What is your reference for saying "generally schizotypal personality disorder is found in 4.6% of the population" as I couldn't find it in the DSM-V-TR. It only says "The estimated prevalence of schizotypal personality disorder based on a probability subsample from Part II of the National Comorbidity Survey Replication was 3.3%.The prevalence of schizotypal personality disorder in the National Epidemiologic Survey on Alcohol and Related Conditions data was 3.9%. A review of five epidemiological studies (three in the United States) found a median prevalence of 0.6%." I would really like to know.
I’ve thought about this a lot. I’m not a physician so this may just be one of many wormholes of thought I entertain obsessively that have no basis in reality. I do understand that much of the reason for differential diagnoses is how they present, what conditions cause the characteristics to emerge, etc. I’ve had periods of hyper-fixation on psychology, neurodiversity, and personality and one concept I keep returning to is the common combinations of ASD, ADHD, Schizoid, Schizotypal, Borderline, Avoidant, INFP, INTJ, etc. My thinking is that Schizotypal personality traits can emerge from a cocktail of these intersectional adaptations. Originally I thought that it’s probably very probable that high masking ASD with dual ADHD diagnosis can develop into Schizotypal personality traits. ASD alone often resembles Schizoid personality features. Masking always complicates things and strands us in the murky uncanny valley of what is really us, what is the social mirror, and what we’ve integrated and is inseparable. Add all of the inevitable trauma that constantly rewires our neurology and we are left with a lot of complex and dense synapses that fire off at emotional triggers, special interests, social anxiety, and sensory processing and integration. I would like to see more research into the diagnostics of these different neurological conditions and hope that there will be more clarity in differentials, overlaps, and spectrum entanglement.
