ABSTRACT

Obsessive-compulsive personality disorder is characterized by rigidity, stubbornness, and judgmentalness-all factors that can impede personal change. Nevertheless, these individuals can be effectively treated, although the treatment of obsessive-compulsive personalities involves some unique therapeutic challenges. This chapter describes specific engagement, pattern analysis, pattern change, and pattern maintenance and termination strategies for effectively managing and treating this disorder. In addition to individual psychotherapeutic strategies and tactics, group, marital, family, medication, and integrative and combined treatment strategies are detailed. An extensive case example illustrates the treatment process. Before turning to treatment strategies, the DSM-IV description and criteria are briefly presented.