Schizoid Personality Disorder and the 'Flat Affect'

By Vidya Koesmahargyo

Schizoid personality disorder (SPD) is characterized by a long-standing pattern of detachment from social relationships. People with schizoid personality disorder are often detached from social relationships, and experience difficulty in expressing emotions, or do so in a restricted range and intensity.

For people with SPD, they often appear to lack a desire for intimacy, and will avoid close relationships with others. They usually prefer to spend time with themselves rather than socialize or be in a group of people. This behavior does not come from a contempt or anxiety from being around other people; rather, people with SPD are more or less indifferent to social experiences.

Some of the major symptoms of SPD include: showing neither desire nor joy for close relationships, high preference for solitary activities, lacking close friends or confidants, indifference to the praise or criticism of others, and emotional coldness, detachment, or flattened affectivity. (Bressert, 2014)

This ‘flat affect’ is common in people with schizophrenia spectrum disorders, autism spectrum disorders, PTSD, depression, depersonalization disorder and brain damage. The flat affect refers specifically to the severely reduced or no signs of emotional reactivity in an individual, and usually manifests when one would usually show emotion. In people with SPD, the flat affect varies from failure to show emotion even when it is present, and an actual lack of emotional affectivity in certain situations.

Because of the nature of schizoid personality disorder, most people with it are able to function relatively well in their day-to-day lives, and are not as hindered by their personality disorder. People with SPD rarely seek a diagnosis or treatment on their own unless a conflict arises, or aspects of the disorder start to have an impact in their lives. Due to this, treatment plans for people with SPD are rarely long term. Solution focused therapy are the most common treatments for schizoid personality disorder, although more research needs to be conducted to assess how longer term therapy may benefit people with this disorder.

Works Cited:

Bressert, S. (2014). Schizoid Personality Disorder Symptoms. Psych Central. Retrieved on February 11, 2016, from http://psychcentral.com/disorders/schizoid-personality-disorder-symptoms/