Relationship obsessive compulsive disorder (ROCD): A conceptual framework

• The phenomenology of relationship obsessive compulsive disorder (ROCD) is described.
• A conceptual framework for ROCD is offered.
• Development and maintenance mechanisms are proposed.
• Links between ROCD and related constructs are discussed.
• Suggestions for assessment and treatment are made.

Obsessive compulsive disorder (OCD) is a disabling and prevalent disorder with a variety of clinical presentations and obsessional themes. Recently, research has begun to investigate relationship-related obsessive–compulsive (OC) symptoms including relationship-centered and partner-focused OC symptoms. In this paper, we present relationship obsessive–compulsive disorder (ROCD), delineate its main features, and describe its phenomenology. Drawing on recent cognitive-behavioral models of OCD, social psychology and attachment research, we present a model of the development and maintenance of ROCD. The role of personality factors, societal influences, parenting, and family environments in the etiology and preservation of ROCD symptoms is also evaluated. Finally, the conceptual and empirical links between ROCD symptoms and related constructs are explored and theoretically driven assessment and intervention procedures are suggested.