Infedelity & jealousy involving spouse is the thought content of which disorder:
Jealousy and suspicion are common in paranoid personality disorder, but I think there's a more specific term. Oh, right! Othello syndrome, which is a type of delusional disorder. Delusional disorder has subtypes, and the jealous type is one of them. The patient has persistent, unfounded jealousy about their partner's infidelity.
Now, the options are A to D, but they aren't provided here. However, common differential diagnoses might include paranoid schizophrenia, obsessive-compulsive disorder, or other personality disorders. But the key here is the delusional content focused specifically on jealousy and infidelity. So the correct answer should be delusional disorder, jealous type. Let me double-check: delusional (jealous) type is indeed the one where the person is preoccupied with baseless suspicions of their partner's infidelity. The other options don't fit because they either don't involve delusions or the jealousy isn't the central feature. For example, paranoid personality disorder has pervasive distrust but not necessarily focused on infidelity. Schizophrenia might have delusions, but they're more varied. So the answer is delusional disorder, jealous type.
**Core Concept**
This question tests knowledge of **delusional disorders**, specifically the **jealous type (Othello syndrome)**, characterized by persistent, unfounded suspicions of a spouse's infidelity. The key distinction is that delusions are non-bizarre, fixed, and centered on a specific theme (jealousy) without other prominent psychotic features.
**Why the Correct Answer is Right**
Delusional disorder (jealous type) involves **persistent, irrational jealousy** about a partner’s infidelity, often without evidence. The delusion is **non-bizarre** (could occur in real life) and **fixed**, meaning the patient firmly believes in the falsehood. It differs from paranoid personality disorder, which lacks true delusions, and schizophrenia, which includes additional psychotic symptoms. The term "Othello syndrome" is a classic eponym for this subtype, named after Shakespeare’s character.
**Why Each Wrong Option is Incorrect**
**Option A:** *Paranoid personality disorder* involves pervasive distrust but lacks true delusions.
**Option B:** *Schizophrenia* includes delusions but also hallucinations, disorganized speech, or negative symptoms, which are absent here.
**Option C:** *Obsessive-compulsive disorder* involves intrusive thoughts, not fixed false beliefs.
**Clinical Pearl / High-Yield Fact**
Remember: **Delusional disorder** is diagnosed when delusions are non-bizarre and persist for ≥1 month, with no other psychotic symptoms. **Othello syndrome** is a high-yield eponym for the jealous subtype. Avoid conflating it with paranoid personality disorder, which lacks formal delusions.
**Correct Answer: D. Delusional disorder (jealous type)**