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Re: suicidality exhaustion... TRIGGER

Posted by violette on September 19, 2010, at 14:01:17

In reply to Re: suicidality exhaustion... TRIGGER Maxime, posted by Dinah on September 19, 2010, at 12:57:47

> People with OCPD are rigid and perfectionistic, and have very high standards that they impose on themselves and others. They have high need for control. It is related to anxiety. OCPD is ego syntonic, while OCD is ego dystonic.

That's true, but the thing is-there is a continuum involved. Lots of people have OCPD traits, but don't meet that description, or maybe only in times of extreme stress involving lack of control (like when people get "adjustment disorder"). The link i posted has some detail about the inner object relations & self state of OCPD. Also, other traits can compensate or even hide OCPD traits which come out later in life-such as in a time of physical illness when there is little control. Most people do have an element of control over lots of situations in life-employment, marriage...sometimes OCPD only gets symptomatic when their is less control...but before it gets symptomatic, it can cause dysthmia and other symptoms.

I don't even know the proporation of psychiatrists who are psychodynamically trained. Just because the DSM 'list of criteria' for OCPD is not met, for example, doesn't mean someone doesn't have strong OCPD traits. In my case, psychiatrists did not look into psychological traits because i don't technicially 'meet the dsm criteria' for a PD....

And people are often not pure OCPD, pure avoidant, pure whatever...people often have a mix of psychological issues. Anyway, just saying, it's important to look beyond those lists/brief descriptions...but rather, material that describes the inner world....but not alot is available online. Most is in psychodynamic books.

 

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poster:violette thread:962166
URL: http://www.dr-bob.org/babble/20100917/msgs/963041.html