In the fourth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV-TR), obsessive-compulsive disorder (OCD) can be diagnosed with a specifier of ‘with poor insight’ whenever the individual does not recognize that the obsessions or compulsions are excessive or unreasonable” (300.3). Yet some insight must have occurred, since by definition, adults with Obsessive-Compulsive Disorder have…