Personality Couch

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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🎬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 

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🎬In this episode of the Personality Couch Podcast, we (licensed clinical psychologists Doc Bok and Doc Fish) explore the complex interplay between antisocial and schizoid personalities, highlighting their similarities, differences, and potential for danger when combined. Using the well-documented case of Scottish serial killer Dennis Nilsen, we analyze how these personality traits can manifest in deadly ways, especially when mixed with other dark features.

⚠️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
00:37 Schizoid Personality Defined
01:03 Antisocial Personality Defined
01:23 How Schizoid and Antisocial Differ 
02:11 Schizoid & Antisocial Similarities
          02:22 Neglectful Childhood 
          02:52 Unresponsive to Environment
          04:10 Non-Conforming 
          05:13 Aloofness
05:54 The Nomadic Antisocial Defined (Schizoid Overlap)
07:25 When Nomadic Antisocials Turn Dark
09:26 When Detachment Turns Psychopathic
10:27 Three Personalities Associated with Violent Crime
13:12 Serial Killer & Necrophile: Dennis Nilsen | Our Disclaimer
14:35 Dennis Nilsen’s Backstory 
17:56 Nilsen’s First Murder
19:27 Our Psychoanalysis of The Murders
           22:11 Did He Want to Get Caught?
           23:34 Attracted to Men Resembling His Sister
           24:20 Rejection of Same-Sex Attraction
           25:43 Alcohol's Role in Murder
           27:04 Dissection, Disposal, & Dissociation
           28:25 Boiling the Skulls?
           31:20 Trial & Psych Evaluators
           32:07 Detachment & Curiosity: A Schizoid Dynamic
           33:30 Would Prison Meet Social Needs?
           35:30 Was Nilsen a Passive Affectionless Psychopath?
37:50 Enneagram Antisocial & Schizoid Overlap
38:56 Summary & Conclusion 

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Antisocial vs Narcissistic Personality | What's the Difference? | Ep. 54

🎬In this episode of the Personality Couch Podcast, we (licensed clinical psychologists Doc Bok and Doc Fish) explore the distinctions between antisocial personality and narcissistic personality by analyzing DSM diagnoses, Stones' Spectrum of Dark Personalities, and subtypes from Dr. Theodore Millon like: Reputation-Defending Devious, Exploitative Egotist,  and the Unprincipled Narcissist. 

⚠️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 and Definitions 
        00:32 Narcissism Defined
        02:10 Antisocial Defined
02:25 Antisocial Behaviors: Psychoanalysis of Ourselves
07:53 Antisocial Developmental Stage
09:11 Narcissistic Developmental Stage
10:37 The DSM on Antisocial vs Narcissistic PDs
12:27 Passive Parasitic vs Aggressive Antisocial Types
13:17 Michael Stone’s Spectrum of Dark Personalities
13:43 Malignant Narcissism Defined
15:31 Active vs Passive Entitlement
16:14 Millon’s Theory: ASPD vs NPD
21:55 Millon’s Subtypes
        22:21 Reputation Defending Devious 
        23:07 Exploitative Egoist
        24:13 Unprincipled Narcissist
25:40: Our Thoughts & Opinions
31:28 Ego Cookies in Narci vs Antisocial
31:56 Summary & Conclusion

👩‍⚕️Work With Us! 
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✍️Blog (& Podcast Episode References)
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