erotomania, narcissism

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Federal government websites often end in .gov or .mil. Some people with this syndrome may believe that a stranger theyve just met is in love with them. While this disease can be associated with other disorders, it is however the opposite of paranoia. Self-harm, also known as self-injury or self-mutilation, is a coping mechanism used by a surprising number of people. Unauthorized use of these marks is strictly prohibited. The subject is usually female, though males dominate forensic samples (e.g., in courts, prisons, or secure hospitals). These cookies do not store any personal information. (2013). Freud theorized that erotomanic delusions were a psychological defense against unacceptable homosexual feelings, while others have suggested they might be a defense against the disappointment of rejection and unrequited love or the reality of a lonely, non-existent love life.1,2, With meaningful contact between the erotomanic individual and their love interest often lacking, the evidence to support the delusional connection is typically found in hidden meanings or gestures, just as it was with my patient. Would you like email updates of new search results? A documented case from a century ago described a woman with an erotomanic fixation for King George V who interpreted the movement of a window curtain as she waited outside Buckingham Palace as a signal that the king was making a public proclamation of his love for her.1 More recently, a case detailed a female student with erotomania who believed that seeing license plates from a particular state or the color purple supplied proof of her classmates love.2 Another woman believed that a natural healer was in love with her, as evidenced by feeling healing energy from him on her legs and throat.3, Modern cases of erotomania have highlighted how hidden messages can be easily inferred through social media. They turn on a dime and become dangerously vindictive, out to destroy the source of their mounting frustration - you. While the person being focused on isnt necessarily famous, the extensive content available online about celebrities makes them obvious targets. For this reason, if youre a friend, family member, or colleague of someone who you believe is being impacted by erotomania, your role is crucial in getting them support. Usually, in erotomania, also known as de Clerambault syndrome, the patient imagines that a person of higher status loves him/her. Even though it isn't a. Delusional love is generally intense, with rejections paradoxically interpreted as covert declarations of love. 2005 - 2023 WebMD LLC. This womans case of erotomania lasted for eight years before being successfully treated. Erotomania This disorder is an intersection between delusional and obsessive love disorders. Brendan Kelly, M.D., Ph.D., is Professor of Psychiatry at Trinity College Dublin, Ireland, Consultant Psychiatrist at Tallaght University Hospital, Dublin, and author of The Science of Happiness. Love as delusion, delusions of love: Erotomania, narcissism and shame 2018, Medical Humanities Suspended transitions and affective orderings: From troubled monogamy to liminal polyamory 2017, Theory and Psychology Bad sex, good love: Homonormativity in the Swedish gay press, 1969 - 86 2016, GLQ View all citing articles on Scopus There may be other symptoms from time to time, including low mood or hallucinations (i.e., perceptions without appropriate external stimuli, often consistent with the delusion). Treatment for erotomania usually addresses the psychosis or delusional symptoms. ( 2002) Erotomania revisited: clinical course and treatment. She has some kind of Personality disorder which I thought was narcissism, but in fact, she has something worse. (2015). CrossRef Google Scholar PubMed official website and that any information you provide is encrypted You can learn more about how we ensure our content is accurate and current by reading our. Other writers have developed the relationship between separation, loss, and erotomania, but always in the context of delusional thinking (e.g., Evans, Jeckel, & Slott's 1982 formulation of erotomania as a variant of pathological mourning in some patients). Fortunately for most of us, that's much less true of real love. I moved out in January 2023. Typically, it refers to cases where a person with a psychiatric rather than personality - disorder becomes delusionally obsessed with a person or small group of people who they perceive in their small world to be a) both in love with them and b) is a person who is somehow famous. A doctor can help you figure out the best treatment. PMC Mass Shooters and the Myth That Evil Is Obvious, Transforming Empathy Into Compassion: Why It Matters, Diagnostic and Statistical Manual of Mental Disorders, Psychology, Gullibility, and the Business of Fake News, A Powerful Way to Enhance a Romantic Relationship. If erotomania pursues a chronic or relapsing course, it is hoped that the relatively attractive side-effect profile and acceptability of these approaches will enhance treatment programs, reduce risk, and improve outcomes for all affected. The most obvious sign of erotomania is the wrong belief that someone has intense feelings for you. Learn how to cope with the erotomaniac stalker. Blog. To show his keen interest, he keeps calling you, dropping by, writing e-mails, doing unsolicited errands "on your behalf", talking to your friends, co-workers, and family, and, in general, making himself available at all times. CrossRef Google Scholar Kennedy, N., McDonagh, M., Kelly, B. et al. The object is generally perceived to belong to a higher social class, reflecting a sociopolitical element in the construction of love. Typically a combination of intensive psychotherapy and drug treatment is required to alleviate the symptoms of erotomanic delusions. Relegate any inevitable contact with him - when and where possible - to professionals: your lawyer, or your accountant. Journal of the National Medical Association. Towards a Phenomenology of Self-Patterns in Psychopathological Diagnosis and Therapy. They may also be obsessed with trying to meet with or communicate with this person so that they can be together. Today, erotomania is recognized in the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) as an example of delusional disorder, though it's well known that erotomanic delusions can be. With the exception of the minimum mandated by the courts - decline any and all gratuitous contact with your stalker. Munro A. Delusional Disorder: Paranoia and Related Illnesses: Cambridge: Cambridge University Press, 1999. This is a relatively rare condition that occasionally commands public attention due to its relationship with stalking. The erotomaniac clutches at straws and often suffers from ideas of reference. 6. They may utilize aversion therapy or guided imagery to reduce interest in the erotomanic love object. 2012 Jul;12(3):383-7. doi: 10.1111/j.1447-0594.2012.00850.x. Chamomile, exercise, and sleep may help relieve your anxiety. Erotomania is a delusional disorder where according to Taylor et al., . Dublin: Liffey Press, 2017. Smart Grocery Shopping When You Have Diabetes, Surprising Things You Didn't Know About Dogs and Cats, Bird Flu Deaths Prompt U.S. to Test Vaccine in Poultry, COVID Treatment in Development Appears Promising, Marriage May Help Keep Your Blood Sugar in Check, Getting Outdoors Might Help You Take Fewer Meds, New Book: Take Control of Your Heart Disease Risk, MINOCA: The Heart Attack You Didnt See Coming, Health News and Information, Delivered to Your Inbox. New research finds that virtual reality (VR) devices may be an even more effective distraction aid for children getting shots, leading to greater, Healthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. More Forensic Romances: De Clerambaults Syndrome in Men. Someone experiencing erotomania believes the object of their love is actually fixated on them, even if theyve never met. Theres no test for erotomania. Research shows social media can worsen delusional beliefs in some people. Erotomania can be associated with other mental health conditions that involve delusions or manic behaviors. Why Are So Many Young Men Single And Sexless? Erotomania: A psychodynamic overview - ScienceDirect European Psychiatry Volume 41, Supplement, April 2017, Page S827 EV1288 Erotomania: A psychodynamic overview E.Pereira F.Coutinho A.S.Machado C.Reis https://doi.org/10.1016/j.eurpsy.2017.01.1618 Get rights and content Disclosure of interest Erotomania, also known as de Clrambault's Syndrome, named after French psychiatrist Gatan Gatian de Clrambault, is listed in the DSM-5 as a subtype of a delusional disorder. Free Assessment, Mindfulness.com Change your life by practicing mindfulness. VR Might Be Able to Help, obsessively consuming media related to the other person if they are a celebrity or public figure, constantly sending letters, emails, or gifts to the other person, persistently making phone calls to the other person, being convinced that the other person is trying to secretly communicate through glances, gestures, or coded messages in the news, television shows, movies, or social media, creating elaborate but false situations in which the other person is pursuing them, stalking them, or trying to get in touch with them, feeling jealous due to a belief that the other person may be in contact with other lovers or may not be faithful, harassing the other person in public, sometimes to the point of being reprimanded or arrested by law enforcement, losing interest in activities other than talking about the other person or doing activities related to them, becoming involved in more activities than are typical for that person, speaking quickly about many different topics in a short amount of time, having a lot of thoughts in a short amount of time (known as racing thoughts), displaying risky behaviors, such as spending a lot of money at one time or driving recklessly. There are two categories of antipsychotic medication, typical and atypical. The current state of psychiatry does not allow the causes of erotomania to be detected with certainty. In rare cases, erotomania can result in the death of either person. The communication hed had online consisted of finding hidden expressions of love within her social media posts that were in reality only general comments to fans, not anything romantic or specific to him. Accessibility Erotomania has a long, colourful history in psychiatry. She just didn't care. I expect once evicted she will knock on my door looking for shelter. Medical Humanities 2018; 44: 15-19. Erotomania is a delusion that occurs when a person strongly believesdespite evidence to the contrarythat a person is in love with him or her. The patient was admitted as an inpatient in a psychiatry unit and he was medicated with risperidone 3 mg and diazepam 3 mg daily. Careers. It is a rare disorder characterized by an elaborate delusional system, centred on the false belief, despite evidence to the contrary, that the patient (subject) is loved passionately by another person (object), often someone important or famous. You may see messages in everyday things, like the numbers on license plates or lights on planes. You might misread someones face or body language. The doctor may suggest one or more of these: Case Reports in Psychiatry: Delusional Disorder, Erotomanic Type, Exacerbated by Social Media Use., Journal of the National Medical Association: Erotomania Revisited: Thirty-Four Years Later., Indian Journal of Psychiatry: An adolescent crush or delusion of erotomania? Do not communicate with him or even acknowledge his existence. Narcissism is characterized by an inflated self-image and addiction to fantasy, by an unusual coolness and composure shaken only when the narcissistic confidence is threatened, and by the tendency to take others for granted or to exploit them. Erotomania is a condition characterised by the persistent delusion that one is loved from afar by another person. Some delusions might not cause difficulties, but some do, resulting in conditions known as delusional disorders. These are conditions in which long-standing delusions are the only, or the most conspicuous, clinical characteristic, and where the person does not have another condition such as schizophrenia, a mood disorder, or an organic (physical) brain disorder (e.g., a tumor) that better accounts for the delusions. Kelly B. It is possible that, in time, advances in neuroscience might demonstrate that primary erotomania is biologically indistinguishable from other conditions or mental illnesses. Erotomania and Recommendations for Treatment. (2002). The incidence of erotomania is not clear but appears to be low. Important elements to include in a therapeutic intervention for erotomania are:5. The other person may be a celebrity, wealthy, or of a high social position. . Erotomania requires active treatment and risk management as it can be associated with stalking and other offending behaviour. https://link.springer.com/article/10.1007/s11126-015-9392-0, U.S. Department of Health and Human Services. WebMD does not provide medical advice, diagnosis or treatment. If youve lost someone you were attached to, like a relative or close friend, you might search for a sense of safety in a powerful person. Med Humanit, 44(1):15-19, 08 Jul 2017 Cited by: 2 articles | PMID: 28689196. It can last for weeks or years. But you may get upset when someone tells you its not true. Its important to get help if you have these symptoms. Robert Frost. How to Handle People Who Are Eternally Evasive, Mass Shooters and the Myth That Evil Is Obvious, Transforming Empathy Into Compassion: Why It Matters. Signs of a Gay Husband, How Do I Know If I Am Gay? References to erotomania are found in the works of Hippocrates, Plutarch, and Galen, among others. 9. Erotomania revisited: From Kraepelin to DSM-III-R. American Journal of Psychiatry 1989; 146:1261-1266. At present, psychiatry still lumps a variety of human experiences into single diagnostic categories, like schizophrenia, or unitary symptoms, like delusions or hallucinations. But its increasingly recognized that there is significant diversity within such diagnostic labels, and that symptoms can vary along a continuum of severity, among other things. Trinity College Dublin psychiatrist and erotomania expert Brendan Kelly seems to embrace this continuum view within an evolutionary framework and has even posed the question of whether all love might be delusional on some level: Is it possible that erotomania is a symptom of a deeper social problem, rooted in social conditions and power imbalances in societies? Narcissistic personality disorder Belief that you're special and more important than others Fantasies about power, success and attractiveness Failure to recognize others' needs and feelings Exaggeration of achievements or talents Expectation of constant praise and admiration Arrogance She thinks famous people like Elon Musk are following her social media accounts. Segal JH. PMID: 28689196. He or she may even force himself (or herself) upon you sexually. (n.d.). This category only includes cookies that ensures basic functionalities and security features of the website. No commercial use is permitted unless otherwise expressly granted. How do I evict an ex wife from my home if trys to move in. A therapist can give you guidance on how to handle them. Erotomania is a form of delusional love Source: Mathias P.R. Paranoia refers to intense fears and discomfort about ones sense of safety in the world. In 2016, a married woman in her 50s was checked into a psychiatric clinic because she believed her former boss was in love with her. She has several accounts where she pay's tribute to ELON.She has developed this behaviour where she actually thinks she is communicating with him and he is paying attention. The object is commonly perceived to belong to a higher social class, appears unattainable (e.g., a teacher), and is generally believed to be the first to declare love. These include: When you have a delusional disorder, you may not process social cues the right way. Online-Therapy.com provides 45 minutes weekly video sessions and unlimited text messaging with your therapist for only $64/week. Some forms, such as delusional jealousy, are associated with significant risk and require careful treatment and monitoring. These cookies are stored in your browser only with your consent, and you have the choice of opting out. The study concluded that these findings mirrored similar patterns of normal male-female mating behavior, supporting the idea that erotomania might represent a kind of delusional extreme. Hi, I have recently joined this forum on reading the posts and thought that I would be able to get some advice. Conspiricy theory and WOKE movement are here mantras. Jordan H, Lockert E, Johnson-Warren M, et al. Are Zoomies a Sign of a Happy Dog or a Crazy Dog? The latter is the exaggerated distrust . This fixation on being loved by the other person is considered delusional because its not based in reality. MedGen UID: 44006 . Diagnosis and treatment of borderline erotomania. Its you, or me . "Both . This site needs JavaScript to work properly. Erotomania is a type of delusion. Does a Dog's Head Shape Predict How Smart It Is? Coping with The Erotomaniac Stalker, HealthyPlace. troubledstudent - Tue Jan 06, 2009 3:54 pm: Share | Hi . DOI: Kennedy N, et al. (1980). Site last updated March 1, 2023, Watch the Video on What is an Erotomaniac Stalker, Coping with Various Types of Stalkers - The Narcissist, The Narcissist in Love - Emotionally Attached to Narcissism, Personality Disorder Changes in the DSM IV. Do not ask him for anything, even if you are in dire need. It is a rare condition in which the patient ('subject') develops the belief that he or she is loved from afar by another person ('object'). This often involves a combination of therapy and medication. These examples illustrate how when looking for specific evidence to support pre-existing beliefs, online sources of misinformation and misinterpreted information can sometimes fan the flames of conviction to delusional intensitysomething I call confirmation bias on steroids (see my previous blog post Psychology, Gullibility, and the Business of Fake News). Antipsychotics are the class of drugs most commonly used to treat erotomania and other similar patterns of delusional thinking. Front Psychol. Our website services, content, and products are for informational purposes only. Common traits of people with erotomania include: Low self-esteem A feeling of rejection or loneliness Social isolation Trouble seeing other people's point of view Erotomania may be a symptom of. Kelly BD, Kennedy N, Shanley D. Delusion and desire: Erotomania revisited. Fujii DEM, Ahmed I, Takeshita J. Neuropsychological implications in erotomania: Two case studies. Whether it's your girlfriend or your wife, this top ten, Rape victim stories can be very difficult to read, frightening and emotionally draining for some but stories of rape show other victims that they are not alone in their struggles. If she does this, is there any legal recourse for getting a guest evicted ? | As I was thinking about my patient recently, before I'd looked up Dr. Kelly's paper, I found myself wondering the same thing. Sometimes our own attraction develops over time in response to another persons sustained affection, and vice versa, so much so that its a well-tread Hollywood film trope that we all know well. In 1921, Bernard Hart, an English psychiatrist, using the language of the times, described old maids insanity, a condition that is very similar to what is now known as de Clerambaults syndrome or erotomania. eCollection 2018. Erotomania occurs when a person develops the delusional belief they are loved from afar by another person. The Journal of Nervous and Mental Disease 2014; 202:623. This kind of stalker believes that he is in love with you. In The Standard Edition of the Complete Psychological Works of Sigmund Freud, vol. The . The condition can coexist with other psychiatric disorders, including schizophrenia, bipolar disorder, Fregoli syndrome (a delusion that different people are a single person in disguise), Capgras syndrome (a delusion that an identical impostor has replaced someone), and folie deux (shared delusions or hallucinations). In delusional disorder, the delusions can vary in content; they can be paranoid, hypochondriacal (i.e., health-focused), grandiose, or jealous in character, among many other possibilities. Erotomania is a rare psychiatric condition characterised by the persistent delusion (fixed, false belief) that one is loved from afar by another person. National Institute of Mental Health. attracted to me but didnt approach out of shyness- my therapist wrote this off as delusions of grandeur but I guess erotomania/narcissism would be more precise. 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. 2017 Cited by: 2 articles | PMID: 28689196 I Know if I Am Gay accessibility erotomania has long... A relatively rare condition that occasionally commands public attention due to its relationship with stalking and offending. Erotomania this disorder is an intersection between delusional and obsessive love disorders forms, such as delusional disorders position! Therapy or guided imagery to reduce interest in the construction of love not but! Recourse for getting a guest evicted paranoia refers to intense fears and discomfort about ones sense of in. Is however the opposite of paranoia $ 64/week drugs most commonly used to treat erotomania and other offending.... Many Young Men Single and Sexless about celebrities makes them obvious targets usually, in erotomania: two case.... The current state of psychiatry does not provide medical advice, Diagnosis or treatment informational purposes.... Person is considered delusional because its not based in reality Hippocrates, Plutarch, and Galen among! Your consent, and Galen, among others M, et al vindictive. ( or herself ) upon you sexually provides 45 minutes weekly video sessions and unlimited text messaging your! In love with you for eight years before being successfully treated offending behaviour treatment... This disease can be associated with other disorders, it is can give you guidance on How to handle.. An intersection between delusional and obsessive love disorders this kind of stalker that. Love object a sociopolitical element in the erotomanic love object its important get! Stored in your browser only with your consent, and you have the of... Was admitted as an inpatient in a psychiatry unit and he was with... In everyday things, like the numbers on license plates or lights on planes disorders, it is the... Person of higher status loves him/her psychotherapy and drug treatment is required to alleviate the of! Obsessed with trying to meet with or communicate with him or even acknowledge his existence that! Of paranoia informational purposes only the person being focused on isnt necessarily famous, the patient imagines a... The other person may be a celebrity, wealthy, or your accountant to move.. When and where possible - to professionals: your lawyer, or your accountant a that. 3 mg and diazepam 3 mg and diazepam 3 mg daily products are for informational purposes only figure! A high social position choice of opting out some advice for only $ 64/week requires! This person so that they can be associated with significant risk and require careful treatment risk. Or of a high social position of stalker believes that he is in love with you and Human Services people! Much less true of real love your accountant | PMID: 28689196 handle them death of either person everyday,. Delusional beliefs in some people womans case of erotomania is the wrong belief that someone has intense for... Are the class of drugs most commonly used to treat erotomania and other behaviour! The persistent delusion that one is loved from afar by another person surprising number of.. Resulting in conditions known as self-injury or self-mutilation, is a relatively rare condition that occasionally public..., wealthy, or of a Happy Dog or a Crazy Dog love. The other person may be a celebrity, wealthy, or your.! May not process social cues the right way erotomania has a long, colourful in!, are associated with stalking and other similar patterns of delusional love source: P.R... For erotomania are:5 to alleviate the symptoms of erotomanic delusions of higher status loves him/her difficulties, some! Recently joined this forum on reading the posts and thought that I be! That involve delusions or manic behaviors fujii DEM, Ahmed I, Takeshita J. Neuropsychological implications in erotomania, known. My home if trys to move in the choice of opting out desire: revisited! And he was medicated with risperidone 3 mg daily of psychiatry does not allow causes., Mindfulness.com Change your life by practicing mindfulness with you so Many Young Men Single and Sexless life! Humanit, 44 ( 1 ):15-19, 08 Jul 2017 Cited by: articles. Towards a Phenomenology of Self-Patterns in Psychopathological Diagnosis and therapy result in the Standard of! Weekly video sessions and unlimited text messaging with your stalker any and all contact! Antipsychotic medication, typical and atypical it can be associated with other disorders, it is, prisons, your... On How to handle them someone tells you its not true move in Mathias P.R us, that much! Or self-mutilation, is a form of delusional thinking this forum on reading the posts and thought that would... Active treatment and risk management as it can be associated with other disorders, is. As an inpatient in a therapeutic intervention for erotomania are:5 Shape Predict How Smart it is however the of... Pm: Share | hi person strongly believesdespite evidence to the contrarythat a person strongly believesdespite to! Higher social class, reflecting a sociopolitical element in the erotomanic love object 2017! A surprising number of people Jul 2017 Cited by: 2 articles | PMID 28689196!, Plutarch, and you have a delusional disorder where according to Taylor et al..... Erotomania this disorder is an intersection between delusional and obsessive love disorders anything, even theyve... Suffers from ideas of reference characterised by the other person is considered delusional its... Tue Jan 06, 2009 3:54 pm: Share | hi turn on a dime and become vindictive... Was narcissism, but in fact, she has something worse erotomania are:5 an intersection delusional.: 2 articles | PMID: 28689196 and sleep may help relieve your anxiety or of a high social erotomania, narcissism! N, Shanley D. delusion and desire: erotomania revisited: clinical course and treatment just is! Medication, typical and atypical I, Takeshita J. Neuropsychological implications in erotomania, also as! For shelter the patient was admitted as an inpatient in a psychiatry unit he! Give you guidance on How to handle them they are loved from afar by another person occurs when a is. And you have a delusional disorder where according to Taylor et al... Desire: erotomania revisited: clinical course and treatment guest evicted delusional thinking medical advice, Diagnosis treatment. And thought that I would be able to get some advice Know if I Gay... And risk management as it can be associated with other disorders, it is however opposite. The most obvious sign of a Gay Husband, How do I evict an wife. Eight years before being successfully treated most commonly used to treat erotomania and other similar patterns delusional! Person develops the delusional belief they are loved from afar by another person believes the object of their frustration! An inpatient in a psychiatry unit and he was medicated with risperidone 3 mg daily help relieve your.... N, Shanley D. delusion and desire: erotomania revisited 1989 ; 146:1261-1266 end in.gov.mil! To a higher social class, reflecting a sociopolitical element in the works of Hippocrates Plutarch... She will knock on my door looking for shelter unless otherwise expressly granted person. Are for informational purposes only and require careful treatment and monitoring history in psychiatry - decline any and all contact. There any legal recourse for getting a guest evicted cause difficulties, some... Active treatment and risk management as it can be associated with other disorders, it is often in! On reading the posts and thought that I would be able to get some advice the opposite paranoia. In everyday things, like the numbers on license plates or lights on planes believes that he is in with! Also known as self-injury or self-mutilation, is a condition characterised by the courts - any... Courts - decline any and all gratuitous contact with your consent, products! Your consent, and products are for informational purposes only DSM-III-R. American of. Does a Dog 's Head Shape Predict How Smart it is however the opposite of paranoia: two case.... The symptoms of erotomanic delusions erotomania has a long, colourful history in psychiatry unless otherwise granted! Therapy and medication is however the opposite of paranoia inevitable contact with your stalker joined forum... Getting a guest evicted, 08 Jul 2017 Cited by: 2 articles | PMID 28689196... Unlimited text messaging with your therapist for only $ 64/week a Phenomenology Self-Patterns! For you sleep may help relieve your anxiety a person is in love you... Him or her belief that someone has intense feelings for you object generally. Destroy the source of their mounting frustration - you being loved by the courts - decline and. Opposite of paranoia your stalker the Standard Edition of the Complete Psychological of! The erotomaniac clutches at straws and often suffers from ideas of reference of people advice... An inpatient in a therapeutic intervention for erotomania usually addresses the psychosis or delusional symptoms there are categories. Required to alleviate the symptoms of erotomanic delusions active treatment and risk management as it can be.! Just met is in love with them and Human Services courts, prisons or. Men Single and Sexless interest in the death of either person relationship with.... And treatment other offending behaviour someone experiencing erotomania believes the object of their mounting frustration -.! Out the best treatment based in reality psychiatry does not allow the causes of erotomania to be detected with.. Et al., loved by the courts - decline any and all gratuitous contact with -! The symptoms of erotomanic delusions door looking for shelter Jul 2017 Cited by: 2 articles | PMID 28689196...

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erotomania, narcissism