DELUSIONAL DISORDER, JEALOUS TYPE WITH COMORBID ANTISOCIAL PERSONALITY TRAITS: A FORENSIC CASE REPORT

Abstract

Delusional Disorder, Jealous Type is characterized by persistent and fixed beliefs regarding a partner’s infidelity despite a lack of objective evidence. The presence of antisocial personality traits and substance misuse may further increase the risk of aggression, violence, and forensic involvement. This case report presents a 34-year-old married male who exhibited chronic jealousy-themed delusions, auditory hallucinations, severe aggression, cannabis dependence, and a significant criminal history. A comprehensive psychological assessment including clinical interview, behavioral observations, Mental Status Examination (MSE), Positive and Negative Syndrome Scale (PANSS), Beck Suicide Intent Scale (BSIS), Aggression Questionnaire, Subtypes of Antisocial Behavior Questionnaire (STAB), Homicidal Checklist, and House-Tree-Person (HTP) test was conducted. Assessment findings supported a diagnosis of Delusional Disorder, Jealous Type (F22), with prominent antisocial personality traits. Findings indicated significant psychotic symptoms, elevated aggression, severe antisocial tendencies, and high suicide and homicide risk. The case highlights the complex interaction among psychosis, personality pathology, substance misuse, and violence, emphasizing the importance of integrated psychological and psychiatric intervention.