life though.



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18 May 2007, 11:55 am

Sorry for a THIRD post in a row, but...

I just read that clinomorphism page, and kind of have a problem with the OCD entry. Especially with regards to Monk. At least in the first season, he seems to have so much classic OCD stuff. Plus OCD and OCPD are obviously similar regardless, and not like people thinking schizophrenia is multiple personality disorder (a case where the two things are clearly not even slightly related).

OCD and OCPD seem pretty confusing to me. I'm going to run through the listed things for how they relate to me, just for myself if nothing else.

For OCD:
-I used to have more of the “bad thoughts” things pop into my head-like I’d have the thought my mom was going to die, or I was going to get cancer, or something like that, and would kind of do the “cancel out” thing that’s listed. Now the main thing that pops up in my head from time to time is times when I’ve said the wrong thing (could be earlier today, or 15 years ago). So I guess that counts as an OCD thing.
I’ve run through my other OCD things in other threads. Thankfully I’m not affected by them all that much anymore (except when I get super stressed out).

For OCPD:

Quote:
* Preoccupation with details, rules, lists, order, organization, bodily functions, or schedules to the extent that the major point of the activity is lost

* Showing perfectionism that interferes with task completion (e.g., is unable to complete a project because his or her own overly strict standards are not met)[/quote]

I sort of do these. I can be really bad about starting something because I don’t think I’ll do it right, though I don’t let that stop me from finishing something.

Quote:
* Excessive devotion to work and productivity to the exclusion of leisure activities and friendships (not accounted for by obvious economic necessity)


Nope, not at all. I like my leisure time, thank you very much.

Quote:
* Being overconscientious, scrupulous, and inflexible about matters of morality, ethics, or values (not accounted for by cultural or religious identification)


I might be…would this fit into the social justice thing that infuriates many people with AS?

Quote:
* Inability to discard worn-out or worthless objects even when they have no sentimental value


I’m not sure about what they mean by this. I have a hard time getting rid of things, but that’s because I *don’t* think they’re worthless. I think “what if I need this”? I also hate having to replace worn out shoes or whatever, because it feels wasteful. I don’t keep things that really are worthless and have no sentimental value. I could definitely be described as a mild packrat, but I keep things in case I NEED them.

Quote:
* Reluctance to delegate tasks or to work with others unless they submit to exactly his or her way of doing things


Kind of, yeah. I have to force myself to calm down about things like this at work. I frequently just prefer to do things myself so I know they’ll get done correctly.

Quote:
* Showing rigidity and stubbornness
Urge to perfect every little thing


Sort of, in dumb ways.



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19 May 2007, 2:03 pm

Wolfpup wrote:
groovemeister wrote:
I have the book in front of me. He describes OCD, which is typical OCD fare - then he goes on to mention the more common aspects of aspies with 'OCD':
Quote:
The typical behaviour of children with Asperger's syndrome includes repetitive or compulsive actions. This can include ensuring that objects are in a line or symmetrical, hoarding and counting items or having a ritual that must be completed before the child can fall asleep.
Now, after reading that see which you think is more fitting:
http://en.wikipedia.org/wiki/Obsessive- ... e_disorder
http://en.wikipedia.org/wiki/OCPD


That's out of context. He's saying those are TYPICAL for children with AS. Right before that he describes the "compulsions" part of OCD, and right after says it's the intensity and degree that matters.
Sorry, that was lax on my part. In the book he mentions 25% of people with AS having 'OCD' and then immediately puts that stuff above. Page 138. Should have said that before. So no, it it's not out of context.

Wolfpup wrote:
groovemeister wrote:
Wolfpup wrote:
Stimming isn't logical either, nor are many other things Aspies do...and I think some OCD stuff can basically be thought of as a form of stimming.
Stimming is not illogical, it's like pacing - just a comforting repetitive movement. OCD rituals have an associated effect through the repetition - most common being hand cleaning = clean hands. But light switches, turning on the spot, etc prevent plane crashes and whatnot - there is a purpose behind these rituals, as irrational as it may be.


Wait...I may be confused, but are you saying those things are all rational now? I'm not quite sure what you're saying. OCD things are done to reduce stress-I think they're similar to, or maybe just a form of stimming.
I'm saying that OCD is mostly irrational here; there is cause and effect in OCD but not a rational one, as illustrated by my previous examples - and that stimming isn't even conscious - rationality doesn't come into it.

Wolfpup wrote:
Unfortunately I have OCD stuff, and it looks like I may also have OCPD. Hurray! Confused Thankfully I don't have either to the point that they control my life though.
Well, looking at the examples you give, the worrying about things you've said and 'bad thouggts' does seem OCD-ish, I must admit.

However, I still think it's fair to say that OCPD is WAY to often labelled as OCD just because of psychiatrists/GPs not giving due attention.



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19 May 2007, 2:59 pm

groovemeister wrote:
I'm saying that OCD is mostly irrational here; there is cause and effect in OCD but not a rational one, as illustrated by my previous examples - and that stimming isn't even conscious - rationality doesn't come into it.


I'm thinking about this... I think stimming can be at least partly conscious, and OCD stuff at least partly unconscious ...and for me both are done to reduce stress or at least seem to increase TONS when I'm stressed. So they seem like aspects of the same thing to me. At least for someone who probably has both AS and OCD.

Quote:
Well, looking at the examples you give, the worrying about things you've said and 'bad thouggts' does seem OCD-ish, I must admit.

However, I still think it's fair to say that OCPD is WAY to often labelled as OCD just because of psychiatrists/GPs not giving due attention.


Yeah, probably. I don't think I'd ever even heard of it until you posted this (and hadn't heard of AS until I was told I probably had it last year).

Looking those over, I'm not sure how much I ever really suffered from the "Obsessions" half of OCD, beyond having stuff pop in my head.

I haven't seen Monk recently, but he really did seem like OCD to me from what I remember...or maybe I'm just thinking that because he matched stuff I do (only in a more overblown way), and what I was comparing it to wasn't really OCD either.

Oh well, I still think OCD and OCPD are a heck of a lot more similar than other things people mix up, like schizophrenia and disassociative identity disorder, which aren't even related. (Although I've kind of learned from that site that apparently even schizophrenia isn't exactly what I thought it was.)

When you think about it, this stuff is SO CONFUSING to even LABEL correctly, let alone actually DO anything about it! We just know so little about the brain.



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19 May 2007, 3:51 pm

groovemeister wrote:
People with OCD wouldn't be anything like AS.

Non fait. Anxiety disorders (including obsessive-compulsive disorder) are highly comorbid with Asperger's syndrome. I formerly had a diagnosis of OCD, and I wrote about it on LiveJournal's asperger community:
NeantHumain wrote:
I used to have symptoms of (and in fact a diagnosis of) obsessive-compulsive disorder, but I would say it has gone into remittance. My OCD features were mostly associated with cleanliness: I would insist that others wash their hands before I'd eat the same food as them; I would never eat after my brother because one time (we were very young) I saw him scratch his posterior; I washed my hands excessively such that they chapped quite badly in the winter; I closed toilet lids with my feet; and I put my hand under my shirt to turn door knobs. I would also check to make sure all the doors were locked and all the windows closed before going to bed. I had a compulsive need for symmetry such that if I scratched my right arm, I would then scratch my left one. I had a peculiar brand of perfectionism that induced me to write my full name (first, middle, and last), write out acronyms and abbreviations, and perseverate on details of that sort.

Another thing was I had a compulsive need to "explain" myself after doing something that seemed out of place or if I had made a mistake. I always had to "confess" my mistakes even if they were not at all obvious to others. I still do this to an extent sometimes, but fortunately the symptoms have attenuated to the point that I would not describe myself as having obsessive-compulsive disorder anymore. I have really tried to "relax" and just let things go more in the past few years, and it has made a little less tense and high-strung than before. I still do things like exercise to a certain number and count "the zero"; it's a mindset that can be turned into something adaptive (i.e., organized and driven) or disordered (i.e., ruminating and ritualistic).

groovemeister wrote:
It is a passionate hatred of mine that people miss out the 'P' in OCPD. OCPD and OCD are chalk ad cheese and nothing alike. Anyone AS with OCD probably actually has OCPD

The confusion is understandable. Obsessive-compulsive personality disorder really should go by a different name (the ICD-10 uses anankastic personality disorder). Anyway it is altogether possible for one to have both OCD and OCPD; and further it's possible to have AS, OCD, and OCPD. For example, to my OCD symptoms, I can add behaviors more suggestive of OCPD: I have a stack of Game Boy and Game Boy Advance game boxes stacked in my closet or that I used to follow rules compulsively and couldn't understand why other people wouldn't follow rules to the letter (I've tried to become more flexible in this regard since it tended to alienate me from others).



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19 May 2007, 5:23 pm

All of this:

NeantHumain wrote:
I used to have symptoms of (and in fact a diagnosis of) obsessive-compulsive disorder, but I would say it has gone into remittance. My OCD features were mostly associated with cleanliness: I would insist that others wash their hands before I'd eat the same food as them; I would never eat after my brother because one time (we were very young) I saw him scratch his posterior; I washed my hands excessively such that they chapped quite badly in the winter; I closed toilet lids with my feet; and I put my hand under my shirt to turn door knobs. I would also check to make sure all the doors were locked and all the windows closed before going to bed. I had a compulsive need for symmetry such that if I scratched my right arm, I would then scratch my left one. I had a peculiar brand of perfectionism that induced me to write my full name (first, middle, and last), write out acronyms and abbreviations, and perseverate on details of that sort.

Another thing was I had a compulsive need to "explain" myself after doing something that seemed out of place or if I had made a mistake. I always had to "confess" my mistakes even if they were not at all obvious to others. I still do this to an extent sometimes, but fortunately the symptoms have attenuated to the point that I would not describe myself as having obsessive-compulsive disorder anymore. I have really tried to "relax" and just let things go more in the past few years, and it has made a little less tense and high-strung than before. I still do things like exercise to a certain number and count "the zero"; it's a mindset that can be turned into something adaptive (i.e., organized and driven) or disordered (i.e., ruminating and ritualistic).
...sounds like OCD to me. Hand washing is common in OCPD, just not the getting-the-metal-scourer-out type. OCPD is concerned with germs, OCD is more to do with a metaphorical tch that can't always be scratched.

It's all about perfectionism and balance. OCD is about fear.