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Othello syndrome
Published in David Enoch, Basant K. Puri, Hadrian Ball, Uncommon Psychiatric Syndromes, 2020
David Enoch, Basant K. Puri, Hadrian Ball
Traditionally pathological jealousy has been understood as arising within a psychodynamic framework with particular emphasis placed upon the presence of a core feeling of inadequacy and an associated sense of insecurity.
Case 54: My wife is having an affair
Published in Barry Wright, Subodh Dave, Nisha Dogra, 100 Cases in Psychiatry, 2017
Barry Wright, Subodh Dave, Nisha Dogra
This patient falsely believes that his wife is being unfaithful. He has reached this conclusion in the absence of any appropriate evidence and despite evidence to the contrary. He holds this belief with absolute conviction, and he is becoming increasingly preoccupied by this belief. This presentation is often referred to as pathological jealousy (also known as morbid jealousy or Othello syndrome). Pathological jealousy is a descriptive term rather than a diagnosis and its differential diagnosis is shown in the following box.
Topic 12 Forensic Psychiatry
Published in Melvyn W.B. Zhang, Cyrus S.H. Ho, Roger C.M. Ho, Basant K. Puri, Get Through, 2016
Melvyn W.B. Zhang, Cyrus S.H. Ho, Roger C.M. Ho, Basant K. Puri
Pathological jealousy may be associated with the following conditions: Organic disorders and psychoactive substance use disorders (such as alcohol dependence, cerebral tumour, endocrinopathy, dementia, cerebral infection, use of amphetamines or cocaine)Paranoid schizophreniaDepressionNeurosis or personality disorderTreatment should be directed at the underlying disorder.If no primary cause is identified, pharmacotherapy with a neuroleptic and/or psychotherapy may be helpful.There may be a risk of violence to the partner, and it may be best to recommend that the couple separate.
The obsessions of the green-eyed monster: jealousy and the female brain
Published in Sexual and Relationship Therapy, 2021
Nadine Steis, Silvia Oddo-Sommerfeld, Gerald Echterhoff, Aylin Thiel, Jürgen Thiel, Katja Briem, Angela Ciaramidaro, Christine M. Freitag, Axel Mecklinger, Katja Unterhorst, Aglaja Stirn
Researchers have identified typical features of excessive or pathological jealousy vis-à-vis normal romantic jealousy (for a review, see Kingham & Gordon, 2004). Many studies have linked excessive jealousy to psychiatric disorders, or have detected increased occurrence of psychopathological symptoms in jealousy (e.g., Landazabal, 2006). Marazziti et al. (2003) investigated the relationship between excessive jealousy and different forms of psychopathology. They found evidence for increased prevalence of psychopathological conditions in participants who reported having excessive jealousy concerns. Interestingly, the jealousy group displayed lower density of 5-HT transporter proteins. Similar alterations of the serotonin system are associated with various psychiatric disorders, such as depression and obsessive-compulsive disorder. Soyka and Schmidt (2011) assessed delusional jealousy ratings in a sample of psychiatric patients and found the highest prevalence rates of delusional jealousy in patients with schizophrenia and other psychotic disorders.
The meaning of love and its bittersweet nature
Published in International Review of Psychiatry, 2023
Paul T. P. Wong, Claude-Hélène Mayer
Yet on the dark side of love, we have Cain’s killing of his brother Abel (NIV, Gen 4:8) because of anger and envy of the felt injustice of not receiving the same kind of love as Abel (Kaczor, 2018). There is also other crimes of passion; for instance, the well-known lines by William Congreve: ‘Heaven has no rage like love to hatred turned,/Nor hell a fury like a woman scorned’ (Tréguer, 2017) can also be found in Asian culture (Gallop, 2016), and in real life (Clarkson, 2010). Pfeiffer and Wong (1989) pathological jealousy can also drive people to do all kinds of horrible things to others, just short of killing.