SZPD Questions.

ICD-10, which uses distress

Excessive preoccupation with fantasy and introspection.
This may disappear during severe OCD episodes.

would it be possible that the "schizoid introspection/inner monologue/fantasy world" could merge with OCD intrusive thoughts, leading to extreme disturbance/distress? this being like an explanation of what happens during those episodes? If so, then this may have led to "mental health nightmare scenarios" in the recent past.
ex: the introspection becoming just rumination and over analyzing if you did so and so?

Social impairment is considered "distress".
It's not a feeling, it's whether someone fits well, otherwise they are in distress. Like if you see someone drowning, they are in distress, whether they feel it or not. It's distress if the person cannot fix it on their own so to speak.

emotional detachment

How would you define "emotionally detached"?

aks1 wrote:How would you define "emotionally detached"?

Someone that does not want things you want or most people want.

So if you are part of a crowd that cheers for a team during a sporting event, the emotionally detached is the one that won't stand up and cheer if there is a goal, or it won't be as heartfelt.

It's Winston in the 2 minutes of hate
https://www.youtube.com/watch?v=XvGmOZ5T6_Y
He does no bellyfeel the party.

It ties into concepts like avolition and anhedonia.
Like in that clip, people willfully enjoy the hate, it gives them catharsis and bound them together as a group. They get a drama, and then a grooming, which creates a dopamine hit which creates pleasure. So they want the pleasure which justifies the conflict, and the totalitarian state of Ingsoc.

So in the end, emotional detachment is not wanting conflict or the pleasure of reconciliation. Both are rejected to avoid the conflict itself. Not exactly a new idea, Buddhists and mystics pretty much always sought this. If you have nothing and want nothing, people won't be able to steal from you, and what you do have, is not something they can take away from you.

It also avoids emotional manipulation which consists in pretending to have a feeling, and then take it away, which then forces the other to act in order to get back to the previous situation. But for that to work, the original emotion has to be valued and some habit of it has to be created, an attachment. It's common in romance. "Love" is easy to give, it costs nothing, just a few words, and it's possible to create a feeling with it, which, if accepted and valued, will attach another person to the one giving. They it's easy to make threats or take out such emotion in order to force compliance. It's the typical normal relationship model, which ties into not responding to praise and criticism, because it's the same thing. Praise attach, criticism detach. If you accept one, you have to accept the other and it becomes a game of who gives more than the other, which creates drama and reconciliation in an abusive circle. So emotional detachment avoids that, but also avoids most relationships since they are almost all based on that concept, that moral dance.

@polarbear

if you're diagnosed SZPD, what was the diagnostic process like? Do they have to ask your family too?

aks1 wrote:@polarbear

if you're diagnosed SZPD, what was the diagnostic process like? Do they have to ask your family too?

It's a bit blurry, but I ended up with a GP with some minor in psychology, he made a pre-diagnostic, then sent me to a specialist psychiatrist who went through a few questions to confirm. No need to ask for family, although they will do that if it is court ordered.

Update: diagnosed PD-NOS