conversations.from: human
conversations.value: What could be a title for a book about Rose's, Rose, Parry with the genre: Literature & Fiction, Contemporary?
conversations.from: assistant
conversations.value: A title for this book could be 'Enduring Love'
conversations.from: human
conversations.value: the first four paragraphs for this book
conversations.from: assistant
conversations.value: Enduring Love
  I thought for a moment, then I indicated the river. "Imagine the smallest possible bit of water that can exist. So tiny no one could ever see it..."
  We got no further. Leo had been busy on the bank, but now he was aware that something was happening without him. He came pushing in, ready to drench me if I did not include him.
  Just then we were called to eat, but before we reached the shore, Rachael pinched my arm, to let me know we were not finished yet.
  The food prompted talk of Italy and holidays. The children joined in with evidently confused memories of a beach where parrots lived, and fir trees growing by a volcano, and, from Rachael alone, a glass-bottomed boat. Leo disputed that such a thing could exist. Because the boat had been hired for a day, the volcano climbed by means of a six-hour hike, and Leo carried much of the way, we inferred the energetic presence of John Logan, though even the boy did not refer to him directly now.
conversations.from: human
conversations.value: five more paragraphs
conversations.from: assistant
conversations.value: At last we were all standing. The picnic was stowed, the groundsheet folded up. Bonnie, who had still not spoken, had wandered a few steps away, and by her restless movements indicated she was impatient to go. She was either dim, a genuine dumb blonde, or contemptuous of us all. Reid was hovering helplessly, anxious to oblige her but constrained by politeness to make a proper farewell. I slung the backpack over my shoulder and was about to go and say goodbye and put him out of his misery when Rachael and Leo appeared on either side of me.
  I've never outgrown that feeling of mild pride, of acceptance, when children take your hand. They drew me away with them toward the little muddy beach, where we stood and faced the slow brown expanse of water.
  The case of a pure (primary) form of de Clerambault's syndrome is described in a man whose religious convictions are central to his delusions. Dangerousness and suicidal tendencies are also present. The case adds to recent literature supporting the view that the syndrome is a nosological entity.
  Central to de Clerambault's paradigm was what he termed a "fundamental postulate" of the patient having "a conviction of being in amorous communication with a person of much higher rank, who has been the first to fall in love and was the first to make advances." Such communication may take the form of secret signals, direct contact, and the deployment of "phenomenal resources" to meet the patient's needs. She feels she is watching over and protecting the object of her delusion.
  In one of his earliest and most celebrated cases, de Clerambault described a fifty-three-year-old Frenchwoman who believed King George V was in love with her. She persistently pursued him from 1918 onward, paying several visits to England:
conversations.from: human
conversations.value: the last five paragraphs
conversations.from: assistant
conversations.value: Strong associations have been made, especially in recent work, between male erotomania and dangerousness (Gagne & Desparois 1995; Harmon, Rosner, & Owens 1995; Menzies, Fedoroff, Green, & Isaacson 1995). Hospitalization may be necessary in order to protect the love-object from assault by the patient (Enoch & Trethowan; Mullen & Pathe). In this case, where criminal charges had been brought, the issue of dangerousness, particularly in regard to outcome, was central. P stationed himself in a restaurant to watch the contract killing of R. When the attack went wrong, he tried to intervene. Later he showed remorse and redirected the violence against himself in the presence of R and M. As long as P's delusion continued unremitted, his potential for violence remained, and admission to a secure hospital was appropriate.
  Lovett Doust & Christie, in their review of eight cases, suggest that "a close relationship may be posited between some pathological aspects of love and the tenets of the church for religious believers." It is reasonable to assume that the inhibitions placed on sexual expression by certain sects could be implicated in some pathologies. Furthermore, celibate priests, by reason of their unavailability, may be favored subjects for de Clerambault sufferers. Other ministers of the church have been subjects of erotic delusions due to the status they enjoy within congregations (Enoch & Trethowan). However, P belonged to no particular denomination or sect, and the object of his delusion was an atheist. P's religious beliefs pre-dated the psychopathology, but those beliefs intensified once he had moved into his mother's house and his isolation was complete. His relationship with God was personal, and served as a substitute for other intimate relationships. The mission to "bring R to God" may be seen as an attempt to achieve a fully integrated intrapsychic world in which internalized religious sentiment and delusional love became one. In interview, P insisted that he had never heard the voice of God, nor seen any manifestations of his presence. He became "aware" of God's will or purpose in the generalized fashion of many people of intense religious persuasion. A search of the literature did not reveal another case of pure erotomania in which religious feeling or a love of God is similarly implicated.
  P's condition satisfies all but one of the diagnostic criteria for the primary form of de Clerambault's syndrome suggested by Enoch & Trethowan and referred to above: P experiences a delusional conviction of being in amorous communication with another person, R, who was the first to fall in love and make advances. The onset was sudden. The object of P's delusion remains unchanged. He is able to rationalize R's paradoxical behavior, and the course looks set to be chronic. P suffers no hallucinations or cognitive defects. (However, although it could be said that R is of "higher rank," P could not have known this at their first meeting.) This degree of diagnostic concurrence, and the fact that P shares a number of premorbid characteristics with other patients, lend weight to the view that the syndrome is a nosological entity.
  With regard to outcome, most commentators have leaned toward pessimism. De Clerambault described cases of pure erotomania that lasted without significant change for between seven and thirty-seven years. A review of the literature since suggests that this is indeed a most lasting form of love, often terminated only by the death of the patient.
  The victims of de Clerambault patients may endure harassment, stress, physical and sexual assault, and even death. While in this case R and M were reconciled and later successfully adopted a child, some victims have had to divorce or emigrate, and others have needed psychiatric treatment because of the distress the patients have caused them. It is therefore important to continue to refine the diagnostic criteria and that these become broadly known by professionals. Patients with delusional disorders are unlikely to seek help, since they do not regard themselves as ill. Their friends and family may also be reluctant to see them in these terms, for as Mullen & Pathe observe, "the pathological extensions of love not only touch upon but overlap with normal experience, and it is not always easy to accept that one of our most valued experiences may merge into psychopathology."
conversations.from: human
conversations.value: Swap the first and the last sentence.
conversations.from: assistant
conversations.value: ". Hospitalization may be necessary in order to protect the love-object from assault by the patient (Enoch & Trethowan; Mullen & Pathe). In this case, where criminal charges had been brought, the issue of dangerousness, particularly in regard to outcome, was central. P stationed himself in a restaurant to watch the contract killing of R. When the attack went wrong, he tried to intervene. Later he showed remorse and redirected the violence against himself in the presence of R and M. As long as P's delusion continued unremitted, his potential for violence remained, and admission to a secure hospital was appropriate.
  Lovett Doust & Christie, in their review of eight cases, suggest that "a close relationship may be posited between some pathological aspects of love and the tenets of the church for religious believers." It is reasonable to assume that the inhibitions placed on sexual expression by certain sects could be implicated in some pathologies. Furthermore, celibate priests, by reason of their unavailability, may be favored subjects for de Clerambault sufferers. Other ministers of the church have been subjects of erotic delusions due to the status they enjoy within congregations (Enoch & Trethowan). However, P belonged to no particular denomination or sect, and the object of his delusion was an atheist. P's religious beliefs pre-dated the psychopathology, but those beliefs intensified once he had moved into his mother's house and his isolation was complete. His relationship with God was personal, and served as a substitute for other intimate relationships. The mission to "bring R to God" may be seen as an attempt to achieve a fully integrated intrapsychic world in which internalized religious sentiment and delusional love became one. In interview, P insisted that he had never heard the voice of God, nor seen any manifestations of his presence. He became "aware" of God's will or purpose in the generalized fashion of many people of intense religious persuasion. A search of the literature did not reveal another case of pure erotomania in which religious feeling or a love of God is similarly implicated.
  P's condition satisfies all but one of the diagnostic criteria for the primary form of de Clerambault's syndrome suggested by Enoch & Trethowan and referred to above: P experiences a delusional conviction of being in amorous communication with another person, R, who was the first to fall in love and make advances. The onset was sudden. The object of P's delusion remains unchanged. He is able to rationalize R's paradoxical behavior, and the course looks set to be chronic. P suffers no hallucinations or cognitive defects. (However, although it could be said that R is of "higher rank," P could not have known this at their first meeting.) This degree of diagnostic concurrence, and the fact that P shares a number of premorbid characteristics with other patients, lend weight to the view that the syndrome is a nosological entity.
  With regard to outcome, most commentators have leaned toward pessimism. De Clerambault described cases of pure erotomania that lasted without significant change for between seven and thirty-seven years. A review of the literature since suggests that this is indeed a most lasting form of love, often terminated only by the death of the patient.
  The victims of de Clerambault patients may endure harassment, stress, physical and sexual assault, and even death. While in this case R and M were reconciled and later successfully adopted a child, some victims have had to divorce or emigrate, and others have needed psychiatric treatment because of the distress the patients have caused them. It is therefore important to continue to refine the diagnostic criteria and that these become broadly known by professionals. Patients with delusional disorders are unlikely to seek help, since they do not regard themselves as ill. Their friends and family may also be reluctant to see them in these terms, for as Mullen & Pathe observe, "the pathological extensions of love not only touch upon but overlap with normal experience, and it is not always easy to accept that one of our most valued experiences may merge into psychopathology.Strong associations have been made, especially in recent work, between male erotomania and dangerousness (Gagne & Desparois 1995; Harmon, Rosner, & Owens 1995; Menzies, Fedoroff, Green, & Isaacson 1995).