Erotomania: When Love Is a Delusion

Some cases of erotomania have documented delusions that emerged after a stroke or a brain hemorrhage, in the setting of dementia, and along with neurocognitive deficits suggesting a link to dysfunction in the frontotemporal part of the brain.7-10 Others have described co-occurrence with “misidentification syndromes,” like Capgras syndrome (in which sufferers have a delusion that people have been replaced by imposters) and Fregoli syndrome (in which individuals believe that a single person is taking on the appearance and identity of many others), which are thought to be rooted in problems with facial recognition and are often related to right hemisphere brain injuries.11

The co-occurrence of erotomania with neuropsychological deficits raises the question of whether erotomania itself might be best understood as a kind of cognitive deficit, or even a misidentification syndrome. People with erotomania misidentify expressions of love where they don’t exist, reading into the facial expressions, gestures, or online social interactions of others in a way that suggests cognitive impairments related to “theory of mind”—the ability to discern what other people are thinking or feeling.

https://www.psychologytoday.com/us/blog/psych-unseen/201904/erotomania-when-love-is-delusion

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