Schizoid Personality Disorder - Causes, Symptoms and Treatment .MF .

August 12, 2017 17:52 | Mental Disorders

For this type of psychopathy is characterized by a significant reduction in social contacts.Schizoid demonstrate a low level of emotional expression.They do not have close relationships with others, asgenuinely prefer to be alone.More often consider them "hermits".

Milestones schizoid personality disorder

individual traits appear in the 3-4 years of age In the formation of schizoid psychopathy.These children prefer quiet, secluded class, do not seek to actively communicate with their peers, do not have a persistent attachment to the family and friends.With emerging schizoid psychopathy in children very early found interest in the abstract, the abstract, difficult philosophical problems (problems of life and death, the origin of the world and so on. D.).

At school age, revealing the development of logical thinking, sometimes remarkable mathematical abilities, while at the same time, they are not well suited to everyday life, are helpless in dealing with simple everyday questions.As a rule, children a

re separated from the others, they are not drawn to the peers, they do not participate in collective games.

In some cases, the beginnings of a psychopathic schizoid warehouse may show up soon after birth (1-3-year life).These conditions are usually described in terms of neprogredientnogo option Kanner's syndrome or infantile autism syndrome.The most characteristic of its manifestations include violation of emotional contact with the environment, uniformity of behavior, poor adaptation to new conditions.These children dramatically lags behind the emergence of speech and communication functions hampered the formation of elementary self-help skills.Manifestations neprogredientnogo option infantile autism syndrome tend to remain stable for several years, and in the future, if the state exhausted features of congenital anomalies and does not show signs of manifestation of schizophrenia, there is a gradual compensation features of psychopathy.For 5-10 years children are adequate.Keeping expressed autism traits they can learn, complete their education, acquire skills.

symptoms of schizoid personality disorder

characteristic features of schizoid are disharmony, the paradox of their appearance and behavior, as well as manifestations of emotional life and mental activity in general.schizoid motility different unnatural, lack of plasticity.The landing of the head, gait, moving through the usual awkwardness.Mimicry is devoid of vitality, it is limited to a set of regular expressions.The voice modulated a little, because of what is often the conversation is as if one-note.Clothing stylized - it is either accentuated elegance, aristocracy, or, conversely, deliberate negligence.

schizoid - people of extreme feelings and emotions;they either admire or hate.Hobbies schizoid most peculiar, even the original, usually unilateral.The social significance of different interests: some have all the power, thoughts and energy are directed towards achieving minor goals (eg, collecting);while others are showing remarkable energy and persistence in creating sometimes very talented and valuable scientific concepts.However, in fact, and in another case, they remain completely indifferent to the needs of practical life, everyday interests of the family's needs.These people are not interested in establishing and maintaining friendly ties, show little interest in sexual relations and indifferent to his family.They pick a job that requires a small number of contacts with other people, or even devoid of such.When necessary, they can establish lasting, albeit distant, working relationship, but prefer to stay alone, often working alone all day.In addition, many of them live alone and avoid social contact.As a result of their social skills were not developed.If they marry, the lack of interest in the vicinity may cause marital or family problems.

basis schizoid temperament is the so-called psihesteticheskaya proportion, the combination of features of excessive sensitivity (hypersensitivity) and emotional coldness (anesthesia).According to the predominance of

giperesteticheskih anesthetic or elements in the structure of schizoid psychopathy is customary to distinguish two extreme types of characters, connected by a wide range of transition options:

  1. sensitive schizoid - mimozopodobnye, giperesteticheskie, with a predominance of asthenic affect;
  2. expansive schizoid - cold, sometimes even stupid person with a predominance of sthenic affect.

Sensitive schizoid - these are people with "sverhnezhnoy 'internal organization, painfully sensitive.They survive for a long time, even petty offense can not get rid of the memories of once heard rudeness.It is subtle and deep feelings of people with a limited range of very strong loyalties and skeptical attitude to the rest of the environment."Island" experience they are always directed at ourselves, with a penchant for refined introspection sometimes reaches samomuchitelstva.The modest, dreamy, easy asteniziruyuschie, avoiding violent manifestations of feelings, they at the same time painfully proud.Sthenic affect, according to TI Yudin (1926), appears to have a kind of pride: "I forgive all others, but do not forgive myself."At work, they very conscientious and thorough, to seek unilateral recess is usually limited to a narrow range of daily duties.Under the influence of psychological trauma, which for them are often different ethical conflicts and moral isolation of the situation (the suspicion of any unseemly or immoral acts), they can easily lose their mental balance.There are depression, lethargy, increased shut off from the world.They lose their appetite, sleep poorly, have become even more distrustful.Sometimes there are sketchy ideas of reference.As a rule, after a traumatic situation such schizoid reaction quickly pass, leaving unchanged the old personality structure.

Expansive schizoid - is decisive, strong-willed nature, are not susceptible to vibrations, little considered the views of others.In relations with others are usually dry and official.Strict adherence to principles combined them with indifference to the fate of individuals.Among them are common people "ill-tempered" arrogant, cold, cool, incapable of empathy, sometimes callous and even cruel, but at the same time easily vulnerable, with deeply concealed dissatisfaction and self-doubt, capricious and bile.They are prone to explosive (explosive) reactions.In case of serious difficulties in life they are growing restlessness, irritability, with flashes of anger and impulsive actions.In more severe cases, the formation of transient states close to paranoid reactions when their inherent distrust before becoming delusional or caution katatimnymi delusional formations.

reasons for schizoid personality disorder

1. Many psychodynamic theorists, in particular supporters of the theory of object relations, argued that the basis of schizoid personality disorder is an unmet need in dealing with people.Parents of people with this disorder, like the parents of those who suffer from paranoid personality disorder is believed to be disliked for their children or even mistreated.People with paranoid symptoms respond to such education distrust, whereas individuals with schizoid personality disorder are unable to express or accept love and therefore start to avoid all relationships.

2. self psychology, another group psychodynamics theorists speak of "frustration" I "with schizoid personality disorder, pointing to a lack of self-esteem and inability to build around themselves a comfortable environment. Unsure of what they represent, these people do notcan establish a relationship with others.

3. The theorists of cognitive areas, for their part, believe that the schizoid personality deficiency in thinking. their thoughts are usually vague and futile, it is difficult to assess the environmental situation and perceive what is happening properly. Unable to grasp the emotionalreactions of other people, they can not respond to the emotions of others. According to this theory, children with schizoid personality disorder slowly develop speech and motor skills, no matter what their intellectual level.

4. Maudorf, GE Sukharev andet al. the cause of schizoid psychopathy saw a certain constitutional cerebral insufficiency and possibly the endocrine system.

5. There is also the view of the genetic predisposition of the personality disorders.

diagnosis of schizoid personality rasstroystvoa

Schizoid personality disorder (criteria ICD-10)

  1. little pleasure, and nothing at all;
  2. emotional coldness, alienation or flattened affectivity;
  3. inability to be warm, tender feelings toward others, as well as anger;
  4. weak response of both praise and criticism;
  5. little interest in sexual contact with another person

(taking into account age);

  1. increased concerns about fantasy and introspection;
  2. almost invariable preference for solitary activities;
  3. marked insensitivity to prevailing social norms and conditions;
  4. lack of close friends or relations of trust (or the existence of just one), and the desire to have such ties.


This subheading includes autistic person with a predominance of sensitive features (\ "mimozopodobnost \" with supersensitive internal organization and exposure to psychogenic with astenodepressivnyh type reactions), as well as stenichnyh schizoid with a high capacity for work in tight areas combinedwith the formal (dry) pragmatism and individual traits of despotism that characterize interpersonal relationships.


  • schizophrenia (F20.-);
  • schizotypal disorder (F21.h);
  • Asperger's syndrome (F84.5);
  • schizoid disorder of childhood (F84.5);
  • delusional disorder (F22.0h).

Treatment of schizoid personality disorder

Medical therapy is ineffective.

already socially excluded, people with this personality disorder tend to start treatment only because of some other disorder, for example due to alcoholism.They often retain a distance between themselves and the therapist, it is apparently not concerned about the course of treatment and in their condition occurs, at best, modest improvements.

· Cognitive therapists can sometimes help these people to experience more positive emotions.These techniques include the introduction of the patient with a list of emotions, over which he must meditate, or a request to recall and describe some pleasant situation.

· Behavioral Therapists sometimes successfully instill social skills to its customers, using as a means of role play, controlled exposure to unpleasant stimuli to the patient and homework.

· Group therapy is clearly beneficial when it creates an environment that is safe for social contact, although people with schizoid disorder may experience discomfort from any attempt to force them to participate in some activities.

For this type of psychopathy is characterized by a significant reduction in social contacts.Schizoid demonstrate a low level of emotional expression.They do not have close relationships with others, asgenuinely prefer to be alone.More often consider them "hermits".