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Withdrawnness is a characteristic feature of schizoid pathology, but it is sometimes overt and sometimes covert. Overt withdrawnness matches the usual description of the schizoid personality, but withdrawnness is just as often a covert, hidden, internal state of the patient. The patient's observable behaviour may not accurately reflect the internal state of their mind. One should not mistake introversion for indifference, and one should not miss identifying the schizoid patient due to misinterpretation of the patient's defensive, compensatory, engaging interaction with external reality.
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Withdrawnness means detachment from the outer world, the other side of introversion. Only a small portion of schizoid individuals present with a clear and obvious timidity, reluctance, or avoidance of the external world and interpersonal relationships. Many fundamentally schizoid people present with an engaging, interactive personality style. Such a person can appear to be available, interested, engaged and involved in interacting with others, but he or she may in reality be emotionally withdrawn and sequestered in a safe place in an internal world.
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Guntrip worked extensively with schizoid patients who were detached, withdrawn, and unable to form meaningful human relations. He came to regard the self as the fundamental psychological concept, psychoanalysis as the study of its growth, and psychoanalytic therapy as a means of providing a personal relationship in which the alienated, withdrawn self is given an opportunity for healthy growth and development, and finally putting it in touch with other persons and objects. He delineated the following nine characteristics of the schizoid personality: introversion, withdrawnness, narcissism, self-sufficiency, a sense of superiority, loss of affect, loneliness, depersonalisation, and regression. These are described in more detail below.
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