Premorbid personality

A consistent theme in descriptions of patients who develop psychoses late in life is the presence of abnormal personality traits—most often schizoid or paranoid personality types.(15) Although these patients are known to experience relationship difficulties, reflected by low rates of marriage and reduced numbers of children born to those who do marry, this contrasts with premorbid educational and occupational adjustment which is generally good. Hence abnormalities in premorbid personality function have a specificity characterized by unsociability, reticence, suspiciousness, and hostility. Having said all this, the author's experience of many of these patients is that they can be warm, trusting, and often very lonely individuals whose view of the world has been grotesquely distorted by their psychotic experiences.

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