Nietzsche once wrote, “There is always some madness in love. But there is also always some reason in madness.”
Perhaps. Then again, Nietzsche never met Sebastian Maddox, the villain in my latest suspense thriller, Head Wounds. It’s the fifth in my series about Daniel Rinaldi, a psychologist and trauma expert who consults with the Pittsburgh police.
What makes the brilliant, tech-savvy Maddox so relentlessly dangerous
is that he’s in the grip of a rare delusion called erotomania, also
known as De Clerambault’s Syndrome.
Simply put, erotomania is a disorder in which a person—in this case,
Maddox—falsely believes that another person is in love with him, deeply,
unconditionally, and usually secretly. The latter because this
imaginary relationship must be hidden due to some social, personal, or
professional circumstances. Perhaps the object of this romantic
obsession is married, or a superior at work. Often it’s a famous athlete
or media celebrity.
Not that these seeming roadblocks diminish the delusion. They can
even provide a titillating excitement. Often, a person with erotomania
believes his or her secret admirer is sending covert signals of their
mutual love: wearing certain colors whenever a situation puts them
together in public, or doing certain gestures whose meaning is only
known to the two of them. Some even believe they’re receiving telepathic
messages from their imagined beloved.
What makes the delusion even more insidious is that the object of
this romantic obsession, once he or she learns of it, is helpless to do
anything about it. They can strenuously and repeatedly rebuff the
delusional lover, denying that there’s anything going on between them,
but nothing dissuades the other’s ardent devotion.
I know of one case wherein the recipient of these unwanted
declarations of love was finally forced to call the police and obtain a
restraining order. Even then, her obsessed lover said he understood that
this action was a test of his love. A challenge from her to prove the
constancy and sincerity of his feelings.
As psychoanalyst George Atwood once said of any delusion, “it’s a belief whose validity is not open to discussion.”
This is especially true of erotomania. People exhibiting its implacable symptoms can rarely be shaken from their beliefs.
Like Parsifal in his quest for the Holy Grail, nothing dissuades them from their mission.
In Head Wounds, Sebastian Maddox’s crusade—when thwarted in
his desires— turns quite deadly, and requires all of Rinaldi’s
resourcefulness to save someone he cares about. In real life, the
treatment options for the condition are limited to a combination of
therapy and medication, usually antipsychotics like pimozide. If the
symptoms appear to stem from an underlying cause, such as bipolar
disorder, the therapeutic approach would also involve medication,
What makes erotomania so intriguing as a psychological condition, and
so compelling in an antagonist in a thriller, is the delusional
person’s ironclad conviction—the unshakeable certainty of his or her
Nonetheless, as philosopher Charles Renouvier reminds us, “Plainly
speaking, there is no such thing as certainty. There are only people who
Head Wounds, Dennis Palumbo, Poisoned Pen Press, February 2018, $26.95