Goldstein R L
College of Physicians and Surgeons of Columbia University, New York, NY.
Bull Am Acad Psychiatry Law. 1987;15(3):267-74.
De Clérambault's syndrome (erotomania) has invariably been regarded as a female disorder (with male victims); however, a number of recent reports describe male patients with the disorder, especially in violence-prone male offender populations. Seven cases are presented of violence-prone men suffering from the disorder, including Hinckley and Poddar. The syndrome is discussed from a nosological point of view and in terms of its impact on competency to stand trial. Psychiatrists should be aware that the syndrome is not a rarity among men, as previously thought, and that proper diagnosis and management are essential in view of the clinical course of the disorder and the potential for violence when the patient's "love" is persistently unrequited by the delusional love object.
克莱朗博综合征（色情狂）一直被视为一种女性疾病（男性为受害者）；然而，最近的一些报告描述了患有该疾病的男性患者，尤其是在易发生暴力行为的男性罪犯群体中。本文介绍了七例易发生暴力行为且患有该疾病的男性病例，包括欣克利和波达。从疾病分类学的角度以及该综合征对受审能力的影响方面进行了讨论。精神科医生应意识到，该综合征在男性中并非如之前所认为的那样罕见，鉴于该疾病的临床病程以及当患者的“爱”被妄想的恋爱对象持续拒绝时存在暴力行为的可能性，正确的诊断和管理至关重要。
