Minding our Minds: Obsessive-Compulsiveness, Psychiatry, and Psychology

Cult Med Psychiatry. 2023 Jun;47(2):543-554. doi: 10.1007/s11013-022-09767-4. Epub 2022 Jan 22.

Abstract

Obsessive-compulsive features are commonly found in high-achieving people including psychiatrists, psychologists, and scientists. These traits have a substantial but unrecognized cultural influence on psychiatric and psychological science and practice. This article reviews obsessive-compulsive mechanisms and discusses the ways they both promote and impede psychiatric and psychological science and practice. It examines them in relation to two of the dominant psychiatric and psychological paradigms of our era, the Diagnostic and Statistical Manual (DSM), and Cognitive-Behavioral Therapy. Finally, the article suggests that better awareness of our collective obsessive-compulsive tendencies can facilitate a cultural shift toward a broader, more useful science of mind and brain, as well as therapies informed by more comprehensive scientific understanding.

Keywords: Cognitive-Behavioral Therapy (CBT); Defense mechanisms; Diagnostic and Statistical Manual (DSM); Obsessive–compulsive.

Publication types

  • Review

MeSH terms

  • Brain
  • Cognitive Behavioral Therapy*
  • Diagnostic and Statistical Manual of Mental Disorders
  • Humans
  • Obsessive-Compulsive Disorder* / diagnosis
  • Obsessive-Compulsive Disorder* / psychology
  • Obsessive-Compulsive Disorder* / therapy
  • Psychiatry*