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Scitzoid
Personality Disorder
DSM-IV Diagnostic Criteria
A pervasive pattern of social
detachment with a restricted affect, beginning by early adulthood and indicated by at
least four of the following:
The patient neither desires nor enjoys
close relationships, including family relationship.
The patient chooses solitary
activities.
The patient has little interest in
having sexual experiences.
The patient takes pleasure in few
activities.
The patient has no close friends or
confidants except first-degree relatives
The patient is indifferent to the
praise or criticism of
The patient displays emotional
detachment or
Clinical Features of
Scitzoid
Personality Disorder Scizoid
- The patient appears cold and aloof;
and is uninvolved in the everyday concerns of others.
- The patient is subjectively and
objectively emotionally blunted.
- Generally these patients do not marry
unless pursued aggressively by another person.
- These patients are able to work only
if their work allows for social isolation.
Epidemiology of Scitzoid
Personality Disorder
- It is rare in the clinical setting.
- Thought to be more common in men than
schizoid women.
- The disorder may be a premorbid
condition in schizophrenia.
- It is more common in first-degree
relatives of schizophrenics.
Differential Diagnosis
- Schizophrenia:
Hallucinations and formal thought disorder are not seen in personality disorders. Patients
with may have good work histories, whereas schizophrenic patients usually have poor work
histories.
- Schizotypal Personality
Disorder: Eccentricities and oddities of perception, behavior and speech are not
seen.
- Avoidant Personality Disorder:
Social isolation is subjectively unpleasant (ego-dystonic) for avoidant patients. Unlike
Schizoid patients, Avoidant patients are hypersensitive to the thoughts and feelings of
others.
- Paranoid Personality Disorder:
Although also frequently alone and emotionally constricted, paranoid patients are able to
express strong emotion when schizoid personality disorder, scizoid, scitzoid