Schizotypal Personality: Psychotherapeutic Aspects

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Abstract
Schizotypal personality (SP) corresponds closely to the concept from which it was derived, "borderline schizophrenia," and represents, in most instances, the intermediate band of the schizophrenia spectrum. Problems often encountered in patients with SP include eccentric social habits, anhedonia, hypersensitivity to criticism, humorlessness, misinterpretation of the moods and statements of others, and inability to fit in socially. While neuroleptic medication may be useful during brief psychotic episodes (to which many patients with SP are prone), the mainstays of treatment are verbal psychotherapies. The chronicity of the condition calls for long-term therapy. An exploratory technique alone seldom suffices; therapy must also include supportive and social-reeducative measures. Modification of socially alienating mannerisms through group therapy and behavioral interventions is often warranted, in addition to one-to-one psychotherapy.

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