Obsessive-compulsive personality disorder and behavioral disinhibition

J Psychol. 2004 Jan;138(1):5-22. doi: 10.3200/JRLP.138.1.5-22.


Although obsessive-compulsive personality disorder (OCPD) is an Axis II diagnosis that is not commonly associated with behavioral disinhibition, the literature contains reports of occasional explosive aggressive outbursts. Existing explanations of OCPD etiology do not address the coexistence of compulsive and impulsive features witnessed in some subpopulations of patients. In this study, the authors present a compensatory theory of OCPD in an effort to explain clinical observations of an unexpectedly large number of OCPD diagnoses among patients clinic referred and self-referred for aggression problems.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aggression / psychology
  • Diagnostic and Statistical Manual of Mental Disorders
  • Humans
  • Inhibition, Psychological*
  • Obsessive-Compulsive Disorder / diagnosis
  • Obsessive-Compulsive Disorder / epidemiology*
  • Personality Disorders / diagnosis
  • Personality Disorders / epidemiology*
  • Psychological Theory
  • Referral and Consultation