schizotypal personality disorder
The schizotypal disorder is a new psychiatric concept developed by Spitzer in the late 1970s and is a relative of schizophrenic patients included in adoption studies conducted by Ketty, Wender, and Rosenthal over the same decade. Based on an analysis of the characteristics of.
This entity is based on
old observations from the beginning of the last century that show behavioral
traits common to schizophrenic relatives. Its condition within our current
nosography remains questionable and is sometimes classified as a personality
disorder and sometimes as a schizophrenia spectrum disorder. It presents the
origin of this concept, which arises from two complementary approaches, a
familial approach and a clinical approach of sporadic cases and redefines the
framework underlying the diagnostic approach and its continuity to the current
classification.
Historical origin cannot
summarize the disorder, and it seems important to redefine the multidimensional
features of schizotypal personality disorder, generally a three-factor model.
Indeed, dimensional models of psychosis are being established as being
conceptually and clinically useful. Recent studies on the dimension of
psychosis show the evolution of the concept of schizophrenia, which was first
defined as part of the spectrum of schizophrenia. This now seems to be more
broadly related to the concept of single psychosis, including bipolar disorder.
People with these
personality disorders have long-standing patterns of thought and behavior that
differ from what society considers to be common or normal. Their strict
personality can cause problems and affect many areas of life, including social
and work. People with serious personality disorders also generally have poor
coping abilities and have difficulty establishing healthy relationships.
Unlike people with anxiety disorders who know
they have a problem but cannot control it, people with a personality disorder
are generally unaware that they have a problem and can control it.
The dimension of
psychosis appears to be associated with different family groups and the risk of
psychosis, suggesting that it is highlighted by different physiological and
pathological processes. Therefore, a dimensional approach helps to elucidate
the genetic heterogeneity of the disease.
People with schizotypal
personality disorders have strange behaviors, speech patterns, thoughts, and
perceptions. Others often describe them as strange or eccentric. People with
this disability can also:
dress, speak, or act in strange or unusual
ways: Be suspicious and delusional, feel uncomfortable or anxious in a social
situation due to distrust of others, have few friends, feel very uncomfortable
with intimacy, indulge in imagination and fantasy Tend to be stiff and awkward
with others Emotionally distant, distant, or cold Emotional reactions are
limited and have odd beliefs or magical thinking.
People with schizotypal personality disorders rarely receive treatment for the disorder itself. When they see a doctor, it is often due to related disorders such as depression and anxiety
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