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Obsessive-Compulsive and Related Disorders: A Critical Review of the New Diagnostic Class
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The fifth edition of the Diagnostic and Statistical Manual of Mental Disorders includes a new class of obsessive-compulsive and related disorders (OCRDs) that includes obsessive-compulsive disorder (OCD) and a handful of other putatively related conditions. Although this new category promises to raise awareness of underrecognized and understudied problems, its empirical validity and practical utility are questionable. This article reviews the phenomenology of OCD and then presents a critical analysis of the arguments underlying the new OCRD class. This analysis leads to a rejection of the OCRD classification on both scientific and logical grounds. The article closes with a discussion of the treatment implications of the OCRDs approach.
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“The DSM‐5 includes a specifier about the level of insight into obsessions and compulsions (i.e., awareness of their senselessness); it recognizes that OCD patients have varying degrees of insight, with some patients having good or fair insight whereas others poor insight and even absent insight/delusional beliefs (Abramowitz & Jacoby, 2015).”
From Obsessive-compulsive disorder: Etiology, neuropathology, and cognitive dysfunction (2023) · cites this paper as Abramowitz & Jacoby, 2015
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“The lack of association possibly reflects that compulsions in OCD are perhaps not best understood as automatic, habitual behaviours carried out with little awareness, but rather as functional behaviours aimed at reducing anxiety (Abramowitz and Jacoby 2015).”
From The Association of Trait Mindfulness and Self-compassion with Obsessive-Compulsive Disorder Symptoms: Results from a Large Survey with Treatment-Seeking Adults (2020) · cites this paper as Abramowitz and Jacoby 2015
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Obsessive-compulsive disorder: Etiology, neuropathology, and cognitive dysfunction
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“…of insight into obsessions and compulsions (i.e., awareness of their senselessness); it recognizes that OCD patients have varying degrees of insight, with some patients having good or fair insight whereas others poor insight and even absent insight/delusional beliefs (Abramowitz & Jacoby, 2015).”
Background
Metadata
- Authors
- Abramowitz, J. S., & Jacoby, R. J.
- Affiliations
- University of North Carolina at Chapel Hill (US)
- Venue
- Annual Review of Clinical Psychology
- Publisher
- Annual Reviews
- Published
- 2015-03-28
- Volume
- 11
- Issue
- 1
- Pages
- 165-186
- ISSN
- 1548-5943 (ISSN-L)
- 1548-5951
- OpenAlex
- W2137719365
- Cited by
- 185
- References
- 107
- Citations by year
- 2026: 14 · 2025: 11 · 2024: 12 · 2023: 21 · 2022: 19 · 2021: 34 · 2020: 10 · 2019: 16 · 2018: 11 · 2017: 16 · 2016: 17 · 2015: 4
- FWCI
- 2.31
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Annual Review of Clinical Psychology (publishedVersion)
- PubMed (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 and related disorders, obsessive-compulsive disorder, DSM-5, psychiatric classification, diagnostic validity, therapeutic implications
- MeSH terms
- Hoarding Disorder, Humans, Obsessive-Compulsive Disorder, Trichotillomania, Diagnostic and Statistical Manual of Mental Disorders, Body Dysmorphic Disorders
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
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