Obsessive-compulsive disorder (OCD) has been studied extensively in re
cent years, with increased emphasis on understanding OCD's biological
substrates. There has been significant progress in documenting abnorma
l brain function in OCD patients, particularly in the orbitofrontal co
rtex, basal ganglia, and thalamus. Similar progress has broadened our
understanding of the cognitive and behavioral manifestations of the di
sorder, including deficits in set shifting, hyperattention, and visuos
patial construction abilities. Unfortunately, these results have not b
een replicated consistently. This report comprises a review of previou
s attempts to characterize the neurobiology and neuropsychology of OC:
D, and a discussion of several factors in OCD research that can help t
o explain previous inconsistencies.