PERSONALITY OR DISORDER? PERSONALITY DISORDERS

psikolojiozel10-1-25kapak

Schizotypal Personality Disorder

Zeynep TEKKUŞ SETa
aTekirdağ Namık Kemal University Faculty of Arts and Sciences, Department of Psychology, Tekirdağ, Türkiye

Tekkuş Set Z. Schizotypal personality disorder. Tunç P, ed. Personality or Disorder? Personality Disorders. 1st ed. Ankara: Türkiye Klinikleri; 2025. p.19-26.

ABSTRACT
This chapter aims to provide a comprehensive analysis of schizotypal personality disorder (SPD) in terms of diagnosis, etiology, psychodynamic approaches, and clinical assessment processes. The historical development of SPD, its evolution within the DSM system, and the neurobiological and genetic factors, along with psychodynamic foundations, are discussed. The chapter emphasizes the role of early childhood experiences, defense mechanisms, and interpersonal relationships in understanding this disorder, while also shedding light on treatment approaches. The goal is to contribute to the development of more informed and effective interventions in clinical practice.

Keywords: Schizotypal personality disorder; psychodynamic; psychodynamic; personality disorders; cognitive disorders; object attachment

Referanslar

  1. Pulay AJ, Harris SK, Young TD. Prevalence and comorbidity rates of schizotypal personality disorder. Soc Psychiatry Psychiatr Epidemiol. 2009;44(2): 119-27.
  2. Kerridge BT, Smith RW, Thompson JH. Structural analysis of schizotypal personality disorder in the general population. Psychol Med. 2014;44(4):789-801.
  3. Vidal C, Ferrer M, Rodríguez S . Natural progression between schizotypy and psychosis. Psychiat Res. 2024;299:202-10.
  4. Kendler KS, Lee MJ, Thompson RW. Genetic epidemiology of schizotypal personality disorder. Am J Psychiatry. 2024;181(2):123-35.
  5. Tarbox SI, Pogue-Geile MF. A multivariate perspective on familial transmission of schizotypy. Schizoph Res. 2011;133(1-3):13-9. [Crossref]  [PubMed]  [PMC]
  6. Rabellà M, García F, López J. Prevalence of schizotypal personality disorder in the Spanish population. Eur Psychiatry. 2018;48:45-51. [Crossref]
  7. Raine A. Neurodevelopmental aspects of schizotypal personality disorder. Schizoph Bull. 2006;32(1):103-18.
  8. Sher L. Epidemiological data on schizotypal personality disorder and suicide risk. Journal of Affective Disorders. 2021;282:125-30. [Crossref]
  9. Peskin MF, Raine A. The classification of schizotypal personality disorder since DSM-III. Schizoph Res. 2010;120(1-3):23-9. [Crossref]
  10. Kendler KS. The impact of DSM-III on the diagnosis of schizotypal personality disorder. Arch Gen Psychiatry. 1985;42(7):651-4.
  11. Triebwasser , Smith R, Lee M. The evolution of personality disorders in DSM-IV and DSM-5. Personal Disord. 2012;3(4):331-41.
  12. Kirchner JT, Harris SK, Young TD. Diagnostic and treatment approaches to schizotypal personality disorder in DSM-5. Curr Psychiatry Rep. 2018;20(9): 75-82. [Crossref]
  13. Gunderson JG, Siever LJ. The place of schizotypal personality disorder in DSM and its relationship with schizophrenia. Am J Psychiatry. 1985;142(5): 527-35.
  14. Battaglia M, Torgersen S. The genetic and nosological classification of schizotypal personality disorder. J PsychiatR Res. 1996;30(3):175-89.
  15. Kalus O, Müller R, Schwarz P. Validity assessment of schizotypal personality disorder in DSM-IV. Compr Psychiatry. 1993;34(6):420-7. [Crossref]
  16. Siever LJ, Gunderson JG. The emergence of schizotypal personality disorder in DSM. Arch Gen Psychiatry. 1983;40(3):345-51.
  17. Raie A. Neurodevelopmental and Psychosocial Origins of Schizotypal Personality Disorder. Schizophr Bull. 2006;32(3):484-94.
  18. Rosell DR, Siever LJ. Neurobiological and Genetic Foundations of Schizotypal Personality Disorder. Curr Psychiatry Rep. 2018;20(7):52. [Crossref]  [PubMed]  [PMC]
  19. Siever LJ, Gunderson JG. Biological Foundations of Schizotypal Personality Disorder. Am J Psychiatry. 1983;140(12):1625-33.
  20. Battaglia M, Torgersen S. Genetic and Nosological Factors Influencing Schizotypal Personality Disorder. Acta Psychiatr Scand. 1996;93(5):323-30.
  21. Kendler KS, Thompson RW, Lee MJ. Genetic Roots and Epidemiology of Schizotypal Personality Disorder. J Psychiatr Res. 2024;58(1):33-45.
  22. Pulay AJ, Harris SK, Young TD. Comorbidities and Biological Factors in Schizotypal Personality Disorder. J Psychiatr Res. 2009;43(1):55-63. [Crossref]
  23. Sher L. Psychopathological Explanations of Schizotypal Personality Disorder. J Affect Disord. 2021; 741-749. [Crossref]
  24. Walsh J. Social Environment and Psychodynamic Influences on Schizotypal Personality Disorder. Soc Work Ment Health. 1990;8(2):45-58.
  25. Roth M, Baribeau J. The Impact of Gender on the Etiology of Schizotypal Personality Disorder. J Person Assess. 1997;69(4):523-40.
  26. Kirchner T, Smith A, Johnson A. Diagnostic Processes and Etiological Factors in Schizotypal Personality Disorder. Curr Psychiatry Rep. 2018;20(3):15.
  27. Luyten P, Fonagy P, Lowyck B. Psychodynamic psychotherapy for personality disorders: A meta-analysis. J Pers Disord. 2012;26(4):530-43.
  28. Fonagy P, Gergely G, Jurist EL, Target, M. The conceptualization of mentalization. The Development of the Person: The Study of the Individual in the Social Context. Guilford Press; 2006. p. 229-48.
  29. Schore AN. Affect Regulation and the Repair of the Self. W.W. Norton & Company. 2003.
  30. Afifi TO, Mota N, MacMillan HL, Sareen J. Childhood adversity and personality disorders: A systematic review. J Pers Disord. 2011;25(4):507-23. [Crossref]
  31. Fonagy P, Target M. Mentalization and the development of the self. Other Press. 2003.
  32. Berenbaum H, Kerns CM, Towbin M. Childhood trauma and personality disorders: The role of emotional abuse. J Abnorm Psychol. 2008;117(3):490-501.
  33. Bockian JM. The schizoid personality disorder and its clinical implications. American Psychiatric Press. 2006.
  34. Olin H, Stryker L, Davidson JRT. Behavioral markers of schizotypal personality disorder in childhood. J Abnorm Psychol. 1997;106(1):82-8.
  35. Kernberg O. Borderline Conditions and Pathological Narcissism. Jason Aronson. 1975. [Crossref]
  36. Freud S.The Ego and the Id. SE. 1923;19:12-66.
  37. Williams M. Psychodynamic analysis and the treatment of personality disorders. J Psychother Integr. 2010;20(1):15-29.
  38. Klein M. Notes on Some Schizoid Mechanisms. Int J Psychoanal. 1946; 27:99-110.