Personality Couch

Hysteria, Histrionic, & the Demonization of Women | Ep. 60

🎬In this episode of the Personality Couch Podcast, we (licensed clinical psychologists Doc Bok and Doc Fish) discuss the horrible and inhumane history of hysteria in medicine by investigating how Dr. Jean Martin Charcot used the Salpetriere Hospital in France as a “Museum of Living Pathology” to showcase his hypnotic and showman skills over hysterical women. We look at Freud’s contribution to hysteria and the oppressive, patriarchal society of the 1880s that led to these unexplained symptoms in women. We continue the discussion by walking through the DSM’s hysteria to histrionic personality evolution before sharing our own thoughts and opinions about this condition’s stigmatized name and the maltreatment of women in medicine throughout history. 

⚠️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 Introduction & History of Hysteria
01:39 Hysteria as a Medical Condition (Charcot)
04:00 Could Men Have Hysteria?
04:33 Women & Society in 1880
06:14 Charcot Treats Hysterics at Salpetriere Hospital
06:51 Dermagraphism Defined
07:27 Charcot’s “Museum of Living Pathology”
09:25 Freud’s Contribution to Hysteria
11:58 Was Freud Hysterical?
14:47 The Societal Context for Hysteria
16:02 The Disappearance of Hysteria in the 1900s
        16:46 WW I’s Impact on Hysteria
        17:37 Advances in Medicine and Neuroscience
18:08 Hysteria Makes a Comeback in the DSM I in 1952!
20:04 DSM I (1952): Hysteria as Symptoms without Medical Basis
20:16 DSM II (1968) Hysterical Neurosis 
20:34 Conversion Type
21:19 Dissociative Type
21:55 DSM II (1968) Hysterical Personality
23:24 Hysterical Personality vs Symptoms
23:47 DSM III Forward: Somaticization, Dissociation, Histrionic, & Borderline Personality
24:40 Our Thoughts
        25:24 Is Antisocial the Masculine Histrionic Counterpart? 
        27:55 Did Freud & Charcot Know More Than They Let On? 
29:40 Conclusion

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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

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✍️Blog (& Podcast Episode References)
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🎬In this episode of the Personality Couch Podcast, we (licensed clinical psychologists Doc Bok and Doc Fish) explore the straightforward history of this condition, looking at fun names in history like anankastic and ambitendency. We also unpack the evolution of OCPD in the DSM, highlighting how our own compulsivity shows up in the naming and renaming of the disorder throughout history. We look in detail at the 8 criteria in the DSM and share our thoughts and criticisms about the DSM’s portrayal of this condition.  

⚠️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 & History of OCPD
00:35 The Term “Zwang” 
01:21 The Term “Anankastic”
02:08 The Term “Psychasthenia State”
02:31 Freud’s Anal Character
02:57 OCPD vs OCD 
04:17 The Terms: Sensitive, Insecure, Ambitendency
04:33 The Terms: Hoarding Orientation, Obsessive Character, Rigid Styles
05:53 History of OCPD in the DSM
     06:05 OCPD in the DSM I 
     06:31 OCPD in the DSM II
     07:08 New OCPD Criteria in the DSM III 
     09:07 New OCPD Criteria in the DSM III-R
     11:10 OCPD in the DSM IV 
12:06 OCPD in the DSM 5
     13:04 Criterion 1: Order, Perfectionism, Control
     15:44 Criterion 2: Extreme Perfectionism
     17:51 Criterion 3: Work Focused
     21:15 Criterion 4: Inflexible Values
     23:11 Criterion 5: Hoarding
     24:33 Criterion 6: Controlling
     26:03 Criterion 7: Financially Stingy
     26:59 Criterion 8: Rigidity
27:44 Our Thoughts & Opinions
30:11 Summary & Conclusion 

👩‍⚕️Work With Us! 
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Personality Couch Links
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https://www.personalitycouch.com/

✍️Blog (& Podcast Episode References)
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