The term “schizoid” refers to a personality disorder characterized by a lack of interest in social relationships, tendencies towards solitary lifestyle as well as apathy, coldness, detachment and secretiveness. What do you know about schizotypal personality disorders?
Schizoid
Schizotypal
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Suspicious of others
Socially isolated
Experiencing hallucinations
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Schizophrenia, mood disorder with psychotic features, any other psychotic disorders, pervasive developmental, direct physiological
Schizophrenia, direct physiological, substance abuse, mood disorder with psychotic features
Direct physiological , schizophrenia, depression, mood disorder with psychotic features
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Happiness- even when granted desired objects
Anger- even in direct provocation
Sadness- even when death of relative
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Hobbies/interest
Everyday
Occupational
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Have high paying jobs
Marry
Have co morbid diagnosis
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Schizophrenia, schizotypal
Schizophrenia, Major depressive, substance abuse, GAD, borderline PD, avoidant PD
Schizophrenia, avoidant PD, Major Depressive, Paranoid PD, Schizotypal,
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Moving from rural to city, lasting several months manifested by solitary activities, constricted affect and deficits in communication
The grieving process associated with the death of a friend/family member, lasting 5 months
The ability to only exhibit one emotional affect for a period of several months eg: periods of happiness or sadness
Women
Men
Children
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True
False
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All only experience one or the other of cognitive or perceptual distortions
All only experience depersonalization and trance like states
All are characterized by a period of persistent psychotic symptoms
4
3
5
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Schizophrenia episode
Premorbid
Late onset
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Almost always chooses solitary actives
Neither desires nor enjoys close relationships, including being part of a family
Has recurrent suspicions without justification regarding fidelity of spouse or sexual partner
Has little if any interest in having sexual experiences with another person
Takes pleasure in few if any activities
Is inhibited in new interpersonal situations because of feelings of inadequacy
Is unwilling to get involved with people unless certain of being liked
Lacks close friends or confidants other than first degree relatives
Appears indifferent to he praise or criticism of others
Shows emotional coldness, detachment or flattened affectivity
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Intimate and social
Social and interpersonal
Occupational and interpersonal
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Early childhood
Early adulthood
Can develop at anytime
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Beliefs are held with delusional conviction
Incorrect interpretations of casual incidents and external events as having a particular and unusual meaning specifically for the person
Superstitious beliefs that are outside the norms of their subculture
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Alien obsessed
Superstitious
Hypochondriacs
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Talk to animals
Feel that they have special powers to sense events before they happen
Feel they are receiving special unfair discriminatory treatment compared to others
Read others' thoughts
Have magical control over others
Perceptual alterations- sensing another person is present/hearing voices
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Introduce themselves to start interactions
Negotiate the full range of affects and interpersonal cuing required for successful realtionships
Understand coherent thoughts and beliefs of healthy individuals
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Depression
Sexual identity issues
Anxiety
Dysphoric affects
Substance abuse
Factitious disorders
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15% to 30%
30% to 50%
40% to 50%
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Dietary choices
Religious beliefs and rituals
Hobbies
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Mid-late adulthood only
Apparent in childhood/adolescence
Early adulthood only
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Poor peer relationships
Hypersensitivity
Low calorie intake
Peculiar thoughts and language
Physically abusive behaviors
Bizarre fantasies
Underachievement in school
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4%
2%
3%
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Stable;small
Unstable; varying
Stable;large
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Biological mothers
Biological fathers
First-degree biological relatives of individuals with schizophrenia
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During ;remission
Before;remission
After ;treatment
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6
5
4
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Unusual perceptual experiences, including bodily illusions
Little if any interest in having sexual experiences with another person
Suspiciousness or paranoid ideation
Inappropriate or constricted affect
Appears indifferent to the praise or criticism of others
Ideas of reference( excluding delusions of reference)
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True
False
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Genetics
Lack of practice
Already have minimal and then degeneration can occur due to being ignored or disengaged
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Early experiences of peer rejections, bullying
Substance abuse at young ages
Sexually physical and emotional abuse in childhood
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Early experience, core beliefs, negative automatic thoughts, conditional assumptions, trigger, assumptions activated
Early experience, core beliefs, conditional assumptions, trigger, assumptions activated, negative automatic thoughts
Early experience, conditional assumptions, trigger, core beliefs, assumptions activated, negative automatic thoughts
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True
False
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Core beliefs, early experiences, triggers, assumptions activated, compensatory strategies, underlying assumptions
Early experiences,compensatory strategies, core beliefs, underlying assumptions, triggers, assumptions activated
Early experiences, core beliefs, underlying assumptions, compensatory strategies, triggers, assumptions activated
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Affirm superstitious behaviors
Anxiety reduction
Negotiating a collaborative problem list and goal list
Role play the ideas of reference
Paranoid belief change
Re framing core beliefs
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