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Schizoid personality disorder has a complicated past It was originally conceptualized as the personality type associated with schizophrenia However the Diagnostic and Statistical Manual of Mental Disorders states that schizoid personality disorder should not be diagnosed if the pattern of behavior occurs exclusively during the course of schizophrenia But this does not mean that the two cannot co-occur Schizoid personality disorder most often co-occurs with schizotypal paranoid and avoidant personality disorders At the turn of the twentieth century schizoid personality disorder was described as a trait-like variant of schizophrenia Others described it as shut-in personality schizoidie and even as autistic personality The term schizoid was also used in broader terms to identify socially withdrawn patients who had great difficulty with intimacy and peculiar behavior now associated with schizotypal personality disorder However schizoid personality disorder can be differentiated from other disorders Schizoid personality disorder is different from schizotypal personality disorder in that schizotypal personality disorder lacks the cognitive and perceptual distortions that are associated with schizoid personality disorder It can be distinguished from paranoid personality disorder by the lack of suspiciousness and paranoid ideation The social isolation of schizoid personalities can be distinguished from that of avoidant personalities by a lack of fear of being embarrassed or found inadequate and an excessive anticipation of rejection It can be distinguished from autistic disorder but not easily Milder forms of autistic disorder are very similar to schizoid personality disorder so differentiation is very difficult This is also true for aspergers disorder However they can be differentiated Their symptoms both exhibit more severely impaired social interaction and stereotyped behaviors and interests Schizophrenia and delusional disorder can also be distinguished from schizoid personality disorder The formers are characterized by a period of persistent psychotic symptoms such as delusions and hallucinations Schizoid personality disorder must have been present before the onset of psychotic symptoms and must persist when the psychotic symptoms are in remission for it to actually be schizoid
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