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Monday, March 11, 2019

Schizoid Personality Disorder in Childhood


Evidence of Developing Personality Patterns in Childhood


By: THEODORE MILLON and
      Seth Grossman
      Carrie Millon
      Sarah Meagher
      Rowena Ramnath

Freud wrote that the child is the father of the man. Although this research literature is still in its infancy, numerous points of continuity have been found between adult disorders and early manifestations of similar problems in childhood (Fennig & Carlson, 1995).

The first account of schizoid personality in childhood was given by Ssucharewa in 1926 (Wolff, 1996). Symptoms included solitariness, odd thinking, flatness and superficiality of emotions, a tendency toward automatisms, impulsive behavior, inappropriate social behavior (clowning, rhyming, stereotypic neologisms), obsessive-compulsive behavior, heightened suggestibility, and various motor impairments, including clumsiness, awkwardness, abruptness of movement, and many superfluous movements.

Contemporary thinking is that autism, Asperger’s syndrome, and schizoid personality of childhood
(Wolff, 1998) form a group of related disorders, a “schizoid spectrum.” Although usually not as impaired as schizophrenic children, kids in these categories all show impaired social relations, developmental abnormalities, and delays of varying severity.

Wolff (1998) suggests that schizoid children are more impaired than autistic and Asperger’s children on “theory of mind” tasks, which test a capacity to imagine what other people feel or think. Indeed, “lack of empathy” is a cardinal feature of the diagnosis.

Other core characteristics noted were “solitariness (the children were ‘loners’) . . . increased sensitivity, at times with paranoid ideation; rigidity of mental set, especially the single-minded pursuit of special interests (such as electronics, architectural drawings, antiques, astronomy, dinosaurs, politics); and unusual styles of communicating such as odd  use of metaphor, over- or under-talkativeness” (p. 124).

In contrast to high-functioning autistic and Asperger’s children, on follow-up the schizoid children showed better psychosocial adjustment as adults, not significantly different from the adjustment of their clinic-matched controls. However, they were not as able to reach their expected level of occupation or to as easily sustain an intimate sexual relationship, both characteristics of the adult schizoid personality.

References

Personality Disorders in Modern Life, second edition, 2000, 2004 by John Wiley & Sons, Inc.

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