The Paradox of Purity

This article imagines some theoretical directions for what is deemed as “critical OCD studies.” Obsessive–compulsive disorder (OCD) is characterized in both clinical and cultural discourse as a preoccupation with order. This article moves beyond the notion of order making in OCD as a uniquely pathological aspect of the disorder and instead explores what obsessive experiences can teach us about living in an untidy and uncertain world. To do this, the article first draws upon Mary Douglas’s classic anthropological text, Purity and Danger . It uses Douglas’s theoretical framework to show how OCD is reflective of broader social and clinical efforts to assert order and control ambiguity, and how this desire for purity causes perceptions of disorder to proliferate. The second part of this article engages with the writing of literary critic Maggie Nelson in conversation with OCD to imagine ways of living beyond the disorder/order binary. Ultimately, it argues that a reconsideration of order and an embracing of ambiguity are integral to both OCD and society more broadly.

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Publication Details

Journal
Journal of Literary & Cultural Disability Studies
Published
2026-02-24
DOI
https://doi.org/10.3828/jlcds.2025.29
Primary Topic
Historical Psychiatry and Medical Practices
Type
article
Field-Weighted Citation Impact
0.00
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article

The Paradox of Purity

Eva Surawy Stepney, Matthew A. Hiller
Journal of Literary & Cultural Disability Studies
Historical Psychiatry and Medical Practices
article

The Paradox of Purity

Eva Surawy Stepney, Matthew A. Hiller
article en

Abstract

This article imagines some theoretical directions for what is deemed as “critical OCD studies.” Obsessive–compulsive disorder (OCD) is characterized in both clinical and cultural discourse as a preoccupation with order. This article moves beyond the notion of order making in OCD as a uniquely pathological aspect of the disorder and instead explores what obsessive experiences can teach us about living in an untidy and uncertain world. To do this, the article first draws upon Mary Douglas’s classic anthropological text, Purity and Danger . It uses Douglas’s theoretical framework to show how OCD is reflective of broader social and clinical efforts to assert order and control ambiguity, and how this desire for purity causes perceptions of disorder to proliferate. The second part of this article engages with the writing of literary critic Maggie Nelson in conversation with OCD to imagine ways of living beyond the disorder/order binary. Ultimately, it argues that a reconsideration of order and an embracing of ambiguity are integral to both OCD and society more broadly.

Journal of Literary & Cultural Disability StudiesVol. 20(1)
University of Sheffield (GB)
Reduced inequalities
Openalex Percentile: Top 48%
Historical Psychiatry and Medical Practices
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