Abstract
Twenty nine obsessive-compulsive patients were evaluated for behavior therapy by the staff of our Obsessive-Compulsive Disorders (OCD) Clinic. Ten (35%) had Axis II diagnoses of Schizotypal Personality Disorder. Of those patients without an Axis II diagnosis of Schizotypal Personality Disorder, 16 (84%) improved at least moderately with either behavior therapy alone (exposure plus response prevention) or a combination of behavior therapy and pharmacotherapy. Among the schizotypal group, only one (10%) improved with the same treatments. This difference was highly significant. Implications for behavior therapy are discussed as well as suggestions for management of these patients and for future research.
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