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Pathological Jealousy: An Interactive Condition.

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    Pathological jealousy, affecting men and women equally, stems from low self-esteem and partner dependence. Management involves couple therapy, cognitive focus, and medication, though treatment effectiveness requires more evidence.

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    Area of Science:

    • Psychiatry
    • Psychology

    Background:

    • Pathological jealousy, also known as Othello syndrome, presents significant interpersonal challenges.
    • It is characterized by delusions of infidelity and can lead to severe relationship distress and risk.

    Purpose of the Study:

    • To review the psychopathology, antecedents, and interpersonal management of pathological jealousy.
    • To synthesize current understanding and treatment approaches for this condition.

    Main Methods:

    • A comprehensive search of the Google Scholar database was conducted.
    • Keywords included "delusional jealousy," "morbid jealousy," "Othello syndrome," and "conjugal paranoia."
    • Forty relevant articles were selected for review based on currency and interpersonal focus.

    Main Results:

    • Delusional jealousy affects men and women equally, with higher prevalence in the elderly.
    • Antecedents include neurological, drug-related, and psychological factors, often linked to low self-esteem and partner dependence.
    • Triggers involve partner behavior, maintained by cognitive biases and perceived relationship benefits, but posing risks requiring potential hospitalization.

    Conclusions:

    • Recommended treatments include couple therapy, cognitive interventions, antipsychotic medication, and self-esteem enhancement.
    • Current evidence for treatment effectiveness remains limited, necessitating further research.