IntroductionErotomania, or De Clerambault's Syndrome, was first described in 1921. However, cases of Insane Love were long known before. Presently, this condition is classified as a delusional disorder typically affecting women. However, in forensic samples, most of these reports relate to men with violent behaviour, associated to harassing or stalking of a woman.ObjectiveTo present the case of a man, diagnosed with Erotomania and literature review of similar cases.AimTo bring awareness to the infrequent diagnosis of this condition in males and the legal implications this condition may have.MethodsConsultation of the patient's clinical process and published articles focusing on Erotomania in men.ResultsA 50-year-old man was referred from Court for persistently stalking a woman on the past few years. He revealed erotomanic and persecutory delusions, believing these accusations were all part of a scheme to restrain his alleged relationship.There was a clinical improvement during hospitalization and treatment with antipsychotics. Due to the legal process in court, a forensic examination was also performed.ConclusionsOn the follow-up, the patient remained stabilized. He would not verbalize any delusional content, and calmly deny any inadequate behaviour. However, some of his stalking attitude remains. As many of these patients, we believe his delusion is still present, although his behaviour is more controlled with treatment. Recognizing the characteristics and course of this disorder in our patients, grants a better chance of intervention and attentiveness towards the legal implications that may arise.Disclosure of interestThe authors have not supplied their declaration of competing interest.
ResumoObjetivo: Propor um modelo estruturado para a elaboração das respostas às solicitações de pareceres psiquiátricos no hospital geral e discutir seus aspectos fundamentais. Métodos: Foi realizada uma pesquisa sistemática nas bases de dados PubMed/Medline e PsycINFO à procura de artigos que descrevessem modelos para a resposta aos pareceres psiquiátricos em hospitais gerais. Além disso, todos os artigos sobre psiquiatria de ligação publicados no Jornal Brasileiro de Psiquiatria (indexado no PsycINFO) nos últimos dez anos foram analisados para localizar as contribuições brasileiras ao tema. Foram selecionados artigos que descrevessem modelos estruturados para as respostas às solicitações de pareceres psiquiátricos em hospitais gerais. As informações contidas nesses artigos foram usadas na construção de uma proposta de ficha de parecer psiquiátrico. Resultados: Apenas dois artigos preenchiam os critérios de seleção. Outros cinco artigos que descreviam problemas no processo de consultoria psiquiátrica forneceram informações sobre questões que deveriam ser abordadas nos pareceres. Os modelos de parecer descritos foram analisados, e um novo modelo foi desenvolvido. Conclusão: Os pareceres psiquiátricos são documentos que atendem às necessidades médicas e educacionais em um hospital geral. Um modelo estruturado de parecer evita a omissão de informações importantes, melhorando a comunicação entre os psiquiatras pareceristas e os outros médicos no hospital geral. Palavras-chave: psiquiatria de ligação, unidade hospitalar de psiquiatria, comunicação escrita. AbstractObjective: The aim of this article is to propose a structured model for the consultation-liaison psychiatry written report in general hospitals and discuss its fundamental aspects. Methods: The literature on this subject was reviewed through a systematic search at the PubMed/Medline and PsycINFO databases. Moreover, all the articles on consultation-liaison psychiatry published at Jornal Brasileiro de Psiquiatria (indexed at the PsycINFO) on the last ten years were analyzed to find the Brazilian contributions on this field. We selected the articles, which described structured models for the consultation-liaison psychiatry written report. Those articles were used as a basis for the development of a psychiatric expert report to be used in consultation-liaison settings. Results: We found two articles on consultation-liaison psychiatry written report models. Five other articles which described problems presented by consultationliaison psychiatry reports were used to gather data on issues that should be evaluated on the written reports. The consultation-liaison psychiatry written report models were analyzed and we developed a new written report model. Conclusion: Consultation-liaison psychiatry written reports are documents which fulfill medical and educational purposes at a general hospital. The development of a structured model for these reports might avoid lack of relevant data and improve doctor-to-doctor communication.
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