title: [Treatment of schizoid personality disorder: Reflections of a       cinephile].
abstract: While treatment of personality disorders in general is often described as difficult       and filled with many obstacles, knowledge is still limited regarding the specific treatment       challenges for DSM's Cluster A individuals. The purpose of this paper is to explore these       challenges, as illustrated by the case study of a schizoid patient who underwent psychodynamic       therapy for over a year. Deep and unconscious interpersonal fears that complicated treatment,       and how these fears had to be taken into account in therapeutic interventions, will be       explored. Strong countertransference reactions, especially those evoked by long silences and       constant management of optimal therapeutic distance, will also be discussed. This paper also       proposes some reflections on the limitations of DSM's conceptualization of the schizoid       personality disorder, and how a dynamic understanding of relational fears and ambivalence in       these patients may be crucial to treatment.
authors.affiliation: Institut Universitaire en Santé Mentale de Québec, Service de Psychologie,           Centre de traitement le Faubourg Saint-Jean, 175 rue Saint-Jean, Québec, Qc, G1R           1N4.
authors.forename: Dominick
authors.initials: D
authors.lastname: Gamache
authors.forename: Louis
authors.initials: L
authors.lastname: Diguer
mesh_terms: D006801:Humans; D010554:Personality Disorders / Q000628:therapy; D012557:Schizoid Personality Disorder