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The Effectiveness of Cognitive Therapy in the Treatment of Non-Psychotic Morbid Jealousy

Published online by Cambridge University Press:  02 January 2018

Mairead Dolan  and
Nagy Bishay
Mairead Dolan*
Affiliation:
Ashworth Hospital
Nagy Bishay
Affiliation:
Department of Psychiatry, North Manchester General Hospital, Manchester M8 6RB
*
Dr M. Dolan, Ashworth Hospital, Maghull, Liverpool L31 1HW
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Abstract

Background

Although a cognitive–behavioural formulation of morbid jealousy has been described there is little empirical research into the practical usefulness of this model. This study evaluated the effectiveness of treating non-psychotic morbid jealousy using a cognitive approach.

Method

Cognitive–behavioural and emotional measures of jealousy were calibrated by comparison with 40 non-jealous normal controls. These instruments were used as measures of change to assess the effectiveness of cognitive therapy in altering cognitive errors in 30 morbidly jealous out-patient referrals, divided into delayed and immediate treatment subgroups to assess the stability of the condition. Both groups completed all measures immediately before and after treatment, and at follow-up.

Results

The instruments demonstrated significant differences between jealous and non-jealous subjects on cognitive–behavioural and emotional aspects of jealousy. The delayed treatment group showed no significant alteration in scores on any of the instruments after 12 weeks on the waiting list, confirming the stability of the condition. In the majority of cases cognitive therapy aimed at the modification of dysfunctional cognitive processes resulted in a significant improvement on all jealousy measures, immediately after treatment and at follow-up. The improvement reported by patients was supported by the partner's ratings.

Conclusion

The results support the postulation of the cognitive model that modification of cognitive schema by a schema-focused treatment package results in a significant reduction in disturbance in all aspects of the jealousy syndrome.

Type
Papers
Information
The British Journal of Psychiatry , Volume 168 , Issue 5 , May 1996 , pp. 588 - 593
Copyright
Copyright © 1996 The Royal College of Psychiatrists 

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References

Beck, A. T. (1983) Cognitions, attitudes and personality dimensions in depression. British Journal of Cognitive Psychotherapy, 1, 1–16.Google Scholar
Bishay, N., Petersen, N. & Tarrier, N. (1989) An uncontrolled study of cognitive study for morbid jealousy. British Journal of Psychiatry, 154, 386–389.Google Scholar
Cobb, J. & Marks, I. (1976) Morbid jealousy featuring as obsessive–compulsive neurosis. Treatment by behavioural psychotherapy. British Journal of Psychiatry, 134, 301–305.Google Scholar
Crowe, M. & Ridley, J. (1990) Therapy with Couples: A Behavioral-Systems Approach to Marital and Sexual Problems. London: Blackwell Scientific.Google Scholar
Dolan, M. (1992) The Effectiveness of Cognitive Therapy in the Treatment of Morbid Jealousy. MSc. Thesis, University of Manchester.Google Scholar
Dominik, N. (1970) Pathological jealousy in delusional syndromes. Acta Medica Poland, 11, 267–280.Google Scholar
Enoch, M. D. & Trethowan, W. H. (1979) Uncommon Psychiatric Syndromes. 2nd edn. Bristol: J. Wright.Google Scholar
Goldberg, D. & Huxley, P. (1980) Mental Illness in the Community. London: Tavistock.Google Scholar
Im, W. G., Wilner, R. S. & Breit, M. (1983) Jealousy: Interventions in couples therapy. Family Process, 22, 211–219.Google Scholar
Marks, I., Hodgson, R. & Rachman, S. (1975) Treatment of obsessive compulsive neurosis by in vivo exposure. British Journal of Psychiatry, 127, 349–364.CrossRefGoogle ScholarPubMed
Mooney, H. B. (1965) Pathological jealousy and psychochemotherapy. British Journal of Psychiatry, 111, 1023–1042.Google Scholar
Mullen, P. E. (1990) Morbid jealousy and the delusion of infidelity. In Principles and Practice of Forensic Psychiatry (eds Bluglass, R. & Bowden, P.), pp. 823–834. London: Churchill Livingstone.Google Scholar
Munro, A. (1984) Excellent response of pathologic jealousy to pimozide. Canadian Medical Association Journal, 131, 852–853.Google Scholar
Shepherd, M. (1961) Morbid jealousy: some clinical and social aspects of psychiatric symptoms. Journal of Mental Science, 107, 687–753.Google Scholar
Shrestha, K., Rees, D. W., Rix, K. J. B., et al (1985) Sexual jealousy in alcoholics. Acta Psychiatrica Scandinavica, 72, 283–290.Google Scholar
Tarrier, N., Beckett, R., Harwood, S., et al (1990) Morbid jealousy: a review and cognitive–behavioural formulation. British Journal of Psychiatry, 157, 319–326.Google Scholar
Teismann, M. W. (1979) Jealousy: systematic solving therapy with couples. Family Process, 18, 151–160.Google Scholar
Todd, S. & Dewhurst, K. (1955) The Othello syndrome: a study in the psychopathology of sexual jealousy. Journal of Nervous and Mental Disease, 122, 367–374.Google Scholar
White, G. L. & Mullen, P. E. (1989) Jealousy: Theory, Research and Clinical Strategies. New York: Guilford Press.Google Scholar
Zigmund, A. S. & Snaith, R. P. (1983) Hospital Anxiety Depression Scale. Acta Psychiatrica Scandinavica, 67, 361–370.Google Scholar
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