Obsessive‐compulsive disorder in the DSM‐5.
Abstract
Whereas the specific diagnostic criteria for obsessive-compulsive disorder (OCD) have changed in only minor ways in the transition from DSM-IV to DSM-5, a more substantial change is that OCD is no longer classified as an anxiety disorder. Rather, it is now the flagship diagnosis of a new diagnostic category: the obsessive-compulsive and related disorders (OCRDs). In this article, we describe the nature of obsessional problems as determined through empirical research before turning to a consideration of how OCD is defined in previous editions of the DSM and in DSM-5. We then critically consider the DSM criteria, as well as the basis for removing OCD from the anxiety disorders and creating the new OCRD category. Finally, we consider the implications of these changes for clinical practice and research on OCD.
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The functional/causal relationship between obsessions and compulsions is not always clear; despite a traditional view that obsessions lead to compulsions, this may not always be the case.
“The functional/causal relationship between obsessions and compulsions is not always clear—despite a traditional view that obsessions lead to compulsions, this may not always be the case (Abramowitz & Jacoby, 2014; Gillan et al., 2015; Gillan et al., 2016; Robbins et al., 2019).”
From Obsessive-compulsive disorder: Etiology, neuropathology, and cognitive dysfunction (2023) · cites this paper as Abramowitz & Jacoby, 2014
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- Authors
- Abramowitz, J. S., & Jacoby, R. J.
- Affiliations
- University of North Carolina at Chapel Hill (US)
- Venue
- Clinical Psychology: Science and Practice
- Published
- 2014-09
- Volume
- 21
- Issue
- 3
- Pages
- 221-235
- ISSN
- 0969-5893 (ISSN-L)
- 1468-2850
- OpenAlex
- W2097964544
- Cited by
- 86
- References
- 82
- Citations by year
- 2026: 5 · 2025: 10 · 2024: 12 · 2023: 11 · 2022: 8 · 2021: 7 · 2020: 9 · 2019: 5 · 2018: 3 · 2017: 4 · 2016: 7 · 2015: 3 · 2014: 2
- FWCI
- 6.29
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Clinical Psychology Science and Practice (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Obsessive-Compulsive Spectrum Disorders
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Psychology › Clinical Psychology › Psychoanalysis and Psychopathology Research
- Keywords
- obsessive-compulsive disorder, DSM-5, obsessive-compulsive and related disorders, diagnostic classification, obsession, anxiety disorders, diagnostic criteria, clinical practice implications
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