Estimates & Implications of Obsessive Compulsive Personality Disorder (OCPD) Prevalence: OCPD as a Common Disorder with a Cosmopolitan Distribution or Rare Strategy with a Northerly Distribution?

Authors

  • Steven C. Hertler Department of Psychology, College of New Rochelle United States

DOI:

https://doi.org/10.24310/espsiescpsi.v8i1.13221

Keywords:

Obsessive Compulsive Personality Disorder, Prevalence, Epidemiology, Evolution, Negative Frequency dependent Balancing Selection, Heritability

Abstract

DSM-V estimates the prevalence of Obsessive Compulsive Personality Disorder (OCPD) to fall between 2.1 and 7.9 percent, making it one of the most prevalent personality disorders in the general population. Yet, obsessive prevalence is reported without its significance being appreciated. After reviewing the estimates of several studies, this paper pursues the theme of obsessive prevalence, showing why it was ignored, how it changes etiological assumptions, and, in turn, how newly generated etiologies engender the understanding of obsessive prevalence. High prevalence, when paired with high heritability, undermines psychoanalytic etiologies and invalidates psychiatric classification, suggesting that OCPD is a rare type, rather than a common disorder. Following this, evolutionary theory is used to illustrate the conditions from which this rare phenotype arose, and the mechanistic laws that maintain it within its present proportions. As treated within the discussion section, high prevalence, when contextualized within an evolutionary explanatory paradigm, suggests an ecologically determined biogeography of OCPD.

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References

Aaronson, C. J., Bender, D. S., Skodol, A. E. & Gunderson, J. G. (2006). Comparison of attachment styles in borderline personality disorder and obsessive compulsive personality disorder. Psychiatric Quarterly, 77, 69-80. http://dx.doi.org/10.1007/s11126-006-7962-x

Alarcon, R. D. & Foulks, E. E. (1995). Personality dis-orders and culture: Contemporary clinical views (Part A). Cultural Diversity and Mental Health, 1, 3-17. http://dx.doi.org/10.1037/1099-9809.1.1.3

American Psychiatric Association (2000). Diagnostic and statistical manual of mental disorders (4th edition, text revision). Washington, DC: Author. http://dx.doi.org/10.1176/appi.books.9780890423349

American Psychiatric Association (2013). Diagnostic and statistical manual of mental disorders (5th edition). Washington, DC: Author. http://dx.doi.org/10.1176/appi.books.9780890425596.

Andreasen, N. C. (1987). Creativity and mental illness. American Journal of Psychiatry, 144, 1288-1292. http://dx.doi.org/10.1176/ajp.144.10.1288

Barber, J. P., Morse, J. Q., Krakauer, I. D., Chittams, J. & Crits-Christoph, K. (1997). Change in Obsessive-Compulsive and Avoidant Personality Disorders following time-limited supportive-expressive therapy. Psychotherapy, 34, 133-143. http://dx.doi.org/10.1037/h0087774

Beer, J. M., Arnold, R. D. & Loehlin, J. C. (1998). Genetic and environmental influences on MMPI factor scales: Joint model fitting to twin and adoption data. Journal of Personality and Social Psychology, 74, 818. http://dx.doi.org/10.1037/0022-3514.74.3.818

Benkman, C. W. (1996). Are the ratios of bill crossing morphs in crossbills the result of frequency-dependent selection? Evolutionary Ecology, 10, 119-126. http://dx.doi.org/10.1007/BF01239352

Blaney, P. H. & Millon, T. (2009). Oxford textbook of psychopathology. New York: Oxford University Press.

Boudreau, J. W., Boswell, W. R. & Judge, T. A. (2001). Effects of personality on executive career success in the United States and Europe. Journal of Vocational Behavior, 58, 53-81. http://dx.doi.org/10.1006/jvbe.2000.1755

Buss, D. M. (1999). Adaptive individual differences revisited. Journal of Personality, 67, 259-264. http://dx.doi.org/10.1111/1467-6494.00055

Buss, D. M. & Greiling, H. (1999). Adaptive individual differences. Journal of Personality, 67, 209-243. http://dx.doi.org/10.1111/1467-6494.00053

Buss, D. M. & Hawley, P. H. (2011). The evolution of personality and individual differences. New York: Oxford University Press.

Cachel, S. (2006). Primate and human evolution. New York: Cambridge University Press.

Costa, P., Samuels, J., Bagby, M., Daffin, L. & Norton, H. (2005). Obsessive-compulsive personality disorder: A review. Personality Disorders, 8, 405. http://dx.doi.org/10.1002/0470090383.ch6

Demal, U., Lenz, G., Mayrhofer, A., Zapotoczky, H. G. & Zitterl, W. (1993). Obsessive-compulsive disorder and depression. Psychopathology, 26, 145-150. http://dx.doi.org/10.1159/000284814

Diaconu, G. & Turecki, G. (2009). Obsessive-Compulsive Personality Disorder and suicidal behavior: Evidence for a positive association in a sample of depressed patients. Journal of Clinical Psychiatry, 70, 1551-1556. http://dx.doi.org/10.4088/JCP.08m04636

Dingemanse, N. J. & Reale, D. (2013). What is the evidence that natural selection maintains variation in animal personalities? In C. Carere & D. Maestripieri (Eds.), Animal personalities: Behavior, physiology, and evolution (pp. 201-220). Chicago, Illinois: University of Chicago Press. http://dx.doi.org/10.7208/chicago/9780226922065.003.0008

Doebeli, M. (2011). Adaptive diversification. Princeton, New Jersey: Princeton University Press. http://dx.doi.org/10.1515/9781400838936

Dumont, F. (2010). A history of personality psychology: Theory, science, and research from Hellenism to the twentyfirst century. New York: Cambridge University Press. http://dx.doi.org/10.1017/CBO9780511676093

Engelhardt, H. T. (1976). Ideology and etiology. Journal of Medicine and Philosophy, 1, 256-268. http://dx.doi.org/10.1093/jmp/1.3.256

Eysenck, H. J. (1990). Genetic and environmental contributions to individual differences: The three major dimensions of personality. Journal of Personality, 58, 245-261. http://dx.doi.org/10.1111/j.1467-6494.1990.tb00915.x

Fisher, R. A. (1931). The evolution of dominance. Biological reviews, 6, 345-368. http://dx.doi.org/10.1111/j.1469-185X.1931.tb01030.x

Fossati, A., Maffei, C., Bagnato, M., Battaglia, M., Donati, D., Donini, M., ... & Prolo, F. (2000). Patterns of covariation of DSM-IV personality disorders in a mixed psychiatric sample. Comprehensive Psychiatry, 41, 206-215. http://dx.doi.org/10.1016/S0010-440X(00)90049-X

Gay, P. (1989). The Freud reader. New York: Norton & Company.

Golden, R. N., Gaynes, B. N., Ekstrom, R. D., Hamer, R. M., Jacobsen, F. M., Suppes, T., ... & Nemeroff, C. B. (2005). The efficacy of light therapy in the treatment of mood disorders: a review and meta- analysis of the evidence. American Journal of Psychiatry, 162, 656-662. http://dx.doi.org/10.1176/appi.ajp.162.4.656

Goldsmith, H. H., Buss, K. A. & Lemery, K. S. (1997). Toddler and childhood temperament: expanded content, stronger genetic evidence, new evidence for the importance of environment. Developmental Psychology, 33, 891-905. http://dx.doi.org/10.1037/0012-1649.33.6.891

Grant, B. F., Stinson, F. S., Dawson, D. A., Chou, S. P., Ruan, W. J. & Pickering, R. P. (2004). Co-occurrence of 12-Month Alcohol and Drug Use Disorders and Personality Disorders in the United States: Results From the National Epidemiologic Survey on Alcohol and Related Conditions. Archives of general psychiatry, 61, 361-368. http://dx.doi.org/10.1001/archpsyc.61.4.361

Gross, M. R. (1996). Alternative reproductive strategies and tactics: Diversity within sexes. Tree, 11, 92-98. http://dx.doi.org/10.1016/0169-5347(96)81050-0

Gutiérrez F., Gárriz, M., Peri, J. M., Ferraz, L., Sol, D., Navarro, J. B., Barbadilla, A. & Valdés, M. (2013). Fitness costs and benefits of personality disorder traits. Evolution and Human Behavior, 34, 41–48. http://dx.doi.org/10.1016/j.evolhumbehav.2012.09.001

Hardy, I. C. W., Goubault, M. & Batchelor, T. P. (2013). Hymenopteran contests and agonistic behavior. In I. C.W.Hardy & M. Briffa (Eds.), Animal contests (pp. 147-177). New York: Cambridge University Press. http://dx.doi.org/10.1017/CBO9781139051248.010

Hertler, S. C. (2014a). A review and critique of obsessive-compulsive personality disorder etiologies: Reckoning with heritability estimates. Europe’s Journal of Psychology, 10, 168-184. http://dx.doi.org/10.5964/ejop.v10i1.679

Hertler, S. C. (2014b). The continuum of conscientious-ness: The antagonistic interests among obsessive and anti-social personalities. Polish Psychological Bulletin, 45, 52-63. http://dx.doi.org/10.2478/ppb-2014-0022

Hertler, S. C. (2015a). Crossing the paradigmatic divide in personality: Coming to an evolutionary understanding of personality variation. An unpublished manuscript currently in review, Journal of Philosophy and Psychiatry.

Hertler, S. C. (2015b). Obsessive personality as an adaptive anachronism: The operation of phylogenetic inertia upon obsessive populations in Western Modernity. Accepted and in press, Psychological Topics.

Hertler, S. C. (2015c). Migration load, ecological opportunity, and Obsessive Compulsive Personality Disorder Etiology: Obsessive character as an adaptation to seasonality. Evolutionary Psychological Science, 1, 52-67. http://dx.doi.org/10.1007/s40806-014-0009-x

Hollander, E. (1997). Obsessive-Compulsive disorders: diagnosis, etiology, treatment. Marcel Dekker.

Hummelen, B., Wilberg, T., Pedersen, G. & Karterud, S.(2008). The quality of the DSM-IV Obsessive-Compulsive Personality Disorder construct as a prototype category. Journal of Nervous and Mental Disease, 196, 446-455. http://dx.doi.org/10.1097/NMD.0b013e3181775a4e

Hyler, S. E., Kellman, H. D., Oldham, J. M. & Skodol, A. E.(1992). Diagnosis of DSM-III—R personality disorders by two structured interviews: Patterns of comorbidity. American Journal of Psychiatry, 149, 213-220. http://dx.doi.org/10.1176/ajp.149.2.213

Jamison, K. R. (1995). Manic-depressive illness and creativity. Scientific American, 72, 62-62. http://dx.doi.org/10.1038/scientificamerican0295-62

Jovev, M. & Jackson, H. J. (2004). Early maladaptive schemas in personality disordered individuals. Journal of Personality Disorders, 18, 467-478. http://dx.doi.org/10.1521/pedi.18.5.467.51325

Judd, L. L. & Akiskal, H. S. (2003). The prevalence and disability of bipolar spectrum disorders in the US population: re-analysis of the ECA database taking into account subthreshold cases. Journal of Affective Disorders, 73, 123-131. http://dx.doi.org/10.1016/S0165-0327(02)00332-4

Keller, M. C. (2008). The evolutionary persistence of genes that increase mental disorders risk. Current Directions in Psychological Science, 17, 395-399. http://dx.doi.org/10.1111/j.1467-8721.2008.00613.x

Keller, M. C. & Miller, G. (2006). Resolving the paradox of common, harmful, heritable mental disorders: Which evolutionary genetic models work best? Behavioral and Brain Sciences, 29, 385–452. http://dx.doi.org/10.1017/S0140525X06009095

Kenrick, D. T., Maner, J. K., Butner, J., Norman, P. L. & Becker, D. V. (2002). Dynamical evolutionary psychology: Mapping the domains of the new interactionist paradigm. Personality and Social Psychology Review, 6, 347-356. http://dx.doi.org/10.1207/S15327957PSPR0604_09

Kirkwood, T. B. & Rose, M. R. (1991). Evolution of senescence: late survival sacrificed for reproduction. Philosophical Transactions of the Royal Society of London. Series B:Biological Sciences, 332, 15-24. http://dx.doi.org/10.1098/rstb.1991.0028

Kozak, M. J. & Foa, E. B. (1994). Obsessions, overvalued ideas, and delusions in Obsessive-Compulsive Disorder. Behaviour Research and Therapy, 32, 343-353. http://dx.doi.org/10.1016/0005-7967(94)90132-5

Kyrios, M., Nedeljkovic, M., Moulding, R. & Doron, G.(2007). Problems of employees with personality disorders: The exemplar of Obsessive Compulsive Personality Dis-order (OCPD). In J. Langan-Fox, C. L. Cooper, & R. J. Klimoski (Eds.), Research companion to the dysfunctional workplace: Management challenges and symptoms (pp. 40-57). Northampton, MA: Edward Elgar Publishing Limited. http://dx.doi.org/10.4337/9781847207081.00010

Last, J. M. (Ed.). (2001). A dictionary of epidemiology (Vol. 4). New York: Oxford University Press.

Leising, D., Rogers, K. & Ostner, J. (2009). The undisordered personality: Normative assumptions underlying personality disorder diagnoses. Review of General Psychology, 13, 230–241. http://dx.doi.org/10.1037/a0017139

Lewinsohn, P. M., Klein, D. N. & Seeley, J. R. (1995). Bi-polar disorders in a community sample of older adolescents: prevalence, phenomenology, comorbidity, and course. Journal of the American Academy of Child & Adolescent Psychiatry, 34, 454-463. http://dx.doi.org/10.1097/00004583-199504000-00012

Mackali, Z., Gülöksüz, S. & Oral, T. (2014). Creativity and Bipolar Disorder. Turkish Journal of Psychiatry, 25, 1-10.

McCann, J. T. (2009). Obsessive-Compulsive and Negativistic Personality Disorders. In P. H. Blaney & T. Millon (Eds.), Oxford textbook of psychopathology (pp. 671-691). New York: Oxford University Press.

McGlashan, T. H., Grilo, C. M., Skodol, A. E., Gunderson, J. G., Shea, M. T., Morey, L. C., Zanarini, M. C. & Stout, R. L. (2000). The collaborative longitudinal personality disorders study: Baseline axis I/II and II/II diagnostic co-occurrence. Acta Psychiatrica Scandinavica, 102, 256-264. http://dx.doi.org/10.1034/j.1600-0447.2000.102004256.x

Merikangas, K. R., Akiskal, H. S., Angst, J., Greenberg, P. E., Hirschfeld, R. M., Petukhova, M. & Kessler, R. C. (2007). Lifetime and 12-month prevalence of bipolar spectrum disorder in the National Comorbidity Survey replication. Archives of General Psychiatry, 64, 543-552. http://dx.doi.org/10.1001/archpsyc.64.5.543

Millon, T. & Davis, R. D. (1996). Disorders of personality DSM-IV and beyond. New York: John Wiley & Sons, Inc.

Nakao, K., Gunderson, J. G., Phillips, K. A., Tanaka, N., Yorifuji, K., Takaishi, J. & Nishimura, T. (1992). Functional impairment in personality disorders. Journal of Personality Disorders, 6, 24-33. http://dx.doi.org/10.1521/pedi.1992.6.1.24

Nettle, D. (2006). The evolution of personality variation in humans and other animals. American Psychologist, 61,622-631. http://dx.doi.org/10.1037/0003-066X.61.6.622

Nettle, D. (2011). Evolutionary perspectives on the five-factor model of personality. In D. M. Buss & P. H. Hawley (Eds.), The evolution of personality and individual differences (pp. 5-28). New York: Oxford University Press.

Olendorf, R., Rodd, F. H., Punzalan, D., Houde, A. E., Hurt, C., Reznick, D. N. & Hughes, K. A. (2006). Frequency-dependent survival in natural guppy populations. Nature, 441, 633-636. http://dx.doi.org/10.1038/nature04646

Penke, L., Denissen, J. A. & Miller, G. F. (2007). The evo-lutionary genetics of personality. European Journal of Personality, 21, 549–587. http://dx.doi.org/10.1002/per.629

Pfohl, B. & Blum, N. (1991). Obsessive-compulsive per-sonality disorder: A review of available data and recommendations for DSM-IV. Journal of Personality Disorders, 5, 363-375. http://dx.doi.org/10.1521/pedi.1991.5.4.363

Pollak, J. M. (1987). Obsessive-Compulsive Personality: Theoretical and clinical perspectives and recent research findings. Journal of Personality Disorders, 1, 248-262. http://dx.doi.org/10.1521/pedi.1987.1.3.248

Pryke, S. R., Astheimer, L. B., Buttemer, W. A. & Griffith, S. C. (2007). Frequency-dependent physiological trade-offs between competing colour morphs. Biology Letters, 3, 494-497. http://dx.doi.org/10.1098/rsbl.2007.0213

Reichborn-Kjennerud, T., Czajkowski, N., Neale, M. C., Orstavik, R. E., Torgersen, S., Tambs, K., Røysamb, E., Harris, J. & Kendler, K. S. (2007). Genetic and environ-mental influences on dimensional representations of DSM-IV cluster C personality disorders: A population-based multivariate twin study. Psychological Medicine, 37, 645–653. http://dx.doi.org/10.1017/S0033291706009548

Ryder, A. G., Costa, P. T. & Bagby, R. M. (2007). Evalua-tion of the SCID-II personality disorder traits for DSM-IV: Coherence, discrimination, relations with general personality traits, and functional impairment. Journal of Personality Disorders, 21, 626-637. http://dx.doi.org/10.1521/pedi.2007.21.6.626

Salcido, R. (2013). The Broad Street Pump: Epidemiology Is More Than Skin Deep. Advances in skin & wound care, 26, 7. http://dx.doi.org/10.1097/01.ASW.0000425930.08336.c1

Shapiro, P. J. & Weisberg, R. W. (1999). Creativity and bi-polar diathesis: Common behavioural and cognitive components. Cognition & Emotion, 13, 741-762. http://dx.doi.org/10.1080/026999399379069

Sherman, J. A. (2012). Evolutionary origin of bipolar dis-order-revised: EOBD-R. Medical Hypotheses, 78, 113-122. http://dx.doi.org/10.1016/j.mehy.2011.10.005

Sherrat, T. N. & Wilkinson, D. M. (2009). Big questions in ecology and evolution. New York: Oxford University Press.

Simeonova, D. I., Chang, K. D., Strong, C. & Ketter, T. A. (2005). Creativity in familial bipolar disorder. Journal of Psychiatric Research, 39, 623-631. http://dx.doi.org/10.1016/j.jpsychires.2005.01.005

Sinervo, B. & Calsbeek, R. (2010). Behavioral concepts of selection. In D. Westneat & C. Fox (Eds.), Evolutionary behavioral ecology (pp. 32-45). New York: Oxford University Press.

Skodol, A. E., Gunderson, J. G., McGlashan, T. H. & Dyck, I. R. (2002). Functional impairment in patients with schizotypal, borderline, avoidant, or obsessive-compulsive personality disorder. The American Journal of Psychiatry, 159, 276-283. http://dx.doi.org/10.1176/appi.ajp.159.2.276

Snell-Rood, E. C. & Moczek, A. P. (2013). Horns and the role of development in the evolution of beetle contests. In I. C. W. Hardy & M. Briffa (Eds.) Animal contests (pp. 178-198). New York: Cambridge University Press. http://dx.doi.org/10.1017/CBO9781139051248.011

Soeteman, D. I., Hakkaart-van Roijen, L., Verheul, R. & Busschbach, J. V. (2008). The economic burden of personality disorders in mental health care. Journal of Clinical Psychiatry, 69, 259-265. http://dx.doi.org/10.4088/JCP.v69n0212

Stearns, S. C. & Hoekstra, R. F. (2005). Evolution: An introduction, 2nd ed. New York: Oxford University Press.

Stuart, S., Pfohl, B., Battaglia, M., Bellodi, L., Grove, W. & Cadoret, R. (1998). The cooccurrence of DSM-III-R personality disorders. Journal of Personality Disorders, 12, 302-315. http://dx.doi.org/10.1521/pedi.1998.12.4.302

Swedo, S. E., Rapoport, J. L., Leonard, H., Lenane, M. & Cheslow, D. (1989). Obsessive-Compulsive Disorder in children and adolescents: clinical phenomenology of 70 consecutive cases. Archives of General Psychiatry, 46, 335-341. http://dx.doi.org/10.1001/arch-psyc.1989.01810040041007

Thomsen, P.H. & Jensen, J. (1994). Obsessive-Compulsive: admision petterns and diagnostic stability. Acta Psychiatrica Scandinavica, 90, 19-24. http://dx.doi.org/10.1111/j.1600-0447.1994.tb01550.x

Torgersen, S., Lygren, S., Øien, P. A., Skre, I., Onstad, S., Edvardsen, J., Tambs, K. & Kringlen, E. (2000). A twin study of personality disorders. Comprehensive Psychiatry, 41, 416-425. http://dx.doi.org/10.1053/comp.2000.16560

Ullrich, S., Farrington, D. P. & Coid, J. W. (2007). Dimensions of DSM-IV personality disorders and life-success. Journal of Personality Disorders, 21, 657-663. http://dx.doi.org/10.1521/pedi.2007.21.6.657

United States Census Bureau. (2014, 10 Thursday). www. census.gov. Retrieved 10, 2, 2014, from United States Census Bureau: http://www.census.gov/population/internation-al/data/worldpop/table_population.php

Villemarette-Pittman, N. R., Stanford, M. S., Greve, K. W., Houston, R. J. & Mathias, C. W. (2004). Obsessive Compulsive Personality Disorder and behavioral disinhibition. The Journal of Psychology, 138, 5-22. http://dx.doi.org/10.3200/JRLP.138.1.5-22

Weiss, A. & Adams, M. J. (2013). Differential behavioral ecology: The structure, life history, and evolution of primate personality. In C. Carere & D. Maestripieri (Eds.), Animal personalities: Behavior, physiology, and evolution (pp. 96-123). Chicago, Illinois: University of Chicago Press. http://dx.doi.org/10.7208/chicago/9780226922065.003.0005

Wilson, E. O. (1975/2000). Sociobiology: The new synthesis: 25th anniversary edition. Cambridge: Harvard University Press.

Yin, L., Wang, J., Klein, P. S. & Lazar, M. A. (2006). Nuclear receptor Reverb? is a critical lithium-sensitive component of the circadian clock. Science, 311, 1002-1005. http://dx.doi.org/10.1126/science.1121613

Zanarini, M. C., Frankenburg, F. R., Dubo, E. D., Sickel, A. E., Trikha, A., Levin, A. & Reynolds, V. (1998). Axis II comorbidity of borderline personality disorder. Comprehensive Psychiatry, 39, 296-302. http://dx.doi.org/10.1016/S0010-440X(98)90038-4

Zimmerman, M., Rothschild, L. & Chelminski, I. (2005). The prevalence of DSM-IV personality disorders in psychiatric outpatients. Prevalence, 162, 1911-1918. http://dx.doi.org/10.1176/appi.ajp.162.10.1911

Zuckerman, M. (1997). The psychobiological basis of personality. In H. Nyborg (Ed.) The scientific study of human nature: Tribute to Hans J. Eysenck at eighty (pp. 3-16). Elsevier: Oxford.

Published

2015-05-01

How to Cite

Hertler, S. C. (2015). Estimates & Implications of Obsessive Compulsive Personality Disorder (OCPD) Prevalence: OCPD as a Common Disorder with a Cosmopolitan Distribution or Rare Strategy with a Northerly Distribution?. Escritos De Psicología - Psychological Writings, 8(1), 1–12. https://doi.org/10.24310/espsiescpsi.v8i1.13221

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