Schizotypal Personality Disorder (SPD): Pathogenesis and clinical findings Cognitive-Perceptual • Magical thinking - Belief in paranormal or supernatural phenomena, such as superstitions, telepathy, weird fantasies • Ideas of Reference - Believing coincidences have strong personal significance • Unusual Perceptions - Seeing a halo or aura, presence of unseen force, or bodily illusions • Paranoia / Suspiciousness - Can range from persistent and overt hostility, guardedness to pleasant and agreeable compliance Oddness/Disorganized: • Eccentric behavior or appearance - Unconventional or idiosyncratic hygiene, attire, or social behaviors • Unusual thinking or speech - Speech and thought process can be vague, unelaborate, circumstantial, metaphorical, or stereotyped but not grossly incoherent or blocked • Constricted Affect Interpersonal: • Lack Close Friends - Deficit in finding social interactions gratifying, a form of social anhedonia • Social Anxiety - Unrelenting, situationally generalized, unconditional, and does not tend to lessen with familiarity SPD Mnemonic: ME PECULIAR - Magical thinking - Experiences unusual perceptions - Paranoid / suspicious ideation - Eccentric behavior or appearance - Constricted or inappropriate affect - Unusual thinking or speech - Lacks close friends - Ideas of reference - Anxiety in social situations - Rule out psychotic or pervasive developmental disorders Dx: >5 present in a variety of contexts causing marked social impairment #SPD #Schizotypal #PersonalityDisorder #Diagnosis #Psychiatry #Criteria #Signs #Symptoms #Mnemonic #MEPECULIAR
