Goldstein Robert Lloyd, Laskin Andrew M
Practice of Psychiatry Program, College of Physicians and Surgeons of Columbia University, New York, NY 10003, USA.
J Forensic Sci. 2002 Jul;47(4):852-5.
De Clérambault's Syndrome or Erotomania was originally described as a delusional disorder in which a woman believes that an older man of higher social status is passionately in love with her. The patient's relentless pursuit of the delusional love object, often with escalating intrusiveness, may eventually involve threats or overt acts of retaliation, in response to repeated rejection, unrequited love, or alleged betrayal. Cases from the literature are reviewed in which the delusional romantic attachment involves the patient's psychiatrist or another medical specialist. The authors present a case involving a patient suffering from erotomania who develops a delusional fixation on her psychiatrist and, after her advances are repeatedly rejected, sues him for malpractice, alleging she had a sexual relationship with him in the course of treatment. The implications of the litigious paranoid, who uses the legal system to act out delusional concerns and retaliatory fantasies, are discussed. This is the first known case of an erotomanic patient claiming malpractice on the grounds that her psychiatrist had a sexual relationship with her.
克莱朗博综合征或钟情妄想症最初被描述为一种妄想性障碍，其中女性认为社会地位较高的年长男性狂热地爱上了她。患者对妄想中的恋爱对象坚持不懈地追求，往往侵扰性不断升级，最终可能因反复被拒、单恋无果或所谓的背叛而采取威胁或公开报复行为。本文回顾了文献中妄想性浪漫依恋涉及患者的精神科医生或其他医学专家的案例。作者呈现了一个涉及钟情妄想症患者的案例，该患者对其精神科医生产生了妄想性执着，在其主动示好多次被拒后，以医疗事故起诉医生，声称她在治疗过程中与医生发生了性关系。文中讨论了好诉讼的偏执狂利用法律系统来发泄妄想性担忧和报复幻想的影响。这是已知的首例钟情妄想症患者以精神科医生与其发生性关系为由声称医疗事故的案例。
