RSN™ Guide: Romance Scam Delusion

DISCLAIMER: The following is intended for informational and educational entertainment purposes only, and is not intended to be used in any way to diagnose a mental illness. All such diagnosis must be performed by a licensed doctor or psychologist. If you feel any portion of this may be applicable to you, consult a licensed doctor immediately for proper evaluation and diagnosis.


An idiosyncratic belief or impression that is firmly maintained despite being contradicted by what is generally accepted as reality or rational argument, typically a symptom of mental disorder. For example: “the delusion of being watched” Synonyms can include: misapprehension, misconception, misunderstanding, mistake, error, misinterpretation, misconstruction, misbelief, and more.

Introduction to Romance Scam Delusion

A delusion is a mistaken belief that is held with strong conviction even in the presence of superior evidence to the contrary. As a pathology, it is distinct from a belief based on false or incomplete information, confabulation, dogma, illusion, or some other misleading effects of perception.

They have been found to occur in the context of many pathological states (both general physical and mental) and are of particular diagnostic importance in psychotic disorders including schizophrenia, paraphrenia, manic episodes of bipolar disorder, and psychotic depression. However, in the context of romance or socially engineered scams, it is the delusional state where the victim refused to believe the truth of the criminal activity even when shown incontrovertible proof, and in some cases even after the “scammer” admits that it was all a fraud or con game.

One of the reasons for presenting this paper is to share the possibility that certain victims of romance scams did indeed suffer from a delusion. In many cases, this will fade naturally, but in other cases, these may require clinical care. We want you to be forearmed so that you can better understand the things that may have occurred so that you can discuss these with a professional to arrive at the best treatment or therapy for your specific situation.

Definition of Romance Scam Delusion

Although non-specific concepts of madness have been around for several thousand years, the psychiatrist and philosopher Karl Jaspers was the first to define the three main criteria for a belief to be considered delusional in his 1913 book General Psychopathology.

These criteria are:

  • Certainty (held with absolute conviction) – because they have believed the scammer
  • Incorrigibility (not changeable by compelling counterargument or proof to the contrary) – disregarding all arguments to the contrary by family members or friends
  • Impossibility or falsity of content (implausible, bizarre, or patently untrue) – the unshaking acceptance of the ridiculous stories of the scammer

Furthermore, when a false belief involves a value judgment, it is only considered a delusion if it is so extreme that it cannot be, or never can be proven true. For example, a man claiming that he flew into the sun and flew back home. This would be considered a delusion, unless he was speaking figuratively, or if the belief had a cultural or religious source. Another example is a woman claiming to be both the wife of Tyler Perry, and the mother of his son – though she never met Tyler Perry and never gave birth to the child in question.

Causes of Romance Scam Delusion

Explaining the causes of delusions continues to be challenging and several theories have been developed.

  • One is the genetic or biological theory, which states that close relatives of people with delusional disorder are at increased risk of delusional traits.
  • Another theory is the dysfunctional cognitive processing, which states that delusions may arise from distorted ways people have of explaining life to themselves.
  • A third theory is called motivated or defensive delusions – it is our view that this is the most probable basis for the Romance Scam Delusion. This one states that some of those persons who are predisposed might suffer the onset of the delusional disorder in those moments when coping with life and are trying to maintain high self-esteem when it becomes a significant challenge – such as during a romance scam. In this case, the person views others as the cause of their personal difficulties in order to preserve a positive self-view, but not the scammer.

This condition is more common among people who have poor hearing or sight. Also, ongoing stressors have been associated with a higher possibility of developing delusions. Examples of such stressors are immigration, low socioeconomic status, and even possibly the accumulation of smaller daily hassles. In the case of the Romance Scam Delusion, these can be a recent divorce, the death of a spouse, financial difficulties, retirement, or loss of employment.

Specific Delusions

The top two factors mainly concerned in the germination of delusions are:

  1. Disorder of brain functioning; and
  2. Background influences of temperament and personality.

Higher levels of dopamine qualify as a symptom of disorders of brain function. That they are needed to sustain certain delusions was examined by a preliminary study on the delusional disorder (a psychotic syndrome) instigated to clarify if schizophrenia had a dopamine psychosis. There were positive results – delusions of jealousy and persecution had different levels of dopamine metabolite HVA and homovanillyl alcohol (which may have been genetic). These can be only regarded as tentative results; the study called for future research with a larger population.

It is too simplistic to say that a certain measure of dopamine will bring about a specific delusion. Studies show age and gender to be influential and it is most likely that HVA levels change during the life course of some syndromes.

On the influence on personality, it has been said: “Jaspers considered there is a subtle change in personality due to the illness itself, and this creates the condition for the development of the delusional atmosphere in which the delusional intuition arises.”

Cultural factors have “a decisive influence in shaping delusions”. For example, delusions of guilt and punishment are frequent in a Western, Christian country like Austria, but not in Pakistan – where it is more likely persecution. Similarly, in a series of case studies, delusions of guilt and punishment were found in Austrian patients with Parkinson’s being treated with l-dopa – a dopamine agonist.


The two factor model of delusions posits that dysfunction in both belief formation systems and belief evaluation systems are necessary for delusions. Dysfunction in evaluations systems localized to the right lateral prefrontal cortex, regardless of delusion content, is supported by neuroimaging studies and is congruent with its role in conflict monitoring in healthy persons. Abnormal activation and reduced volume is seen in people with delusions, as well as in disorders associated with delusions such as frontotemporal dementia, psychosis and lewy body dementia. This is a potential effect of what is called the “Amygdala Hijack.”

Furthermore, lesions to this region are associated with “jumping to conclusions”, damage to this region is associated with post-stroke delusions, and hypometabolism this region associated with caudate strokes presenting with delusions[citation needed.

NOTE THIS CAREFULLY: the “full-on” romance scam delusion might be associated with a post-stroke condition. Therefore, if you are a family member dealing with someone who we would call in full denial, you would be advised to have a medical screening for stroke. If nothing else, this will provide an opportunity to bring a medical professional into the conversation about the romance scam delusion.

Types of Delusions

Delusions are categorized into four different groups but only two may apply in the case of romance or other scams:

  • Bizarre delusion: Delusions are deemed bizarre if they are clearly implausible and not understandable to same-culture peers and do not derive from ordinary life experiences. An example named by the DSM-5 is a belief that someone replaced all of one’s internal organs with someone else’s without leaving a scar, depending on the organ in question. Another is that someone if the mother of a child without having given birth.
  • Non-bizarre delusion: A delusion that, though false, is at least technically possible, e.g., the affected person mistakenly believes that they are under constant police surveillance. Though, a plausible reality. Another is that someone has a box of gold in Ghana and they will give it to a person for a small fee!

Delusional Themes

In addition to these categories, delusions often manifest according to a consistent theme. Although delusions can have any theme, certain themes are more common. These do not all apply in the case of scams but are presented to help you understand the universal themes of delusion. Some of the more common delusion themes are:

  • Delusion of Control: the False belief that another person, group of people or external force controls one’s general thoughts, feelings, impulses, or behavior.
  • Cotard Delusion: a False belief that one does not exist or has died.
  • Delusional Jealousy: the False belief that a spouse or lover is having an affair, with no proof to back up their claim.
  • Delusion Of Guilt Or Sin (Or Delusion Of Self-Accusation): the Ungrounded feeling of remorse or guilt of delusional intensity. This can develop in the post-scam period.
  • Delusion Of Mind Being Read: the False belief that other people can know one’s thoughts. We have heard from victims that believed the scammer could use African JuJu and read their minds and know if they reported the scammer.
  • Delusion Of Thought Insertion: Belief that another thinks through the mind of the person.
  • Delusion Of Reference: the False belief that insignificant remarks, events, or objects in one’s environment have personal meaning or significance. “Usually the meaning assigned to these events is negative, but the ‘messages’ can also have a grandiose quality.”
  • Erotomania: a False belief that another person is in love with them. This is a frequent episode on Dr. Phil where the person cannot accept that the face in the photo is in love with them.
  • Grandiose Religious Delusion: Belief that the affected person is a god or chosen to act as a god. We see variations of this with victims who transform into vigilante saviors of other victims.
  • Somatic Delusion: a Delusion whose content pertains to bodily functioning, bodily sensations or physical appearance. Usually, the false belief is that the body is somehow diseased, abnormal or changed. A specific example of this delusion is delusional parasitosis: Delusion in which one feels infested with insects, bacteria, mites, spiders, lice, fleas, worms, or other organisms.
  • Delusion Of Poverty: Person strongly believes they are financially incapacitated. Although this type of delusion is less common now, it was particularly widespread in the days preceding state support.
  • Grandiose Delusions Or Delusions Of Grandeur: are principally a subtype of delusional disorder but could possibly feature as a symptom of schizophrenia and manic episodes of bipolar disorder. Grandiose delusions are characterized by fantastical beliefs that one is famous, omnipotent or otherwise very powerful. We see hints of this in many messiah-led anti-scam hate groups. The delusions are generally fantastic, often with a supernatural, science-fictional, or religious bent. In colloquial usage, one who overestimates one’s own abilities, talents, stature or situation is sometimes said to have “delusions of grandeur”. This is generally due to excessive pride, rather than any actual delusions. Grandiose delusions or delusions of grandeur can also be associated with megalomania.[citation needed]

Persecutory Delusions

This is something we see commonly after a scam has occurred. In many cases, victims have a conviction that they are being observed by scammers and everything they do is monitored. However, in many cases, this may actually be true.

Persecutory delusions are the most common type of delusions and involve the theme of being followed, harassed, cheated, poisoned or drugged, conspired against, spied on, attacked, or otherwise obstructed in the pursuit of goals. We see this also in the case of victims involved in the scam who feel persecuted by friends and family. Persecutory delusions are a condition in which the affected person wrongly believes that they are being persecuted. Specifically, they have been defined as containing two central elements:

The individual thinks that:

  • Harm is occurring or is going to occur. Such as they will lose the online love or access to them.
  • The persecutor(s) (family or friends) has (have) the intention to cause harm. Such as taking away or prohibiting access to their online love, or causing the online person to be arrested or imprisoned.

According to the DSM-IV-TR, persecutory delusions are the most common form of delusions in schizophrenia, where the person believes they are “being tormented, followed, sabotaged, tricked, spied on, or ridiculed.” In the DSM-IV-TR, persecutory delusions are the main feature of the persecutory type of delusional disorder. When the focus is to remedy some injustice by legal action, they are sometimes called “querulous paranoia”.


The modern definition and Jaspers’ original criteria have been criticised, as counter-examples can be shown for every defining feature.

Studies on psychiatric patients show that delusions vary in intensity and conviction over time, which suggests that certainty and incorrigibility are not necessary components of a delusional belief.

Delusions do not necessarily have to be false or ‘incorrect inferences about external reality’. Some religious or spiritual beliefs by their nature may not be falsifiable, and hence cannot be described as false or incorrect, no matter whether the person holding these beliefs was diagnosed as delusional or not.

It is important to distinguish true delusions from other symptoms such as anxiety, fear, or paranoia. To diagnose delusions a mental state examination may be used. This test includes appearance, mood, affect, behavior, rate and continuity of speech, evidence of hallucinations or abnormal beliefs, thought content, orientation to time, place and person, attention and concentration, insight and judgment, as well as short-term memory.

Our purpose here is not to attempt to provide a diagnosis, but simply a context that you can discuss with your doctor or a medical professional.  If you feel that any of this applies to you or someone you know, we encourage you to see a licensed doctor for a proper diagnosis now!

Tim McGuinness, Ph.D.
Society of Citizens Against Romance Scams [SCARS]
Miami Florida U.S.A.

Further Reading

Tell us about your experiences with Romance Scammers in our Scams Discussion Forum on Facebook »

FAQ: How Do You Properly Report Scammers?

It is essential that law enforcement knows about scams & scammers, even though there is nothing (in most cases) that they can do.

Always report scams involving money lost or where you received money to:

  1. Local Police – ask them to take an “informational” police report – say you need it for your insurance
  2. Your National Police or FBI (
  3. The Scars Worldwide Reporting Network HERE or on

This helps your government understand the problem, and allows law enforcement to add scammers on watch lists worldwide.

Visit our Main SCARS™ News & Information Facebook page for much more information about scams and online crime:


To learn more about SCARS visit

Please be sure to report all scammers HERE or on

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RSN™ Guide: Romance Scam Delusion 2