Erotomania following an orchiectomy: A case report

Mazeh, Doron; Merimsky, Ofer; Melamed, Yuval; Inbar, Moshe

doi:10.1080/00926239708405316

Cited by 4 publications

(3 citation statements)

References 2 publications

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“…Consistent with these findings, it was reported that semicastrated TC patients in the time following their therapy adopt strategies of conflict management such as intensified productivity and narcissistic increasing of potency (Janssen & Weissbach, 1978). In addition, Mazeh, Merimsky, Melamed, and Inbar (1997) reported an extreme psychopathological state in a young TC patient who developed an erotomaniac delusion following seminoma and orchiectomy. On the other hand, Gurevich, Bishop, Bower, Malka, and Nyhof-Young (2004) stressed that the emphasis on global health is predominant in TC patients, which possibly explains the differences in Scale 9 between TCSs and controls who are not, in general, concerned about life and existence.…”

Section: Discussionmentioning

confidence: 96%

Personality Factors Associated With Psychological Distress in Testicular Cancer Survivors

Siafaka

Hyphantis

Alamanos

et al. 2008

Journal of Personality Assessment

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The aim of this study was to investigate symptoms of anxiety and depression in testicular cancer survivors (TCSs) and to identify personality traits associated with psychological distress in these patients by means of the MMPI (Hathaway & McKinley, 1943). A total of 50 TCSs and 50 age-adjusted healthy men participated in the study, and we used the following self-report instruments: Montgomery-Asberg Depression Rating Scale (Montgomery & Asberg, 1979), Hamilton Anxiety Rating Scale (Hamilton, 1959, 1969), Spielberger's State-Trait Anxiety Inventory (Spielberger, 1970, 2005), and the MMPI. TCSs displayed higher rates on all psychopathology scales studied compared to controls, but the majority of the patients' scores were within the "normal range," indicating rather mild psychological distress. TCSs' MMPI profiles showed higher rates on Scales 1, 3, 6, and 9 compared to controls; and within the TCSs sample, symptoms of depression were most closely associated with Scales 3 and 5. Similarly, anxiety symptoms were mainly associated with Scale 3. These findings indicate that TCSs present mild symptoms of psychological distress, mainly anxiety and depressive symptoms, suggesting that careful assessment and consultation in TC patients is essential to help them deal with distress after treatment and to minimize possible risk factors.

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Section: Discussionmentioning

confidence: 96%

Personality Factors Associated With Psychological Distress in Testicular Cancer Survivors

Siafaka

Hyphantis

Alamanos

et al. 2008

Journal of Personality Assessment

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“…Notably, erotomania can also be secondary to physical or organic conditions. Reports highlighted cases associated with various factors, including meningioma, head trauma, convulsions, subarachnoid hemorrhage, pregnancy, HIV infection, Cushing's disease, premenopause, alcohol or substance abuse (including cannabis), the use of oral contraceptives, amphetamines and antidepressants, mental retardation, and even orchiectomy [20,23,27,34,[39][40][41]. Emotional abandonment and sexual inexperience may also have a significant effect on this delusion [42].…”

Section: Historical Perspectivementioning

confidence: 99%

Induced erotomania by online romance fraud - a novel form of de Clérambault’s syndrome

Alotti,

Osvath,

Tenyi

et al. 2024

BMC Psychiatry

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Background Although the impact of internet usage on mental health is extensively documented, there is a notable scarcity of reports in the literature concerning internet-induced erotomania. Erotomania is a rare and likely underdiagnosed delusional disorder. It is characterized by an irrational belief held by the affected persons that someone of higher socioeconomic status harbor romantic feelings toward them. Here, we describe the psychopathology of erotomanic delusion induced by online romantic fraud in a female patient. Employing this case as a focal point, we illuminate novel aspects of erotomania that warrant attention and examination. Case presentation We present a compelling case involving a 70-year-old married Caucasian woman diagnosed with medically controlled persistent depressive disorder for several years. The intricacies of her condition became evident as she became deeply engrossed in online profiles featuring the image of a renowned musician, inadvertently falling victim to an online romantic fraud. Subsequently, this distressing experience triggered the emergence of erotomanic delusions and a suicide attempt. The patient's history reveals an array of medical conditions and stressful life events, contributing to her vulnerability. The diagnosis of erotomanic delusional disorder, dysthymia, and mild cognitive impairment with cerebral vascular background was established. Treatment involved her previous antidepressant with low-dose risperidone, alongside supportive individual and group therapy. Her delusion showed remission four weeks later, prompting her discharge for outpatient follow-up. Although she retained some false beliefs, the intensity of the symptoms had notably diminished and her functionality improved. Conclusion This case underscores the complex interplay between mental health, online activities, and the consequences of delusions, including suicidal thoughts, shedding light on the need for a comprehensive approach in addressing such challenging psychiatric scenarios.

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“…Erotomania is not uniquely associated with any specific illness. It is sometimes found with psychiatric disorders such as bipolar affective disorder (3), schizophrenia (4), or organic disorders such as senile dementia (5), meningioma, alcoholism (6), or even orchiectomy (7). The Diagnostic Statistic Manual IV‐TR (DSM‐IV‐TR) (8) classifies erotomania as a type of a delusional disorder in which the delusion should be held for at least 1 month.…”

Section: Introductionmentioning

confidence: 99%