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Scrupulosity and Slowness in OCD: Perfectionism as a Central Mechanism 

Scrupulosity and Slowness in OCD: Perfectionism as a Central Mechanism
Scrupulosity and Slowness in OCD: Perfectionism as a Central Mechanism

Rachel Ojserkis

, and Dean McKay

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date: 26 June 2022

Obsessive-compulsive disorder (OCD) is a heterogeneous condition in which two difficult-to-treat subtypes—scrupulosity and obsessional slowness—have received comparably less empirical attention than other presentations. Perfectionism has been shown to play a role in the etiology and maintenance of OCD generally, and these two symptom subtypes in particular. This chapter reviews literature on the phenomenology of perfectionism, and its relation to scrupulosity and slowness. A model is then proposed for the role of perfectionism in scrupulosity and slowness OCD presentations. Recommendations for treatment and future research are considered throughout the chapter, addressing perfectionism, scrupulosity, and slowness in OCD.

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