Lecture 16: SZ spectrum personality disorders Flashcards
SZ spectrum personality disorders are:
- A rigid pattern of thought, emotion and behaviour that affects all aspects of life
- Results in unstable, limited or dysfunctional relationships
- Impacts social, work and other life goals
- Insight is usually poor
- People do not change their behaviour, despite poor outcomes
- Appears in adolescence or young adulthood
Schizotypal would be associate with which analogy? And describe its relationship to SZ.
- (believer in crystals and auras)
- Closest to SZ: both positive and negative spectrum symptoms
- Seen in family members of those with SZ
- May be to be a precursor to SZ, especially those at risk
Paranoid
- (cult leader)
- More functional than schizotypal
Schizoid is associated with which analogy? And is more functional than which SZ PD
- (junk shop owner)
- More functional than schizotypal
What is the personality disorder closest to SZ?
Schizotypal
What personality disorder may be the May be to be a precursor to SZ?
Schizotypal
** especially those at risk***
What personality disorder would be be associated with believing in crystals and auras?
Schizotypal
What personality disorder would be associated with a cult leader?
Paranoid
What personality disorder would be associated with a junk shop owner?
Schizoid
What are the two personality disorders which are more functional than Schizotypal?
Paranoid (cult leader) and Schizoid (junk shop owner)
What are the two things which are important to remember about SZ spectrum personality disorders?
- Significant overlap in the diagnoses of these disorders
- May indicate risk for developing SZ
What are the diagnostic criteria for paranoid personality disorder
- Pervasive distrust and suspiciousness of others
- Four (or more) of the following:
1) Groundless suspicions that others are exploiting, harming, or deceiving
2) Unjustified doubts about the trustworthiness of friends or family
3) Reluctant to confide in others because of unwarranted fear that the information will be used against them
4) Reads hidden negative meanings into benign remarks or events
5) Persistently bears grudges (i.e., is unforgiving of insults, injuries, or slights).
6) Perceives attacks that are not apparent to others and is quick to react angrily or to counterattack
7) Has recurrent unjustified suspicions about the fidelity of a spouse or partner
What are the Differential diagnosis for paranoid personality disorder?
SZ or other psychotic disorder, drug abuse, PTSD, Bipolar (manic phase), Borderline, dementia
What is the prevalence for paranoid personality disorder?
2-4%
What is the common co-morbid diagnosis with paranoid personality disorder?
alcohol and substance abuse
What are the diagnostic criteria for schizoid personality disorder?
- Restricted relationships and range of emotions
- At least four of the following:
1) Does not desire or enjoys close relationships, including family (loner)
2) Almost always chooses solitary activities.
3) Has little or no interest in sexual experiences with another person
4) Takes pleasure in few activities
5) Lacks close friends or confidants other than first-degree relatives
6) Appears indifferent to the praise or criticism of others
7) Shows emotional coldness, detachment, or flattened affect
What are the differential diagnosis for schizoid personality disorders?
SZ, depression with psychotic features, autism spectrum disorder
What is the prevalence of schizoid personality disorder in the population?
3-5% of the population