Review Question - QID 109000

A 29-year-old man comes into his primary care physician's office with a chief complaint of a cough. The patient states that the cough started yesterday and he is asking if he needs antibiotics. While conversing with the patient, you note that he seems cold, mistrustful, and does not display much emotion. The patient worked for a software company but recently took a different position that allows him to work from home. The patient states that he switched positions because while at the office he made a mistake during a presentation. He felt that his fellow workers thought less of him afterward and he was embarrassed to show his face around the office. The patient wishes he could have related better to his coworkers. He currently lives in a barn on the outskirts of town with his many cats. His temperature is 98.6°F (37°C), blood pressure is 114/72 mmHg, pulse is 71/min, and respirations are 15/min. On physical exam, you note a healthy young man, adorned in overalls and denim shoes. His physical exam is notable for erythema of the posterior pharynx. The patient is informed that he has a viral upper respiratory infection and is sent home with instructions to rest and hydrate himself. Which of the following personality disorders best characterizes this patient?