A 28-year-old woman describes distress over her husband's indifference and social disinterest. Which personality disorder might he have?

• A. Schizotypal
• B. Narcissistic
• C. Avoidant
• D. Schizoid

Answer: (D)

The scenario presented involves a husband who exhibits indifference and social disinterest, which aligns closely with the characteristics of schizoid personality disorder. Individuals with this disorder often prefer solitary activities, show little interest in forming close relationships, and tend to appear emotionally detached or indifferent towards social interactions.

People with schizoid personality disorder typically do not seek out social connections and often seem aloof or uninterested in the emotional experiences of others. This emotional detachment can lead to significant distress for their partners, as seen in the wife's feelings of distress over her husband's lack of engagement.

In contrast, the other personality disorders listed involve different patterns of behavior. Schizotypal personality disorder is characterized by eccentric behavior and unusual beliefs or thoughts but doesn't necessarily translate to indifference. Narcissistic personality disorder involves an inflated sense of self-importance and need for admiration, which is distinctly different from simple disinterest. Avoidant personality disorder is marked by a desire for social interaction but is combined with significant anxiety and fear of rejection, making it unlikely that the husband would be described simply as indifferent.

Therefore, the description of indifference and social disengagement points most clearly to schizoid personality disorder as the most fitting diagnosis for the husband in this scenario.