What is a personality disorder?
an enduring pattern of inner experience and behavior that
- deviates markedly from the expectations of the individual'sculture
- is pervasive and inflexible
- has an onset in adolescence or early adulthood
- is stable over time
- leads to distress or impairment
What is schizoid personality disorder?
a pattern of detachment from social relationships and a restricted range of emotional expression
What are the A1 and A2 criteria for schizoid personality disorder?
A1. does not desire or enjoy close relationships (including family)
A2. chooses solitary activities, or acts like a loner
What are the A3 and A4 criteria for schizoid personality disorder?
A3. little to no interest in sexual activity with others
A4. pleasure gained from few, if any, activities
What are the A5 and A6 criteria for schizoid personality disorder?
A5. no close friends or confidants, except possibly first-degree relatives
A6. don't care what people think of them, good or bad
What is the A7 criterion for schizoid personality disorder?
A7. shows emotional coldness, detachment, or flattened affectivity (bland or emotionless exterior, does not reciprocate facial gestures)
How many of the A criteria does an individual need to exhibit to be properly diagnosed with schizoid personality disorder?
four or more
What is the B criterion for schizoid personality disorder?
symptoms can not occur exclusively during the course of schizophrenia, mood disorder with psychotic features, or pervasive developmental disorder, and is not due to the direct effects of general medical condition
What other disorders are associated with schizoid personality disorder?
major depressive disorder
most often co-occurs with schizotypal, paranoid, and avoidant personality disorders
may appear as a premorbid antecedent to delusional disorder or schizophrenia
How can schizoid personality disorder be differentiated from delusional disorder, schizophrenia, or mood disorder with psychotic features?
schizoid personality disorder does not feature persistent psychotic symptoms, but may appear as a premorbid condition to these disorders
How can schizoid personality disorder be differentiated from autism or asperger's disorder?
autism and asperger's disorder are marked with more severely impaired social interaction
How can schizoid personality disorder be differentiated from schizotypal personality disorder?
schizoid personality disorder lacks cognitive and perceptual distortions
How can schizoid personality disorder be differentiated from paranoid personality disorder?
paranoid personality disorder is marked by suspiciousness and paranoid ideation
How can schizoid personality disorder be differentiated from avoidant personality disorder?
The social isolation in avoidant personality disorder stems from excessive anticipation of rejection and a fear of being embarrassed or found inadequate. People with schizoid personality disorder are more detached and have a limited desire for social intimacy.
How can schizoid personality disorder be differentiated from obsessive-compulsive personality disorder?
individuals with OCPD still have the underlying capacity for intimacy with others