Which of the following is true for withdrawn patients diagnosed with schizophrenia?
Explanation & Rationale
Choice A reason: Most patients with schizophrenia are not inherently violent. Withdrawn patients, specifically, tend to move away from others rather than toward them aggressively. Violence is more often associated with untreated positive symptoms like command hallucinations or paranoid delusions rather than the negative symptom of social withdrawal. Choice B reason: While social and interpersonal dysfunction is a hallmark of schizophrenia, fearing sexual involvement with therapists is a specific, narrow concern that does not describe the general underlying mechanism of social withdrawal. It does not capture the pervasive interpersonal anxiety characteristic of the disorder. Choice C reason: Social withdrawal in schizophrenia is often a protective mechanism against the overwhelming stimuli of social interaction. These patients frequently experience "interpersonal anxiety" where emotional closeness feels threatening or disorganized, leading them to isolate themselves to maintain a sense of psychological safety and equilibrium. Choice D reason: Although rejecting behavior may be perceived as hostility by others, it is usually a defensive maneuver rather than an expression of anger. The primary driver is often an inability to process social cues or a fear of being overwhelmed by the presence of others.