Obsessive Compulsive Personality Disorder vs Schizoid Personality | Ep. 59

🎬In this episode of the Personality Couch Podcast, we (licensed clinical psychologists Doc Bok and Doc Fish) unpack the nuanced differences and overlaps between obsessive-compulsive personality disorder (OCPD) and schizoid personality disorder(SzPD). We investigate each personality’s core drives, emotional experiences, and defense mechanisms, using a psychodynamic lens to capture these very different (yet similar) personalities.

⚠️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. ⚠️

Chapters 00:00 Intro & Definitions 01:27 OCPD Defined 02:20 Schizoid Defined (DSM) 02:48 Schizoid Defined (Psychodynamic) 03:10 OCPD vs Antisocial 04:04 OCPD vs Narcissism 04:52 OCPD vs Schizoid (DSM) 05:40 OCPD vs Schizoid (Psychodynamic) 05:54 OCPD vs Schizoid (Nancy McWilliams) 06:52 Emotionality & Flatness 07:55 Therapeutic Approach 09:52 Differing Inner Needs (PDM) 10:06 OCPD Child: Orderly, Aggressive, Irritable 10:25 Schizoid Child: Sensitive, Shy, Overstimulated 11:02 Emotions in OCPD: Anger, Guilt, Anxiety, Shame, Fear 11:32 Emotions in Schizoid: Emotional Pain, Overstimulation 12:10 Defense Mechanisms in OCPD 13:03 Defense Mechanisms in Schizoid 13:57 Maladaptive Beliefs (PDM) 14:12 OCPD: Feelings Are Dangerous 14:25 Schizoid: Dependency & Love Are Dangerous 15:16 OCPD: Others Are Less Precise 16:01 Schizoid: Others Are Impinging and Dangerous 16:44 Internal Conflicts (PDM) 16:51 OCPD: To Comply or Defy 17:13 Schizoid: Fearing Yet Yearning for Closeness 17:29 Are Schizoids Afraid? 17:45 Millon’s OC-Schizoid Mixed Subtypes 18:02 Affectless Schizoid 20:53 Parsimonious Constricted Compulsive 23:23 Our Thoughts 24:10 Enneagram 5 & Schizoid 24:38 Enneagram 1 & OCPD 24:54 Enneagram 6 & OCPD 25:54 Is OCPD a Core Personality? 27:18 Problems with Therapy & Self-Discovery in OCPD 28:39 Summary & Closing

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The 6 Obsessive Compulsive Personality Subtypes | Ep. 58

🎬In this episode of the Personality Couch Podcast, we (licensed clinical psychologists Doc Bok and Doc Fish) unpack the 6 subtypes of OCPD according to Dr. Theodore Millon. At the mild level, we explore the Conscientiously Reliable (Dependent Features) and the Perfectionistically Reliable, while at the Moderate level, we look at Bureaucratically Constricted (Narcissistic Features) and the Parsimoniously Constricted (Schizoid, Avoidant Features) . We conclude by discussing the more severe subtypes like Puritanical Compulsive (Paranoid Features) and the Bedeviled Compulsive (Negativistic) before sharing our thoughts and experiences in clinical practice.

⚠️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. ⚠️

Chapters 00:00 Intro & Definition of OCPD 01:34 When Perfectionism is Valuable 03:17 Compulsive Overlaps with All Personalities 06:13 Intro to Millon’s Personality Theory 06:27 The Mild Obsessive Compulsive Personality 07:31 Conscientiously Reliable 10:17 Perfectionistically Reliable 12:12 Our Personal and Clinical Experience 14:16 Comparing & Contrasting Mild Obsessive Compulsive Subtypes 15:15 The Moderate Obsessive Compulsive Personality 16:33 The Bureaucratically Constricted 19:31 Parsimoniously Constricted 21:00 Millon’s Case Named Jane 22:38 The Severe Obsessive Compulsive Personality 23:15 Puritanical Compulsive 27:27 Bedeviled Compulsive 31:28 Comparing & Contrasting the 3 Severity Levels 32:28 Summary & Ending

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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. ⚠️

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

👩‍⚕️Work With Us! https://www.questpsych.org/

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✍️Blog (& Podcast Episode References) https://personalitycouch.com/blog/obsessive-compulsive-personality-disorder-diagnostic-criteria/

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