Transcript Diagnosing Ignatius: Schizotypal Personality Disorder

The Schizies (Team 4):
Becky Guiler, Misty Mahan,
Renee Pittman, & Keima Thomas
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According to the DSM-IV-TR, is a “pervasive
pattern of social and interpersonal deficits
marked by acute discomfort with, and
reduced capacity for, close relationships as
well as by cognitive or perceptual distortions
and eccentricities of behavior.”
begins by early adulthood
present in variety of contexts
occurs in approximately 3% of population
may be slightly more common in males
Must have five (or more) of the following:
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Ideas of reference – i.e., incorrect interpretations of casual
incidents and external events as having a particular and
unusual meaning specifically for the person (excluding
delusions of reference – when the beliefs are held with
delusional conviction)
Odd beliefs or magical thinking that influences behavior and
is inconsistent with subcultural norms (e.g.,
superstitiousness, belief in clairvoyance, telepathy, or “sixth
sense”; in children and adolescents, bizarre fantasies or
preoccupations)
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Unusual perceptual experiences, including bodily illusions
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Odd thinking and speech (e.g., vague, circumstantial,
metaphorical, overelaborate, or stereotyped)
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Suspicious or paranoid ideation (e.g., believing that their
colleagues at work are intent on undermining their reputation
with the boss)
Inappropriate or constricted affect (usually not able to
negotiate the full range of affects and interpersonal cuing
required for successful relationships and therefore interact in
an inappropriate, stiff, or constricted fashion)
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Behavior or appearance that is odd, eccentric, or peculiar
Lack of close friends or confidants other than first-degree
relatives
Excessive social anxiety that does not diminish with
familiarity and tends to be associated with paranoid fears
rather than negative judgments about self
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These symptoms can not occur exclusively during the course
of Schizophrenia, a Mood Disorder With Psychotic Features,
another Psychotic Disorder, or a Pervasive Developmental
Disorder.
If criteria met before onset of Schizophrenia, then
“Premorbid” would be added to the diagnosis.
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Mrs. Reilly sold her hat to a man at the bar
Ignatius was upset and didn’t understand why
she sold the hat and she did not ask him if he
wanted her to sell it or not. He claimed he
was very attached to that hat.
Mrs. Reilly enters Ignatius’ room and Ignatius
believes that she has disturbed his sanctuary:
“…why you have this sudden compulsion to
invade my sanctuary. I doubt whether it will
ever be the same after the trauma of this
intrusion by an alien spirit.”
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“You can’t go bowling. This is the most absurd thing
you have ever done.”( pg. 79)
When Ignatius fell on the floor from a stool screams,
“Oh my God! I think I have broken my back!” (pg. 84)
Then later, “ Good grief! The bones in my hand are
crushed. I’ll never be able to use it again.” (pg. 85)
“…it was my interest in civil rights which led to my
becoming a crippled vendor of franks. I lost a
particularly successful position because of my stand
on the racial question.” (pg. 306)
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As a group of tourists walked along the street
they saw Ignatius, they thought he was a
drunk, but he thought they admired him…
“they begged me to pose for a photograph.
For minutes they snapped away as I obliged
them with several artful poses.” (pg. 231)
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“ Everyone has a valve! Mine is simply more
developed. I am trying to open a passage
which you have succeeded in blocking. It may
be permanently closed now, for all I know.”
(pg. 48)
Ignatius also believed that his valve can
disable him on days. “ I have a valve which is
subject to vicissitudes which may force me to
lie abed on certain days.” (pg. 69)
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“Hroswitha could have predicted this long
ago… A sibyl of a medieval nun. She has
guided my life.” (p. 259)
“I am the avenging sword of taste and
decency.” (p. 260)
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Ignatius is constantly talking about is valve
and the people around him don’t need to
upset him or they would bother his valve.
“Oh, my valve! It’s closing!” and “Are you
satisfied now that you have ruined me for the
rest of the evening?”
After Dorian grabbed Ignatius hoop earring in
his ear he cried, “I will probably spend several
years at the Eye, Ear, Nose, and Throat
Hospital having this attended to,” (pg. 249)
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Even though it is clear Ignatius is very overweight he believes he have a great body. “I
seriously doubt whether my substantial and
well-formed physique…” (pg. 227)
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When Ignatius and Mrs. Reilly were kicked out
of the bar Ignatius said, “Hurry along, Mother.
This woman looks like a Nazi commandant.
She may strike us.” (pg. 23)
On page 42 Ignatius continues talking about
the program and says this, “..is that supposed
to be an exemplum to the youth of our
nation. I would like very much to know what
the Founding Fathers would say if they could
see these children being debauched to
further the cause of Clearasil.”
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Ignatius is trying to get Dorian to help him organize a
political rally. “The apocalypse is near at hand.” (pg.
254)
“I had a rather apocalyptic battle with a starving
prostitute…Had it not been for my superior brawn,
she would have sacked my wagon.” (pg. 213)
“Can you name one good, practicing transvestite on
the Senate? No! These people have been without
representation long enough.” (pg. 281)
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“ Employers sense in me a denial of their
values. They fear me. I suspect that they can
see that I am forced to function in a century
which I loathe.” (pg. 51)
Ignatius got all the factory workers to rally up
and go to “battle” with Mr. Gonzalez. He
made them collect different weapons to
attack him. Mr. Gonzalez has done nothing to
Ignatius, but Ignatius was very suspicious of
him.
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“I know that Clyde was really trying to kill me.
He would have the perfect excuse: selfdefense.” (pg. 229)
“Every soldier and sailor that we see could
simply be some mad decadent in disguise. My
God! We may all be trapped in some horrible
conspiracy. I knew that something like this
was going to happen. The United States is
probably totally defenseless!” (p. 262)
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“She is undermining our civilization. She is a
Chinese Communist agent sent over to
destroy us.” (pg. 303)
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Overall, Ignatius acts inappropriately with others,
which prevents him from establishing successful
interpersonal relationships.
When the bartender was trying to interact with
Ignatius and be polite, Ignatius responded, “Will
you kindly tend the bar properly.” Ignatius asked
furiously, “It is your duty to silently serve when we
call upon you. If we had wished to include you in
our conversation, we would have indicated it by
now. As a matter of fact, we are discussing rather
urgent personal matters.” (pg. 13)
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In an attempt to attract business during a
ladies art show Ignatius created a sign saying,
“TWELVE INCHES (12) OF PARADISE.” (pg. 243)
(Does he not realize why this is offensive to
others, or does he just not care?)
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Ignatius wore his green hunting cap wherever
he would go. The type of weather outside did
not matter, but he found it practical because
it kept him from getting head colds.
When Mrs. Reilly tells Ignatius that her elbow
needs to be massaged because of her
arthritis, Ignatius replies with, “I hope you
don’t want me to do that. You know how I
feel about touching other people.” (pg. 10)
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Mrs. Reilly mentions that Ignatius would not
miss a particular television program for
anything, but he hates it and he says this
about the CHILDREN in the program, “ The
children on that program should all be
gassed.” (pg. 41)
Other people’s reactions to him:
 “He belched violently during the silence that
followed. The ladies pretended to study the
sky and the little garden behind the
cathedral.” (pg. 255)
 “He’s mad.” (pg.256)
 “You really are insane aren’t you?” (pg. 258)
 “They sure got some funny people at
matinees…Just take a look at him.” (pg. 302)
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Throughout the book, Ignatius really only has
one friend that he keeps in touch with
(Myrna), and their relationship is often hostile
and competitive.
•Ignatius makes reference to his lack of
friends/peers: “I have no peers, I mingle with
no one.”
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The police officer asked Ignatius what the
string hanging out of his bag was and
Ignatius’s response was, “Is it the part of the
police department to harass me when this
city is a flagrant vice capital of the civilized
world? This city is famous for its gamblers,
prostitutes, exhibitionists, Antichrists,
alcoholics, sodmites, drug addicts, fetishists,
onanists, pornographers, frauds, jades,
litterbugs, and lesbians, all of whom are only
too well protected by graft.” (pg. 3)
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“I myself was a vagrant in happier, better
days. If only I were in your shoes. I would stir
from my room only once a month to fumble
for my relief check in the mailbox.” (pg. 309)
◦ “Suspicious, odd/inappropriate affect, social withdrawal,
peculiar ways of thinking and perceiving things, loose
associations” (Davis, J. M., 2008)
◦ “Seen as odd, eccentric, socially isolated, few friends”
(Davis, J. M., 2008)
◦ Additional Info That Possibly Relates to Ignatius:
 Oddities reinforced when shunned by peers, increases social
anxiety and suspicion (Davis, J. M., 2008)
 Caregivers modeled unusual versions of reality (Davis, J. M.,
2008)
 Needs were met but without emotional warmth & intimacy,
development then marked by punitive criticism, inconsistent
communication, humiliation by peers (Davis, J. M., 2008)
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http://www.youtube.com/watch?v=DZstNPQT
JfQ&feature=related
http://www.youtube.com/watch?v=UGrQXi5e
Q4g&feature=related
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American Psychiatric Association. (2000).
Diagnostic and statistical manual of mental
disorders (4th ed., text revision). Washington,
DC: American Psychiatric Association.
Dr. Davis (lecture)
Toole, J. (1980). A confederacy of dunces.
New York: Grove Press.
Video Clips from YouTube