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

👩‍⚕️Work With Us! https://www.questpsych.org/

Personality Couch Links 🛋️Website https://www.personalitycouch.com/

✍️Blog (& Podcast Episode References) https://personalitycouch.com/blog/obsessive-compulsive-vs-schizoid/

Instagram https://www.instagram.com/personalitycouch/

Facebook https://www.facebook.com/personalitycouch

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

👩‍⚕️Work With Us! https://www.questpsych.org/

Personality Couch Links 🛋️Website https://www.personalitycouch.com/

✍️Blog (& Podcast Episode References) https://personalitycouch.com/blog/obsessive-compulsive-personality-subtypes/

Instagram https://www.instagram.com/personalitycouch/

Facebook https://www.facebook.com/personalitycouch

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

👩‍⚕️Work With Us! https://www.questpsych.org/

Personality Couch Links 🛋️Website https://www.personalitycouch.com/

✍️Blog (& Podcast Episode References) https://personalitycouch.com/blog/obsessive-compulsive-personality-disorder-diagnostic-criteria/

Instagram https://www.instagram.com/personalitycouch/

Facebook https://www.facebook.com/personalitycouch

🎬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! https://www.questpsych.org/

Personality Couch Links 🛋️Website https://www.personalitycouch.com/

✍️Blog (& Podcast Episode References) https://personalitycouch.com/blog/obsessive-compulsive-personality-disorder-diagnostic-criteria/

Instagram https://www.instagram.com/personalitycouch/

Facebook https://www.facebook.com/personalitycouch

#mentalhealthpodcast #personalitydisorder #personalitydisorders #personalitytypes #personalitypsychology #personality #clinicalpsychology #mentalhealthprofessionals #mentalhealth #narcissism #psychology #psychopathology #DSM #psychodynamic #psychoanalysis #personalitydevelopment #personalitytrait #personalitytraits #ocpd #obsessivecompulsive #perfectionism #perfectionismrecovery #rigidity #compulsive #compulsivebehavior #mentalhealthawareness

🎬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

👩‍⚕️Work with Us! https://www.questpsych.org/

Personality Couch Links 🛋️Website https://www.personalitycouch.com/

✍️Blog (& Podcast Episode References) https://personalitycouch.com/blog/antisocial-personality-vs-psychopathy/

Podcasts Referenced: https://youtu.be/VHWPYjyKpdw

Instagram https://www.instagram.com/personalitycouch/

Facebook https://www.facebook.com/personalitycouch

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! https://www.questpsych.org/

Personality Couch Links 🛋️Website https://www.personalitycouch.com/

✍️Blog (& Podcast Episode References) https://personalitycouch.com/blog/antisocial-personality-vs-psychopathy/

🎬In this episode of the Personality Couch Podcast, we (licensed clinical psychologists Doc Bok and Doc Fish) explore the complex distinctions between antisocial personality and psychopathy, delving into historical terminology, key theories, and nuanced subtypes. This episode offers a deep dive into dark personality traits and how they differ.

⚠️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 Antisocial vs Psychopathy 00:36 Psychopath and Sociopath Defined 01:54 Cleckley’s Mask of Sanity 03:21 Psychodynamic Theory on Psychopathy vs Antisocial 04:17 The DSM on Psychopathy vs Antisocial 04:35 Michael Stone’s Negative Personality Spectrum 05:15 Level 1: Negative Personalities 05:41 Level 2: Narcissistic & Paranoid Personality Disorders 07:10 Level 3: Malignant Narcissism 08:43 Level 4: Antisocial Personality Disorder 09:28 Level 5: Psychopathy 10:20 Level 6: Sadistic Personality 12:32 Robert Hare's Psychopathy Checklist 13:54 Hare’s Psychopathy Checklist vs DSM Antisocial 17:20 Millon’s Theory on Psychopathy 19:30 Spineless Psychopath 19:43 Unprincipled Psychopath (Narcissistic Core) 19:51 Disingenuous Psychopath (Histrionic Core) 21:13 Risk-Taking Psychopath (Histrionic & Antisocial Features) 21:26 Covetous Psychopath (Antisocial Core) 21:57 Malignant Psychopath (Paranoid Core) 22:10 Abrasive Psychopath (Negativistic & Paranoid Features) 22:21 Explosive Psychopath (Sadistic Core, Borderline Features) 22:58 Malevolent Psychopath (Paranoid & Sadistic Features) 23:34 Tyrannical Psychopath (Negativistic & Sadistic Features) 24:19 Our Thoughts 27:14 Summary & Conclusion

🎬In this episode of the Personality Couch Podcast, we (licensed clinical psychologists Doc Bok and Doc Fish) unpack the passive-parasitic and aggressive subtypes from history before jumping into Dr. Theodore Millon’s 6 subtypes. At the mild level, we look at: the Covetously Aggrandizing & Disaffected Aggrandizing Antisocials. At the moderate level, we explore the Risk-Taking Devious and Reputation-Defending Devious Antisocials. At the severe/disordered level, we discuss the Nomadic & Malevolent Antisocial Subtypes. We end with our thoughts and opinions about the line for disorder and explain why the antisocial personality is so challenging to understand.

⚠️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 0:00 Intro to Antisocial’s Historical Names 02:16 Are antisocials born or made (psychopath vs sociopath)? 03:14 Passive-parasitic and Aggressive Antisocials 04:32 What is a Normal Antisocial Personality? 04:40 The Adventurer 05:45 The Unconventional Antisocial 08:28 Intro to Millon’s 6 Subtypes 08:48 Mild Level: Aggrandizing Antisocial 09:59 Does Dominance Fill an Inner Void? 10:52 The Covetously Aggrandizing Antisocial 11:22 Criminal Behavior at the Mild Level 15:11 The Disaffected Aggrandizing Antisocial 17:06 Proneness to Addiction 18:11 Proneness to Infidelity 19:02 Contrasting the Mild Types 20:25 Moderate Level: The Devious Antisocial 21:39 Risk-Taking Devious (Histrionic & Turbulent Features) 25:56 Reputation-Defending Antisocial (Narcissistic & Sadistic Features) 27:24 Proneness to Criminal Behavior 28:02 Relationship & Work Challenges 29:17 What Are They Defending? 31:17 Severe Level: Antisocial Personality Disorder 31:45 Nomadic Antisocial (Schizoid & Avoidant Features) 33:18 Doom & Invincibility Focus 36:54 Malevolent Antisocial (Sadistic & Paranoid Features) 41:49 Our Thoughts & Opinions 43:46 Summary & Conclusion