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分裂样人格障碍

Schizoid Personality Disorder

作者信息

Torrico Tyler J., Madhanagopal Nandhini

机构信息

Consilient Interventional Healthcare

Kern Medical

Abstract

Schizoid personality disorder is characterized by a pervasive pattern of detachment from social relationships and a limited range of emotional expression in interpersonal settings. Individuals with schizoid personality disorder exhibit significant social withdrawal and are often seen as eccentric, solitary, or isolated. Their discomfort with social interactions leads them to use introversion as a defense mechanism to avoid psychological discomfort. The term "schizoid" was originally coined by Bleuler to describe the early seclusiveness and isolation observed in schizophrenia and has been included in every edition of the  (). Schizotypal personality disorder was not introduced in the until 1980 (). Before that, the diagnosis of schizoid personality disorder encompassed a broader range of conditions, described as "nonpsychotic schizophrenia-type illness." Since the publication of , schizoid personality disorder has been among the least studied personality disorders, with limited empirical investigations. Personality disorders that significantly decrease quality of life include schizoid, avoidant, schizotypal, and borderline personality disorders. Unfortunately, further research is needed to better understand and address these conditions.  Personality disorders are commonly grouped into 3 clusters based on shared characteristics consistent with the . These have classically been referred to as clusters A,B,andC.Cluster A includes personality disorders with odd or eccentric traits, such as paranoid, schizoid, and schizotypal personality disorders. Cluster B includes personality disorders characterized by dramatic, emotional, or erratic behavior, such as antisocial, borderline, histrionic, and narcissistic personality disorders. Cluster C encompasses personality disorders with anxious and fearful traits, including avoidant, dependent, and obsessive-compulsive personality disorders. Despite its historical use, the "cluster" system has limitations in categorizing personality disorders, and the 3 groupings are not consistently validated in the literature.

摘要

分裂样人格障碍的特征是在社交关系中普遍存在脱离状态,在人际环境中的情感表达范围有限。患有分裂样人格障碍的个体表现出显著的社交退缩,常被视为古怪、孤僻或孤立。他们对社交互动的不适感促使他们将内向作为一种防御机制来避免心理不适。“分裂样”一词最初由布鲁勒提出,用于描述在精神分裂症中观察到的早期隐居和孤立状态,并且已被纳入每一版的(此处原文括号内容缺失具体信息)。分裂型人格障碍直到1980年(此处原文括号内容缺失具体信息)才被引入。在此之前,分裂样人格障碍的诊断涵盖了更广泛的病症,被描述为“非精神病性精神分裂症型疾病”。自(此处原文缺失具体文献名称)发表以来,分裂样人格障碍一直是研究最少的人格障碍之一,实证研究有限。显著降低生活质量的人格障碍包括分裂样、回避型、分裂型和边缘型人格障碍。不幸的是,需要进一步研究以更好地理解和应对这些病症。人格障碍通常根据与(此处原文括号内容缺失具体信息)一致的共同特征分为3组。传统上这些被称为A、B和C组。A组包括具有古怪或怪异特征的人格障碍,如偏执型、分裂样和分裂型人格障碍。B组包括以戏剧性、情绪化或不稳定行为为特征的人格障碍,如反社会型、边缘型、表演型和自恋型人格障碍。C组包括具有焦虑和恐惧特征的人格障碍,包括回避型、依赖型和强迫型人格障碍。尽管有其历史用途,但“组”系统在对人格障碍进行分类方面存在局限性,并且这3种分组在文献中并未得到一致验证。

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