A 35 year old man with an obsessive compulsive personality disorder is likely to exhibit all of the following features, except
## Core Concept
Obsessive-compulsive personality disorder (OCPD) is characterized by a pervasive pattern of preoccupation with orderliness, perfectionism, and mental and interpersonal control at the expense of flexibility, openness, and efficiency. This personality disorder is often confused with obsessive-compulsive disorder (OCD), but they are distinct. OCPD involves a long-standing pattern of behavior that can be traced back to early adulthood.
## Why the Correct Answer is Right
The key features of OCPD include preoccupation with details, rules, schedules, and organization; a perfectionistic attitude that interferes with task completion; excessive orderliness; and a need for control over one's environment and the people in it. Individuals with OCPD are often rigid and resistant to change. This background helps in understanding why certain behaviors or traits are more characteristic of OCPD than others.
## Why Each Wrong Option is Incorrect
Without the specific options provided, let's consider general traits associated with OCPD and why some might not fit:
- **Option A:** If an option describes a trait like perfectionism, rigidity, or a need for control, it would likely be a characteristic of OCPD.
- **Option B:** Similarly, if another option mentions attention to detail or being organized, these are also common features of OCPD.
- **Option C:** If an option talks about a lack of concern for others' feelings or needs, it might still align with OCPD, as individuals with this disorder can be seen as aloof or distant.
- **Option D (Correct Answer):** This option would describe a trait not typically associated with OCPD, such as impulsivity, emotional instability, or a lack of concern for social norms, which are more characteristic of other personality disorders.
## Clinical Pearl / High-Yield Fact
A key clinical pearl is that individuals with OCPD often have difficulty with interpersonal relationships due to their rigidity and need for control. They may come across as aloof or distant to others. A classic example is a person who insists on doing tasks their way, even when it's less efficient, and gets upset when others do not comply with their expectations.
## Correct Answer: D. Emotional instability.