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Lifelong Eccentricity and Social Isolation

II: Asperger's Syndrome or Schizoid Personality Disorder?

Published online by Cambridge University Press:  02 January 2018

Digby Tantam*
Affiliation:
University Hospital of South Manchester, West Didsbury, Manchester M20 8LR

Abstract

Several scales are described for measuring aspects of eccentricity and social isolation; in particular, for assessing schizoid and schizotypal personality and for rating abnormal non-verbal expression. The latter is shown to be reliable, and the former to have a measure of validity. There was an association between schizoid personality traits and abnormalities of speech and non-verbal expression. However, abnormal non-verbal expression, but not schizoid personality traits or DSM–III schizotypal personality disorder, was particularly likely to occur in those subjects who had evidence of neurological deficit, and childhood symptoms indicative of developmental disorder. Abnormal non-verbal expression, but not personality disorder, was also associated with other characteristic features of Asperger's syndrome, such as unusual, 'special’ interests. It is suggested that Asperger's syndrome is a distinct syndrome from either schizoid or schizotypal personality disorder, but may be a risk factor for the development of schizoid personality disorder.

Type
Research Article
Copyright
Copyright © Royal College of Psychiatrists, 1988 

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References

American Psychiatric Association (1980) Diagnostic and Statistical Manual of Mental Disorder (3rd edn). Washington DC: APA.Google Scholar
American Psychiatric Association (1987) Diagnostic and Statistical Manual of Mental Disorder (revised 3rd edn). Washington DC: APA.Google Scholar
Asperger, H. (1944) Die ‘autistischen Psychopathen’ im Kindersalter. Archiv für Psychiatrie und Nervenkranheiten, 117, 76136.Google Scholar
Asperger, H. (1979) Problems of infantile autism. Communication, 13, 4552.Google Scholar
Bleuler, E. (1924) Translated (1951) as Textbook of Psychiatry by Brill, A. New York: Dover Press.Google Scholar
Cantor, S., Evans, J., Pearce, J. & Pezzot-Pearce, T. (1982) Childhood schizophrenia: present but not accounted for. American Journal of Psychiatry, 139, 758762.Google Scholar
Chick, J. (1978) Schizoid Personality in Childhood: a Follow-up Study. MPhil thesis, University of Edinburgh.Google Scholar
Crandall, R. (1976) Validation of self-report measures using rating by others. Sociological Methods and Research, 4, 380400.CrossRefGoogle Scholar
Gillberg, C. (1985) Asperger's syndrome and recurrent psychosis – a case study. Journal of Autism and Developmental Disorders, 15, 389398.Google Scholar
Gillberg, C. Persson, E., Grufman, M. & Themner, U. (1986) Psychiatric disorders in mildly and severely mentally retarded urban children and adolescents: epidemiological aspects. British Journal of Psychiatry, 149, 6874.CrossRefGoogle ScholarPubMed
Journal of Autism and Developmental Disorders (1986) Convergence of learning disability, higher-level autism, and Asperger's syndrome (editorial). Journal of Autism and Developmental Disorders, 15, 359.Google Scholar
Kanner, L. (1943) Autistic disturbances of affective contact. Nervous Child, 2, 217250.Google Scholar
Kay, D. W. K., Cooper, A. F., Garside, R. F. & Roth, M. (1976) The differentiation of paranoid from affective psychoses by patient's premorbid characteristics. British Journal of Psychiatry, 129, 207215.CrossRefGoogle ScholarPubMed
Kendler, K. S. (1985) Diagnostic approaches to schizotypal personality disorder: a historical perspective. Schizophrenia Bulletin, 11, 538553.CrossRefGoogle ScholarPubMed
Kimura, D. & Vanderwolf, C. H. (1970) The relation between hand preference and the performance of individual finger movements by left and right hands. Brain, 93, 769774.Google Scholar
Kimura, D. & Archibald, Y. (1974) Motor functions of the left hemisphere. Brain, 97, 337350.CrossRefGoogle ScholarPubMed
Kretschmer, E. (1925) Physique & Character. London: Kegan-Paul, Trench & Trubner.Google Scholar
Nagy, J. & Szatmari, P. (1986) A chart review of schizotypal personality disorders in children. Journal of Autism and Developmental Disorders, 16, 351367.CrossRefGoogle ScholarPubMed
Nie, N. H., Hull, C. H., Jenkins, J. G., Steinbrenner, K. & Bent, D. H. (1975) Statistical Package for the Social Sciences (2nd edn). New York: McGraw-Hill.Google Scholar
Presly, A. S. & Walton, H. J. (1973) Dimensions of abnormal personality. British Journal of Psychiatry, 122, 269276.CrossRefGoogle Scholar
Raven, J. C. (1956) Standard Progressive Matrices, revision. London: H. K. Lewis.Google Scholar
Kimura, D. (1958) Mill Hill Vocabulary Scales (2nd edn). London: H. K. Lewis.Google Scholar
Rumsey, J. M., Andreasen, N. & Rapoport, J. L. (1986) Thought, language, communication and affective flattening in autistic adults. Archives of General Psychiatry, 43, 771777.CrossRefGoogle ScholarPubMed
Rutter, M. (1978) Diagnosis and definition of childhood autism. Journal of Autism and Childhood Schizophrenia, 8, 139161.Google Scholar
Tantam, D. J. H. (1986) Eccentricity and Autism. phd thesis, University of London.Google Scholar
Tantam, D. J. H. (1988) Lifelong eccentricity and social isolation – 1: Psychiatric, social, and forensic aspects. British Journal of Psychiatry, 153, 777782.CrossRefGoogle Scholar
Tyrer, P., Alexander, M. S., Cicchetti, D., Cohen, M. S. & Remington, M. (1979) Reliability of a schedule for rating personality disorders. British Journal of Psychiatry, 135, 168174.CrossRefGoogle ScholarPubMed
Wing, L. (1980) The MRC Handicap, Behaviour, & Skills (HBS) Schedule. Acta Psychiatrica Scandinavica, 62 (suppl. 285), 241246.CrossRefGoogle Scholar
Wing, L. (1981) Asperger's syndrome: a clinical account. Psychological Medicine, 11, 115129.CrossRefGoogle ScholarPubMed
Wing, L. (1984) Schizoid personality childhood (letter). British Journal of Psychiatry, 45, 444.CrossRefGoogle Scholar
Wing, L. (1988) The continuum of autistic characteristics. In Diagnosis and Assessment of Autism (eds Schopler, E. & Mesibov, G. B.). New York: Plenum.Google Scholar
Wing, L. & Gould, J. (1979) Severe impairments of social interaction and associated abnormalities in children: epidemiology and classification. Journal of Autism and Developmental Disorders, 9, 1129.CrossRefGoogle ScholarPubMed
Wolff, S. & Barlow, A. (1979) Schizoid personality in childhood: a comparative study of schizoid, autistic and normal children. Journal of Child Psychology and Psychiatry, 20, 2946.CrossRefGoogle ScholarPubMed
Wolff, S. & Chick, J. (1980) Schizoid personality in childhood: a follow-up study. Psychological Medicine, 10, 85100.CrossRefGoogle Scholar
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