Josephine is a 47-year-old single woman. The hardest times of the year for Josephine's family are holidays and family gatherings; Josephine never seems to enjoy herself. She seldom smiles, laughs, or reacts to people and events around her. She remains detached and often goes into a room and plays video games or watches television by herself, even when the rest of the family is eating. Her family members say that she is rude and do not want her around.
Josephine lives by herself. She has held several jobs, but lost them because of her inability to interact with others. Her cool demeanor makes her difficult to approach. Josephine has no significant relationship in her personal life and cannot name any close friends.
I would first rule out a form of autism people with mild autism can show the same personality disorders as well and children and adults can function normally if it is a mild form like Asperger’s. But from my experience it is more than likely a form of schizoid personality disorder. Schizoid personality disorder is an uncommon condition in which people avoid social activities and consistently shy away from interaction with others. It affects more males than females. If you have schizoid personality disorder, you may be seen as a loner, and you may lack the desire or skill to form close personal relationships. To others, you may appear somewhat rude or boring or have no personality or humor, because you don't tend to show emotion, you may appear as though you don't care about what's going on around you. You may actually feel lonely, even if it's hard for you to acknowledge. Or you may feel much more at ease being alone, and feel comfortable with your life. The cause of schizoid personality disorder is unknown. The course of treatment can range from cognitive and behavioral therapy, group therapy and try a range of different drug therapies.
Case study 2: Narcissistic Personality Disorder.