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NRNP 6675 Week 7 Assignment – Controversy Associated With Personality and Paraphilic Disorders | Psychiatric Mental Health Nursing | Walden University | 2026/2027

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NRNP 6675 Week 7 Assignment – Controversy Associated With Personality and Paraphilic Disorders | Psychiatric Mental Health Nursing | Walden University | 2026/2027

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Week 7 Assignment – Controversy Associated With Personality and Paraphilic Disorders



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Week 7 Assignment – Controversy Associated With Personality and Paraphilic Disorders

Psychiatric disorders have been associated with several controversies, with personality

and paraphilic disorders among conditions whose diagnosis and treatment approaches remain

debatable. Hörburger and Habermeyer (2020) defined paraphilic disorders as chronic conditions

associated with intense, recurrent, sexually arousing urges and fantasies, while personality

disorders affect 10-20% of the population. Using obsessive-compulsive personality disorder as

the selected disorder, the week seven assignment explores controversies and personal beliefs

surrounding this disorder. It explains the strategies for maintaining therapeutic relationships and

ethical and legal considerations related to this disorder.

Controversy that Surrounds Obsessive-Compulsive Personality Disorders

Obsessive-compulsive personality disorder (OCPD) is a subject of many controversies,

from understanding its pathophysiology to diagnosis and treatment. The first controversy is that

the diagnostic criterion for OCPD is subjective with vagueness on symptom subtypes and

spectrum of the condition. Another controversy of OCPD is understanding its cause, with some

critics arguing that it is inherited, caused by life events, and some suggesting that it is due to

chemical imbalances in the brain. A third controversy surrounding OCPD is determining the

most appropriate cognitive, behavioral, and pharmacological treatment of OCPD.

Professional Beliefs about OCD

OCPD is a personality disorder characterized by a pervasive preoccupation with

orderliness, perfectionism, and control, which affect task completion. OCPD is different from

obsessive-compulsive disorder (OCD) in that the former is a mental health condition while the

latter is a personality disorder, but both involve obsessive, intrusive, and repetitive thoughts of

order and perfection compelling someone to repeat behaviors (Pozza et al., 2021). According to

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