People who attend to their own ideas and fantasies, who are unable to recognize other people's needs and emotions, and who also distance themselves from reality are displaying:

A) poverty of speech.
B) blunted or flat affect.
C) loss of volition.
D) social withdrawal.

Social Withdrawal

The tendency to withdraw from social interactions, often as a response to fear, anxiety, or preference for solitude.

Poverty of Speech

A reduction in speech output that is often seen in various mental health disorders; it's characterized by brief and unelaborated responses.

Blunted Affect

A symptom of schizophrenia in which a person shows less emotion than most people.