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Presented by:
Zaafra Munawar (10)
Hawa Khan (11)
Naila Faraz (23)
Table of contents:
• Introduction
- criteria A
- criteria B
• Causes
• Psychodynamic perspective
• Differential diagnosis
2
Criteria A
• “ A pervasive pattern of social and
interpersonal deficits marked by acute
discomfort with, and reduced capacity
for close relationships as well as by
cognitive or perceptual distortions and
eccentric behavior ”
3
Contt..
• Begins by early adulthood and is
present in a variety of contexts.
4
Diagnostic features
• DSM-V specifies nine diagnostic
features for schizotypal personality
disorder
• A person with at least five
characteristics might be considered to
have this disorder
5
6
7
8
9
5.Constricted affect
10
6.Unusual perceptual
experiences
11
7.Odd speech
12
13
14
Criteria B
• Does not occur exclusively during the
course of schizophrenia, a bipolar or
depressive disorder with psychotic
features, or autism spectrum disorder
15
Causes
• Genetic
• Biological
• Social
16
Genetic Factors
• Family history with schizophrenia or
other psychopathologies.
• First degree relatives with schizophrenia
or schizotypal personality disorder.
17
Biological factors
• Abnormalities of the neurotransmitter
“dopamine” .
• Other abnormalities similar to
schizophrenics
18
Social factors
• Due to childhood experiences:
• Confusing parental communication.
• Regular humiliation by peers, siblings
etc.
19
Psychodynamic Perspective
 Early childhood experiences are of crucial
importance.
 In psychodynamic approach to Schizotypal
personality disorder we will discuss:
1. Structure of personality.
2. Anxiety.
20
Contt..
3. Freud’s psychosexual stages of development
4. Erik Erikson’s psychosocial stages of
development
5. Defense mechanisms
21
Structure of
personality
• Id
• Ego
• Super ego
22
Anxiety
Neurotic anxiety
• It has no realistic existence
• For example Social anxiety
23
Freud’s psychosexual stages of
development
• Five stages of development
• Each stage is linked with the gratification of
specific instincts
• When these instincts are not gratified in a
proper way it leads to
personality disorders
24
 According to psychoanalytic
theory individuals with
schizotypal personality
disorder have unresolved
conflicts at the following
stages:
• Oral stage
• Anal stage
• Latent stage
• Genital stage
25
Erik Erikson’s psychosocial
stages of development
• Eight stages of child development
• Each stage is linked with satisfaction of
specific needs
• When the needs are not satisfied, it leads to
crisis
• If crisis is not resolved, it leads to personality
disorders
26
 In the light of Erikson’s eight
stages of development,
schizotypal personality disorder
is developed due to crisis at the
following stages:
• 1st stage Trust vs Mistrust
• 4th stage Industry vs Inferiority
• 5th stage Identity vs Role
confusion
• 6th stage Intimacy vs Isolation 27
Defense Mechanisms
 Frequently used defense mechanisms by
individuals with schizotypal personality
disorder are:
• Repression
• Denial
• Projection
28
Famous personalities with
STPD
• Vincent Van Gogh (Dutch artist)
29
• Emily Dickinson (American poet)
30
• Kim Jong-il (leader of North Korea)
31
• Willy Wonka (fictional character)
32
Differential Diagnosis
33
No hallucinations and
delusions.
Persistent psychotic
symptoms i.e.
hallucinations and
delusions.
Magical
thinking and
social
avoidance
34
It does not includes
milder forms of any
disorder
Diagnosis includes
I milder forms of
Autistic disorder,
Asperger’s
disorder and
Expressive
language disorder
Marked social
isolation,
eccentricity or
peculiarities
of language
35
No medical conditions
involved.
Trait emerge due to
direct effects of
GMC
on CNS.
Odd and
eccentric
behavior
36
No perceptual or
cognitive
distortions and
marked
eccentricity.
Presence of
cognitive or
perceptual
distortions.
Social
detachment
and restricted
affect
37
Active desire for
close
relationship
is constrained
by fear of
rejection.
Lack of desire for
relationships and
persistent
detachment.
Limitation of
close
relationships.
38
No fear of having
imperfections.
Fear of having
imperfections or
flaws revealed.
Suspiciousness
and social
withdrawal.
39

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