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Terra, João Ricardo - One of the best experts on this subject based on the ideXlab platform.
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Síndrome de De Clèrambault: uma revisão bibliográfica
Associação Brasileira de Psiquiatria - ABP, 2005Co-Authors: Calil, Luís Carlos, Terra, João RicardoAbstract:A síndrome de De Clèrambault (ou Erotomania) consiste na convicção delirante, por parte do paciente, de que alguém de posição social mais elevada o ama. Acredita-se que privação sexual seja um fator psicodinâmico importante no desenvolvimento dessa condição, mas fatores orgânicos relacionados com sua etiologia continuam sendo investigados. Pretende-se, com este estudo, revisar o que a literatura médica traz de mais relevante sobre essa doença e suas causas. Para tanto, foram consultadas as bases de dados MEDLINE e LILACS, e os trabalhos mais adequados ao propósito da revisão foram examinados. Constata-se que a Erotomania é pouco divulgada na literatura científica, podendo não ser tão rara quanto atualmente se propõe. A maior parte de sua explicação etiológica é pautada em bases psicodinâmicas pertinentes, sem, contudo, relações comprovadas de causalidade com seu quadro clínico. O avanço nas pesquisas neurobiológicas poderá trazer maior precisão ao diagnóstico e ao tratamento dos pacientes erotomaníacos
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The De Clèrambault's syndrome: a bibliographic revision
Associação Brasileira de Psiquiatria, 2005Co-Authors: Calil, Luís Carlos, Terra, João RicardoAbstract:A síndrome de De Clèrambault (ou Erotomania) consiste na convicção delirante, por parte do paciente, de que alguém de posição social mais elevada o ama. Acredita-se que privação sexual seja um fator psicodinâmico importante no desenvolvimento dessa condição, mas fatores orgânicos relacionados com sua etiologia continuam sendo investigados. Pretende-se, com este estudo, revisar o que a literatura médica traz de mais relevante sobre essa doença e suas causas. Para tanto, foram consultadas as bases de dados MEDLINE e LILACS, e os trabalhos mais adequados ao propósito da revisão foram examinados. Constata-se que a Erotomania é pouco divulgada na literatura científica, podendo não ser tão rara quanto atualmente se propõe. A maior parte de sua explicação etiológica é pautada em bases psicodinâmicas pertinentes, sem, contudo, relações comprovadas de causalidade com seu quadro clínico. O avanço nas pesquisas neurobiológicas poderá trazer maior precisão ao diagnóstico e ao tratamento dos pacientes erotomaníacos.De Clèrambault's syndrome (or Erotomania) consists in a delusional conviction, by the patient, in which someone of higher social status has fallen in love with him or her. Sexual privation can be an important psychodinamic factor on the development of this condition, but organic factors related to its genesis continue on investigation. This study revises the most important aspects that the literature brings us about this disease and its causes. The databases MEDLINE and LILACS have been consulted, and the most appropriate articles were examined. It is established that Erotomania is not much found in the scientific literature, and, probably, it isn't as rare as it has been proposed. The major part of its etiologic explanation is based on psychodinamic factors, without, however, confirmed relation of cause with its clinic presentation. The progress in the neurobiologic researches will improve, perhaps, the accuracy of diagnose and treatment of these patients
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El síndrome de De Clèrambault: el segundo estudio de caso en portugués
Sociedade de Psiquiatria do Rio Grande do Sul, 2005Co-Authors: Calil, Luís Carlos, Terra, João RicardoAbstract:A síndrome de De Clèrambault, ou Erotomania, é a convicção delirante que um paciente pode desenvolver de estar sendo amado por alguém de posição social muito proeminente. A síndrome está alocada entre os transtornos delirantes. Relata-se o caso de uma paciente de 46 anos de idade cujos delírios persistem há 32 anos, mantendo um médico como núcleo de seu sistema delirante.De Clèrambault's syndrome or Erotomania is a condition in which a patient develops a delusional belief of being loved by someone belonging to a higher social status. The syndrome is classified as a delusional disorder. The present study describes the case of a 46-year old woman whose symptoms have persisted for 32 years. The focus of her delusional system is a medical practitioner.El síntoma básico del síndrome de De Clèrambault o erotomanía, es la convicción delirante que un enfermo puede desarrollar de estar siendo amado por otra persona de posición social más alta. Se ha clasificado la erotomanía entre los desórdenes delirantes. Se ha descrito el caso de una paciente de 46 años de edad cuyos síntomas persisten hace 32 años, manteniendo un médico como núcleo de su sistema delirante
F Limosin - One of the best experts on this subject based on the ideXlab platform.
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Erotomania and mood disorder a case report and literature review
European Psychiatry, 2015Co-Authors: V Guillard, J Mallet, F LimosinAbstract:Introduction Erotomania is a rare delusional disorder. De Clerambault, a French psychiatrist, was the first who advanced the concept of pure Erotomania, one of the ‘passionate psychosis', as a distinct disorder. However, some authors tend to consider this syndrome as related to other psychiatric disorders. Objectives To describe the case of a female patient with erotomanic delusion with no remission under an antipsychotic and to review the links between Erotomania and other psychiatric disorders. Methods Literature review and a case report Results We report the case of a 32 year-old epileptic woman, hospitalized for a delusional erotomanic disorder. Initially, the patient was treated with an antipsychotic, with partial effectiveness. In fact, it appeared that the conviction of being loved began while she was depressed. After one month of combined antipsychotic and antidepressive medication, she became euthymic and her erotomanic delusions disappeared. Major depressive disorder with psychotic symptoms was diagnosed. After reviewing the literature, we found that erotomanic symptoms frequently appear secondarily in other psychiatric disorders. Several publications indicate a frequent association between Erotomania and mood disorder, especially major depression and bipolar affective disorder, and describe the efficacy of antidepressant and mood stabilizers. Numerous theories may explain the link between Erotomania and mood disorder : from narcissistic needs, to the capacity of empathy and emotional processing. Further studies are needed to clarify the nature of this link. Conclusion In clinical practice, a mood disorder must systematically be searched for and treated in a patient with erotomanic delusions.
M J Avelino - One of the best experts on this subject based on the ideXlab platform.
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Erotomania a review of de clerambault s syndrome
European Psychiatry, 2016Co-Authors: C Oliveira, S Alves, C Ferreira, C S Agostinho, M J AvelinoAbstract:Introduction Erotomania (also known as De Clerambault's syndrome) is usually described as a rare delusional syndrome characteristically involving an individual who believes that another person, typically of higher social, economic or political status, is in love with the individual. De Clerambault's syndrome remains a ubiquitous nosological psychiatric entity with uncertain prognosis that remains recognised as a subtype of delusional disorder in DSM 5. Objectives and aims To review the history of Erotomania as a nosological psychiatric entity, its clinical characteristics and course. Also to report some selected clinical cases. Methods The authors have conducted an online search on PubMed with MeSH words“Erotomania”, “Erotomaniac delusion” and “Clerambault” and systematically reviewed some case reports. Results Erotomania is a relatively uncommon and misunderstood disorder characterised by the presence of a persistent erotic delusion. The individual (usually described as a woman) has had little or no contact with the other person who is perceived as watching over, protecting or following the individual. Despite various authors have described and named this syndrome, it was Clerambault who first classed the symptoms into the disorder he referred to as “psychose Passionelli” (1942). There are numerous theories as to the aetiology of this illness that is not uniquely associated with any specific disorder. We reviewed some clinical cases. Conclusions Erotomania is a relatively uncommon psychiatric disorder. An increased awareness and understanding of this illness will assist in the recognition of patients affected, opening doors for future progress on its aetiology and, therefore, the development of new treatment options.
Martin Brune - One of the best experts on this subject based on the ideXlab platform.
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Erotomania variants in dementia
Journal of Geriatric Psychiatry and Neurology, 2003Co-Authors: Martin Brune, Stefan G SchroderAbstract:Erotomania is a delusional syndrome in which an affected individual is convinced that another person loves him or her. Erotomania usually occurs in middle-aged female patients. Only 3 cases have been described in dementia so far. The authors report 2 cases, in Alzheimer's disease and vascular dementia, in which Erotomania emerged in the early stage of the underlying disorder. In both cases, Erotomania partially responded to antipsychotic treatment. Erotomania may be understood in evolutionary terms as a pathologic deviation of an evolved psychological mechanism relating to mate selection and may therefore account for the typical sex distribution of the syndrome in favor of women and the onset of the disorder, usually during the late reproductive phase. The association of Erotomania with dementing disorders may tentatively be interpreted to suggest that such complex psychological mechanisms and behaviors as involved here in "organic" delusions may have distinct, "hard-wired" representations in the human brain.
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de clerambault s syndrome Erotomania in an evolutionary perspective
Evolution and Human Behavior, 2001Co-Authors: Martin BruneAbstract:Abstract De Clerambault's syndrome (Erotomania), the delusion of being loved by another person, is characterized by consistent sex differences in prevalence rates, sociodemographic data, and behavior directed towards the perceived ‘love object’. The aim of the present review of 246 worldwide cases (published 1900–2000) is to evaluate the behavioral characteristics of Erotomania according to the ‘Sexual Strategies Theory’ (SST) proposed by Buss and Schmitt [Psychol. Rev. 100 (1993) 204.]. Consistent with the SSTheory of sex-specific sexual psychology, Erotomania may be best understood as a pathological variant of a long-term mating strategy. The content of delusional disorders, as exemplified here by Erotomania, may be interpreted from an evolutionary perspective, which may influence (future) psychiatric nosology.
Lucilia Eduarda Abrantes Bravo - One of the best experts on this subject based on the ideXlab platform.
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de clerambault s syndrome revisited a case report of Erotomania in a male
BMC Psychiatry, 2020Co-Authors: Maria Teresa Tavares Rodrigues Tomaz Valadas, Lucilia Eduarda Abrantes BravoAbstract:Erotomania, also known as “de Clerambault’s Syndrome”, is a psychiatric syndrome characterized by the delusional belief that one is loved by another person of, generally of a higher social status. Erotomania has always been a target of attempts of conceptualization, and the utility of regarding Erotomania as an independent syndrome has been questioned to this day. Erotomania has a much higher prevalence in the female sex, and male Erotomania is a rare and probably underdiagnosed condition. Male Erotomania is only more prevalent in forensic samples, since male sex is one of the risk factors for violent behavior in this disorder. In this article, we aim to describe an uncommon case of Erotomania occurring in a male, hoping to add to literature and to reflect on the implications of the occurrence of Erotomania in men. By discussing the case in light of the different described clinical pictures, proposed diagnostic criteria and classifications, we also aim to contribute to the ongoing attempt to conceptualize this syndrome and to understand the pertinence of considering it an independent nosological entity. We describe a case of Erotomania in a middle-aged Caucasian Portuguese male, with consecutive erotic delusions, followed by a classic turn to a persecutory delusion. The patient was admitted as an inpatient in a psychiatry unit and he was medicated with risperidone 3 mg and diazepam 3 mg daily. His persecutory delusion remitted a 4 days later, he gained insight and was discharged to follow-up as an outpatient. He retains his erotic delusional beliefs, but these are less intense, and has not presented further aggressive behavior. We can conclude that it seems reasonable to retain the operative concept of Erotomania as a subtype of Persistent Delusional Disorder/Delusional Disorder, since cases fitting the classical descriptions of the syndrome have been reported, including the presented case. The diagnosis of Erotomania has implications in case management, treatment and prognosis, and missing it, especially in men, may culminate in violent situations that can have legal implications. The developed diagnostic criteria and classifications seem to retain use and should be kept in mind, in the sense that they facilitate making an important diagnosis.