6/24/2023 0 Comments Pathological jealousyFollowing Mairet’s comprehensive description in 1908, states of abnormal sexual jealousy have invariably been separated into 3 distinct clinical entities, albeit using different descriptive terms, a compilation of which is presented in Table 3. Upto the turn of the 19th century, the condition was always regarded as being associated with alcohol, when von Kraft Ebing (1903) described its delusional form in other mental illnesses, both functional and organic2. However the balance between perceived virtues and vices of jealousy shifted at different historical periods to culminate in the modern view of jealousy as compounded of vices mitigated by little, if any, virtue. Thus the institution of marriage and the instinct of jealousy served the same purpose. Jealousy was accorded a role in preserving social esteem in societies where monogamy was a moral and social imperative. The concept of jealousy has changed with the changing social and cultural milieu in history. Obsessional Jealousy: Evolution of concept Table 2: Type of Articles included in Review The total yield of cases published with clearly defined obsessional jealousy was 23. The total number of relevant articles retrieved was 20. The details of search result are tabulated in Tables 1 and 2. ![]() Articles citing jealousy responding to serotonin reuptake inhibitors (SRIs). Articles with jealousy clearly defined as obsessive/ nonpsychotic / non delusionalģ. Articles were selected using predefined selection criteria as follows:Ģ. Search was refined by retrieving cross-references of selected articles. Methodology: We conducted a MEDLINE search with predefined keywords to retrieve articles. ![]() This is the first large case series on obsessional jealousy reported from any Asian country to the best of our knowledge. The literature and cases featured in this paper focus exclusively on obsessional jealousy to bring phenomenological clarity and accentuate its position as a distinct but hitherto under recognized symptom of Obsessive Compulsive Disorder (OCD). As we encountered several cases of obsessional jealousy in our set up but found little literature on the entity, we decided to attempt a review devoted exclusively to obsessional jealousy (instead of a review of morbid jealousy in general). Less information is available with regard to obsessional jealousy, where the thought has the quality of obsessional ideation. The fact psychiatric medicine has tended to concentrate on morbid jealousy as a symptom of the psychoses is reflected in the treatment approaches. From the phenomenological point of view, most researchers’ attention has been focused on delusional jealousy. From time to time, morbid jealousy has been examined from psychoanalytic, cognitive and phenomenological aspects in parallel with the evolution of psychiatry, adding to the bewildering array of terms. After centuries of striving, the concept remains elusive and the terminology unclear, being described by myriad terms such as sexual jealousy, erotic jealousy, morbid jealousy, pathological jealousy, conjugal paranoia, jealous monomania, psychotic, nonpsychotic and obsessional jealousy. However, as pointed out by many authors, there is no clear notion of what constitutes normal jealousy and where the boundaries should be drawn. Literature abounds in descriptions of morbid jealousy from Roman and Greek mythology to Shakespeare, to whom we owe the colorful term ‘Othello syndrome’. Jealousy is a complex emotion, which has dominated mankind for ages. The authors present a succinct review of obsessional jealousy and the first large case series reported from an Asian country. Recognition of obsessional jealousy may help to avoid unrewarding use of antipsychotics and needless therapeutic nihilism as such cases show robust response to serotonin reuptake inhibitors. ![]() The term morbid or pathological jealousy is taken to be synonymous with delusional jealousy and obsessional jealousy has not gained sufficient recognition, evident by the scarcity of data on jealousy as an obsession and its neglect in mainstream psychiatric literature. Key words: obsessional jealousy, morbid jealousy, pathological jealousy, Othello syndrome, obsessive-compulsive disorder, serotonin reuptake inhibitors Abstract: OBSESSIONAL JEALOUSY: A BRIEF REVIEW AND CASE SERIES FROM INDIA
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