Spectrophilia, is described by Wikipedia as the sexual attraction to ghosts or sexual arousal from images in mirrors, as well as the phenomenon of sexual encounters between ghosts and humans.

A quick and easy search shows us that many people claim to have had these encounters, and seem completely convinced of their experiences.

Question:

If someone walked into a psychiatrists office with these claims, (assuming they are seemingly normal otherwise, and have no history of mental illness), what would they most likely be diagnosed with? And what medicine might they be prescribed?

Things we're assuming to be true:

Ghosts aren't real.

up vote 2 down vote accepted

Sleep paralysis can sometimes result in hallucinations corollary to the paralysis experience. Similarly, bipolar I and other psychotic disorders (viz. the schizophrenia spectrum) could produce vivid enough hallucinations and delusions, though in general, vivid visual hallucinations are quite rare.

It is highly unlikely that someone who is describing these experiences is not experiencing any other symptoms.

Standard treatment would depend primarily on what other issues the patient might be experiencing.

If the patient is experiencing dissociation and misinterpreting this as sex with ghosts for some reason, cognitive or dialectical behavior therapy would be the indicated treatment.

If the patient were agitated, or disoriented to time, place, or person, the psychiatrist would likely prescribe psychotherapy and an atypical antipsychotic (e.g. risperidone, brexipiprazole).

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Sharpless, Brian A., et al., Journal of Clinical Psychology, 2010; vol 66: pp 1292-1306.

Bell, CC, et al., " American J Psychiatry, 1986; vol 143: p 1484.

Ranier Biobehavioral Institute: "Sleep Paralysis."

Mayo Clinic. "Dissociative Disorders."

Some of the information contained in this post requires additional references. Please edit to add citations to reliable sources that support the assertions made here. Unsourced material may be disputed or deleted.

It is very much unlikely that someone would have this kind of delusion but be completely normal otherwise.

People suffering from Delusional Disorder (F22.0), the only disorder with isolated delusions, usually have "realistic" delusions such as pathological jealousy, not hallucinations such as intercourse with a ghost.

All disorders which could cause delusions such as sexual hallucinations usually cause other symptoms as well and these people are not usually otherwise "normal" at all.

In short, what you describe is not a psychological disorder that has been encountered as yet.

Historically, the belief in succubi and the conviction that one has been the victim of one are not a psychological disorder but an interpretation of real events (e.g. sleep paralysis) within the context of superstition.

Some of the information contained in this post requires additional references. Please edit to add citations to reliable sources that support the assertions made here. Unsourced material may be disputed or deleted.

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