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Schizoid Personality Disorder - Deep Dive (Chapter 4) (Patreon)

Published:
2023-12-04 15:00:07
Imported:
2024-02

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Dr Kirk Honda provides his deep dive on schizoid personality disorder.

00:00 Couples therapy with schizoid

15:17 Differentiating from psychopathy

34:59 Differentiating from schizotypal

59:30 Overlap with psychotic disorders

1:08:51 Differentiating from depression

1:15:04 Avoidant attachment style

1:18:47 Differentiating from paranoid personality disorder

1:20:53 Differentiating from avoidant personality disorder & fear

1:36:23 Differentiating from PTSD

1:45:27 Substance use disorder

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December 4, 2023

The Psychology In Seattle Podcast ®

Trigger Warning: This episode may include topics such as assault, trauma, and discrimination. If necessary, listeners are encouraged to refrain from listening and care for their safety and well-being.

Disclaimer: The content provided is for educational, informational, and entertainment purposes only. Nothing here constitutes personal or professional consultation, therapy, diagnosis, or creates a counselor-client relationship. Topics discussed may generate differing points of view. If you participate (by being a guest, submitting a question, or commenting) you must do so with the knowledge that we cannot control reactions or responses from others, which may not agree with you or feel unfair. Your participation on this site is at your own risk, accepting full responsibility for any liability or harm that may result. Anything you write here may be used for discussion or endorsement of the podcast. Opinions and views expressed by the host and guest hosts are personal views. Although, we take precautions and fact check, they should not be considered facts and the opinions may change. Opinions posted by participants (such as comments) are not those of the hosts. Readers should not rely on any information found here and should perform due diligence before taking any action. For a more extensive description of factors for you to consider, please see www.psychologyinseattle.com

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Anonymous

I find the DSM confusing in that, it'll say that if a patient meets 4 of the criteria, they can qualify for schizoid but I can't help but think that for multiply diagnoses, it would be more useful to add which features are "necessary" as they are essentially where most of the distress or disorder stem from. Those key features that make the presentation not just a personality *type* but a *disorder* worthy of treatment. For instance, I can't imagine schizoid being an appropriate diagnosis for someone if they had many close, genuine and enjoyable relationships that carried no intrisic discomfort - even if they met 4+ other criterion.

Anonymous

Dr. Honda, Do you perhaps think the reason that it’s so hard to differentiate closely related personality disorders is because of the way they are named? My wonderings beyond that go into 2 directions: 1) The disorders are categorized by scientists who observe behaviors, categorize the behaviors then clump everyone with certain behaviors together then later on after much therapy, the behaviors are found to be associated with very different kinds of childhood experiences that resulted in some sort of harm be it neglect or be it abuse, or perhaps both? If this is fairly clearly understood, then the other things to look at besides the trauma itself, is outcomes such as how the sufferer has developed certain paths in life, life decisions, feeling about themselves or lack thereof….. Or… 2) It’s at least often that it’s the case of the snake eating its tail…. The perpetrator of the abuse and/or neglect themselves suffers from a personality disorder and the sufferer — they must somehow mirror the sadist. The parental figure is distraught because their partner is cheating so the parental figure begins to seek refuge with the kid(s)… then, the partner reappears or perhaps another partner appears. The sufferer(s) in the family now suffer from neglect. Parental figure is all lost in lovey dovey land. Bills go unpaid, the house is a mess. Kids hate seeing parental figure seeming to be having fun at their expense. The lif(ves) of parental figure(s) situation(s) may not always be tumultuous but the damage was done and the sufferers have also been driven to their own disoriented escape—forming the basis for the perpetuation of generational sets of behaviors that are seemingly different but all part of an evolutionary adaptive process such that the disorders are related by function. We could say that higher functioning is tantamount to being less of a sufferer and more of a resilient and lucky kid(s) who may have fared differently. For the ones that show up in your office, that is in itself a clue about higher functioning being related to the way that therapy generally is hoping the snake will spit out its tail and slither off happily into yonder less troubled territory. This might explain why people generally think that people who get therapy and get better is a fantastic result. But this ignores the fact that intelligence built on evolutionary adaptation favored just means that a certain rational and intuitive logic takes over and helps said sufferer to “function” to survive. This kind of combination of functional/logical/intuitive things may not always be adaptive. Perhaps they are harming the sufferers so they revolt and go to therapy and yoga and DBT and they learn by having corrective experiences and they evolve. Except there will always be the ones who stay in that survival mode, the snakes eating their tails. Sorry so long. Just tuned in since the pandemic and in Patreon for a few months. Really enjoying your content. I’m learning so much having been a tech writer and chemistry technician and automotive tech, and avoiding all drama in work only to have it popping up in my personal life so intensely! It’s fun to hear your take on things because as a fellow northwesterners (especially in USA), over 50 (I am 60) but you and I have had very very different lives. It weird because as I listen to you and understand myself and my family, I somehow feel like more hopeful, better, proud. I tell my kids how proud I am of them. I don’t care about “spoiling” them if the alternative is to damage them. I shower them with love in any way they will still let me, and I live my life more and more fully! Kind of weird how different that is than withholding love and attention and only being instructed that you as parent must only pray. That’s it. Little acts of shunning and rejection to make the kids dependent and somehow wholesome. How closely harm and benefit align though one be acceptable and the other not? Anyway… it’s hard to put ideas into words. I like how you do that. Thanks