Virtually nothing is known of the frequency and distribution of persecutory delusional disorder. As with other subtypes it occurs in both sexes, but male cases are probably over-reported because of a readier tendency to violence and antisocial acts. The literature is biased by the reporting of the most overt cases, often in the news media or in legal situations/5.!' It is open to speculation how many cases avoid diagnosis; as noted, relatively few come to the detailed attention of psychiatrists other than forensic psychiatrists.

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