PARADOX

看来我多少是有点毛病了，对比了一下OCD以及OCPD的症状，有好几条我是典型有的。。。

OCPD：

DSM-IV-TR（Diagnostic criteria）通常被用来诊断智力上的紊乱，如果符合以下至少四条的，可被诊断为OCPD

1. Preoccupation with details, rules, lists, order, organization, bodily functions, or schedules to the extent that the major point of the activity is lost - 不关心一件事情的主要任务，而是着重于其他的，诸如没用的细节，规则，列表，顺序，组织，个体功能或者规划表。 —— 这个我不是很明显，有时候会有。但是我觉得自己还是一针见血而不是浪费精力的。
2. Showing perfectionism that interferes with task completion (e.g., is unable to complete a project because his or her own overly strict standards are not met) 不恰当的完美注意，过于关系和实际任务无关的因素 —— 自己多少有一点，但总的来说还是良性的。
3. Excessive devotion to work and productivity to the exclusion of leisure activities and friendships (not accounted for by obvious economic necessity) 很认真工作，忽略了休闲和友情。 —— 这个我有时候也有，甚至开始发脾气把朋友给骂走了。。。
4. Being overconscientious, scrupulous, and inflexible about matters of morality, ethics, or values (not accounted for by cultural or religious identification) 过分遵守道义守则，到了死板的程度 —— 这个我应该没有
5. Inability to discard worn-out or worthless objects even when they have no sentimental value 不能够扔掉那些没用的东西 —— 这个我绝对有！这也是为什么房间里面垃圾越来越多，电脑硬盘空间越来越少的根本原因。
6. Reluctance to delegate tasks or to work with others unless they submit to exactly his or her way of doing things 不愿意与对方合作，除非他很和你的心意 —— 虽然我一直这么想，但是我知道大多数情况下需要合作，所以。。。
7. Adopting a miserly spending style toward both self and others; money is viewed as something to be hoarded for future catastrophes 过分省吃俭用，认为钱是应该存折的，为了将来急需。。。 —— 这种态度现在我已经有所改变了。。。
8. Showing rigidity and stubbornness 非常刻板、固执 —— 原则上我也是这样，但是现在在改变。。。
9. Urge to perfect every little thing 对每一个小细节都力求完美 —— 也正在改变中。。。

注意的是，只有当因为以上问题引起生活上的困难，才可以被判为“紊乱”，不然不算。

所以这么说来我还算正常的，虽然有几条的确搞得我很烦。。。但是绝没有四条，谢天谢地

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OCD

Obsessions 困惑

1. Recurrent and persist thoughts, impulses, or images that are experienced at some time during the disturbance, as intrusive and inappropriate and that cause marked anxiety or distress. 简单的说，就是脑海中反复的想法和图像，影响了正常的生活。—— 这个我是有的。。。比如脚扭伤时候的情形，一直困扰着我。。。走路的时候都会感到那份痛苦。。。虽然一切正常
2. The thoughts, impulses, or images are not simply excessive worries about real-life problems. 想法不去关心真正的生活问题 —— 有时候的确会这样。。
3. The person attempts to ignore or suppress such thoughts, impulses, or images, or to neutralize them with some other thought or action. 用别的想法或者行动来压抑以上的想法 —— 当然有，不能还能怎么办。。。
4. The person recognizes that the obsessional thoughts, impulses, or images are a product of his or her own mind, and are not based in reality. 主体意识到，以上的想象和图像，刺激困扰来自于他本身，而非周围的现实环境 —— 废话，当然了。。。
5. The tendency to laggle over small details that the viewer is unable to fix or change in any way. This begins a mental pre-occupation with that which is inevitable. 过于注重不可能修正的细节 —— 这个我应该没有，明知道不可能还是不会去做的。但是有时候看到镜框歪了还是想要去扶正一下。。。

Compulsions 强迫

1. Repetitive behaviors or mental acts that the person feels driven to perform in response to an obsession, or according to rules that must be applied rigidly. 反复的动作或者思维，会让你困惑，并且坚持那个规律必须被严加执行。——天哪，这个太正确了，俄罗斯方块也好，Lumines也好，玩多了以后脑海里面都是那个“消去“的情形。。。。。。可能游戏玩多的人都会这样。。。。

1. The behaviors or mental acts are aimed at preventing or reducing distress or preventing some dreaded event or situation; however, these behaviors or mental acts either are not connected in a realistic way with what they are designed to neutralize or prevent or are clearly excessive. 会有阻止以上引起不爽的想法的措施出现，但是这些应对措施，或者想法，或者和真实情况的解答方案无关，或者过分。—— 还没想到解决的方法。。。不过估计想出来也是会很夸张的。。。

这么看来，我的确有不少，但是如同OCPD，还没有到影响生活的程度。

可是在我看来OCD对我来说比OPCD更加严重。。。

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看一下OCD的症状：

•  
Repeated hand-washing. - 反复洗手，这个我没有，因为我懒得洗手
Repeated clearing of the throat, although nothing may need to be cleared. - 反复清喉咙，这个我也应该没有

• Specific counting systems — e.g. counting in groups of four, arranging objects in groups of three, grouping objects in odd/even numbered groups, etc. 反复数数 —— 这个我是绝对有的。。。因为打鼓养成的习惯。。。
  
• One serious symptom which stems from this is "counting" your steps, e.g. you must take twelve steps to the car in the morning. —— 天哪，这个我做过。。。不过不是每天。。。
  
• Perfectly aligning objects at complete, absolute right angles, or aligning objects perfectly parallel etc. This symptom is shared with OCPD and can be confused with this condition unless it is realized that in OCPD it is not stress-related. —— 我的确有这个想法，但是懒得去做。这点和OCPD差不多，这在电影中也经常看到
• Having to "cancel out" bad thoughts with good thoughts. Examples of bad thoughts are:
  • Imagining harming a child, and having to imagine a child playing happily to cancel it out. 没有
    
  • Sexual obsessions, or unwanted sexual thoughts. Two classic examples are fear of being homosexual or fear of being a pedophile. In both cases, sufferers will obsess over whether or not they are genuinely aroused by the thoughts. 这个。。。有一点。。。
    
• A fear of contamination; some sufferers may fear the presence of human body secretions such as saliva, sweat, tears, or mucus, or excretions such as urine or feces. Some OCD sufferers even fear that the soap they're using is contaminated. 害怕被弄脏，包括出汗，口水，眼泪，粘液等等。这个以前有，现在也好了。。。
  
• A need for both sides of the body to feel even (or uneven). A person with OCD might walk down a sidewalk and step on a crack with the ball of their left foot, then feel the need to step on another crack with the ball of their right foot. If one hand gets wet, the sufferer may feel very uncomfortable if the other is not. These symptoms are also experienced in a reversed manner. Some sufferers would rather things to be uneven, favoring the preferred side of the body.  强迫对称，有时候的确有。。。

后来仔细想一下，发现自己小时候有的各种莫名其妙的动作还要多，还被父母打骂的，例如

• 总是喜欢做怪腔，比如猪鼻子，现在好了
• 喜欢咬指甲。这不希奇，但是喜欢咬脚趾甲就不是每个人都能做到的了。。。
• 喜欢睡觉前把拖鞋放得非常整齐，而且至少要检查三遍。。。

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现在感觉结论是：我以前有偏向OCD的情况，但是现在已经好转了。真是令人擦一把汗。

可是现在依旧有不少，

一个很明显的例子就是看电影的时候，对于某一个片断要反复看五遍。一开始是因为没听清，再来一次；然后就变成了要查一下那个英文单词的含义，翻字典；然后再一次看一下发音。。。总之把播放器窗口最大最小化要好几次才满意，而那重复的声音的确有点令我心烦，可是我就是不得不这么做。。。

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OPCD的症状有一个很好记忆的方法：LAW FIRMS

• L – Loses point of activity (due to preoccupation with detail) —— 有，但是还没到达失去行动的地步
  
• A – Ability to complete tasks (compromised by perfectionism) —— 有，完美注意的妥协就是完成任务
  
• W – Worthless objects (unable to discard) —— 绝对有。。。
  
• F – Friendships (and leisure activities) excluded (due to a preoccupation with work) —— 有一点，为了工作可能把朋友放在一边
  
• I – Inflexible, overconscientious (on ethics, values, or morality, not accounted for by religion or culture) —— 这个应该没有
  
• R – Reluctant to delegate (unless others submit to exact guidelines) —— 这个也好点了。。。因为开始有自己想法了
  
• M – Miserly (toward self and others) —— 现在应该没有了
  
• S – Stubbornness (and rigidity) —— 有，在改
  

如此看来，自己的OCPD也在好转。

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结论：小时候肯定有OCD，但是长大以后好转（没有痊愈）。至于OCPD，因为OCD的影响，人格上有一点，但是还没有到影响生活的程度。换一句话说，在工作上，不影响工作；可是一个人在家里的时候可能会有各种过分的行为。

下次研究为什么会有这些东西