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Schizoid Personality
Disorder


Brief Overview


Schizoid personality disorder (SPD) is classified as a personality disorder. It is characterized by a lack of interest in social interaction and relationships. Those afflicted usually drift towards a solitary lifestyle, which includes secretiveness, emotional coldness, and apathy. They may demonstrate an elaborate internal fantasy world.

The term "schizoid" was first used in 1908 by Eugen Bleuler to give a name to those people who displayed the tendency toward directing attention mostly to their inner lives, and away from the outside world. It is very similar to introversion and is thought to be more common in males. The disorder usually appears in childhood and adolescence with poor peer relationships, a preference for solitude, and underachievement in academics.

When the individual gets stressed he or she can go into psychotic states that last anywhere from minutes to hours.

Schizoid Behaviors Fall into Three Groups of Characteristics:
  • Quiet, reserved, eccentric, serious, and unsociable
  • Shy, timid, sensitive, excitable, nervous
  • Honest, indifferent, silent, cold emotional attitude, pliable



Causes of Schizoid Personality Disorder


The exact causes of personality disorders are not known. They may be cause by a combination of genetic and environmental factors that occur in early childhood. An individual with schizoid personality disorder may have had a parent who was cold or unresponsive to their needs, or they may have grown up in a home where they did not experience love. People with schizoid personality disorder report that they were often labeled as being hypersensitive or thin-skinned in adolescence. These labels suggest that perhaps their needs were met with exasperation or scorn. A family history that includes having a parent who has any of the disorders on the schizophrenic spectrum also increases the chances of an individual developing the disorder.


Symptoms of Schizoid Personality Disorder


Schizoid personality disorder is characterized by a pattern of detachment from social relationships and a limited ability to relate to other people. Individuals with this disorder have a restricted range of expression of their emotions. This disorder is usually first experienced in early adulthood and can exhibit itself in a variety of contexts.

People suffering from schizoid personality disorder often tend to be happiest in relationships where their partners place fewer intimate or emotional demands on them. These people often feel lost around the people they tend to socialize with because they need a sense of stability and security which they lack in social situations. Additionally, they tend to be passive in threatening situations.

It is possible for those afflicted to establish relationships with others usually based upon intellectual, familial, physical, or recreational activities. The only requirement is that these relationships don't need or force emotional intimacy, which those affected will reject. Withdrawal and detachment from the outside world are features of this disorder, and this can appear in a sort of "secret form" or "classic form."

People afflicted with this are often sexually apathetic, but do not suffer from anorgasmia. Most schizoids have healthy sex drives. Some prefer to masturbate rather than deal with finding a sexual partner. Due to the preference of being alone, sex can cause these individuals to feel as though their personal spaces are being invaded.

Symptoms of Schizoid Personality Disorder Include:
  • Neither desires nor enjoys close relationships, including being part of a family
  • Almost always chooses solitary activities
  • Has little, if any, interest in having sexual experiences with another person
  • Takes pleasure in few, if any, activities
  • Lacks close friends or confidants other than first-degree relatives
  • Appears indifferent to the praise or criticism of others
  • Shows emotional coldness, detachment, or flattened affectivity
The World Health Organization's ICD-10 Describes Schizoid Personality Disorder as Having at Least Four of the Following Symptoms:
  • Emotional coldness, detachment
  • Limited capacity to express positive or negative emotions towards others
  • Consistent preference towards solitary activities
  • Very few if any close friends or relationships, with a lack of desire for such
  • Indifference to praise or criticism
  • Taking pleasure in few if any activities
  • Indifference towards social conventions or norms
  • Preoccupation with introspection or fantasy
  • Lack of desire for sexual experiences with another individual

It is believed that therapy and medications can aid in a person's recovery from this affliction.


Treatment


As with all personality disorders, schizoid personality disorder is difficult to treat and no method of treatment will work quickly. Since personality disorders affect the core of an individual's personality, treatment will take time and combine a variety of approaches to effect change. The treatment of choice is individual psychotherapy. However, individuals with this disorder are not likely to seek treatment unless they are pressured by external circumstance like family or court. Treatment will usually begin with short-term goals to help the individual solve the immediate crisis or problem, which motivated them to enter treatment. Individuals with Schizoid symptoms will then likely terminate therapy. Goals of treatment most often are solution-focused using cognitive behavioral therapy approaches.


Individuals with Schizoid Disorder maintain a distance from people in their lives, even those who are close to them, including family. Clinicians work to help ensure the client's trust and feelings of safety in the therapeutic relationship. Acknowledging the client's boundaries is of the utmost importantance and the therapist should not look to confront the client on these types of issues. The development of rapport and a therapeutic alliance will likely be a slow, gradual process. And this relationship may not ever fully develop as in seeing people with other disorders and conditions.


Cognitive behavioral exercises may be appropriate for some of the irrational thoughts that are negatively influencing the individual's life. The therapeutic framework should be clearly defined at the commencement of treatment to build trust. Stability and support are the keys to successful treatment. If treatment proceeds too quickly the individual may feel "smothered" and then engage in "acting out" behavior.


Group therapy may also be a helpful treatment approach once the person has done individual psychotherapy. If group therapy is approached too early in treatment the individual will likely terminate because they will not be unable to tolerate the effects of being in a social group and receiving input from others. If, however, the individual has increased their ability to tolerate social relationships and if they have minimal social skills they may benefit from the interaction of a group.




 

 
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