Epidemiology

We have virtually no information. The illness can occur in either sex and apparently at any age from adolescence onwards. It may appear gradually or suddenly. Aetiology

All that can be said is that the aetiology is probably similar to that of other delusional disorder subtypes and that abnormal brain function is present. Psychoanalysis has suggested that it is due to pathologically inflated narcissism with investment of the self by libido which is usually invested in external objects, as well as a prolongation of the feelings of omnipotence said to occur in the young child. Other theorists have postulated that grandiosity represents a flight from feelings of worthlessness.(84) None of these developmental hypotheses proves helpful in dealing with the clinical case.

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