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Obsessive‐compulsive disorder comorbid with borderline personality disorder: A long‐term case study
Author(s) -
HAYASHI NAOKI
Publication year - 1996
Publication title -
psychiatry and clinical neurosciences
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.609
H-Index - 74
eISSN - 1440-1819
pISSN - 1323-1316
DOI - 10.1111/j.1440-1819.1996.tb01663.x
Subject(s) - borderline personality disorder , comorbidity , psychopathology , psychology , personality pathology , personality , obsessive compulsive , clinical psychology , personality disorders , psychiatry , social psychology
Three case reports of patients with borderline personality disorder (BPD) and obsessive‐compulsive disorder (OCD) for more than 10 years are used to illustrate the relationship between OCD and borderline pathology. The recognizable features of the obsessive‐compulsive symptoms in these reports are: (i) pervasiveness, the symptomatic overlap of obsessive‐compulsive symptoms; (ii) poor insight and resistance; and (iii) obsessive control evident in personal relationships. These features are manifestations of OCD psychopathology as well as of a personality disorder. The symptoms with these features are located hypothetically towards the severe end of the symptomatic spectrum of OCD. The comorbidity is not a simple relationship, and the symptomatology of the comorbid patient is derived from OCD pathology linked with the personality disorder rather than from independent BPD pathology.