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Obsessive-compulsive disorder with psychotic features: a phenomenologic analysis.

T R Insel·H S Akiskal
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Abstract

The authors review the literature on obsessive-compulsive disorder and present clinical vignettes to illustrate that delusions can arise in the course of this illness. These delusions do not signify a schizophrenic diagnosis but represent reactive affective or paranoid psychoses, which are generally transient. Using a phenomenologic analysis of 23 patients, the authors further argue that obsessive-compulsive disorder represents a psychopathological spectrum varying along a continuum of insight. Patients at the severe end of this spectrum are best described as having an "obsessive-compulsive psychosis." The authors discuss the implications of these considerations for DSM-III revisions.

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Adjustment DisordersAdultDelusionsHumansMaleManuals as TopicMiddle AgedObsessive-Compulsive DisorderParanoid DisordersPsychotic DisordersSchizophreniaSchizophrenic PsychologyCase ReportsJournal Article

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T R Insel, H S Akiskal. 1986. Obsessive-compulsive disorder with psychotic features: a phenomenologic analysis.. https://doi.org/10.1176/ajp.143.12.1527

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