title: Obsessive-compulsive disorder with psychotic features: a phenomenologic analysis.
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.
mesh_terms: D000275:Adjustment Disorders / Q000145:classification / Q000175:diagnosis / Q000523:psychology; D000328:Adult; D003702:Delusions / Q000175:diagnosis / Q000523:psychology; D006801:Humans; D008297:Male; D008370:Manuals as Topic / Q000592:standards; D008875:Middle Aged; D009771:Obsessive-Compulsive Disorder / Q000145:classification / Q000175:diagnosis / Q000523:psychology*; D010259:Paranoid Disorders / Q000145:classification / Q000175:diagnosis / Q000523:psychology; D011618:Psychotic Disorders / Q000145:classification / Q000175:diagnosis / Q000523:psychology*; D012559:Schizophrenia / Q000145:classification / Q000175:diagnosis; D012565:Schizophrenic Psychology