Lovesickness
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Lovesickness refers to an affliction that can produce negative feelings when deeply in love, during the absence of a loved one or when love is unrequited. The term "lovesickness" is rarely used in modern medicine and psychology, though new research is emerging on the impact of heartbreak on the body and mind.


History

In the medical texts of ancient Greece and Rome, lovesickness was characterized as a "depressive" disease, "typified by sadness, insomnia, despondency, dejection, physical debility, and blinking." In Hippocratic texts, "love melancholy" is expected as a result of passionate love. Lovesickness could be cured through the acquisition of the person of interest, such as in the case of Prince Antiochus. In ancient literature, however, lovesickness manifested itself in "violent and manic" behavior. In ancient Greece, Euripides' play ''Medea'' portrays Medea's descent into "violence and mania" as a result of her lovesickness for Jason; meanwhile, in ancient Rome, Virgil's
Dido Dido ( ; , ), also known as Elissa ( , ), was the legendary founder and first queen of the Phoenician city-state of Carthage (located in modern Tunisia), in 814 BC. In most accounts, she was the queen of the Phoenician city-state of Tyre (t ...
has a manic reaction to the betrayal of her lover, Aeneas, and commits suicide. Dido's case is especially interesting, as the cause of her lovesickness is attributed to the meddling of the gods
Juno Juno commonly refers to: *Juno (mythology), the Roman goddess of marriage and queen of the gods *Juno (film), ''Juno'' (film), 2007 Juno may also refer to: Arts, entertainment and media Fictional characters *Juno, in the film ''Jenny, Juno'' *Ju ...
and
Venus Venus is the second planet from the Sun. It is sometimes called Earth's "sister" or "twin" planet as it is almost as large and has a similar composition. As an interior planet to Earth, Venus (like Mercury) appears in Earth's sky never fa ...
. In the
Middle Ages In the history of Europe, the Middle Ages or medieval period lasted approximately from the late 5th to the late 15th centuries, similar to the post-classical period of global history. It began with the fall of the Western Roman Empire a ...
, unrequited love was considered "a trauma which, for the medieval melancholic, was difficult to relieve." Treatments included light therapy, rest, exposure to nature, and a diet of lamb, lettuce, fish, eggs, and ripe fruit. In both antiquity and the Middle Ages, lovesickness was often explained by an imbalance in the
humors Humorism, the humoral theory, or humoralism, was a system of medicine detailing a supposed makeup and workings of the human body, adopted by Ancient Greek and Roman physicians and philosophers. Humorism began to fall out of favor in the 1850s ...
. An excess of black bile, the humor correlated with melancholy, was usually considered the cause.


Modern research

In 1915,
Sigmund Freud Sigmund Freud ( , ; born Sigismund Schlomo Freud; 6 May 1856 – 23 September 1939) was an Austrian neurologist and the founder of psychoanalysis, a clinical method for evaluating and treating psychopathology, pathologies explained as originatin ...
asked rhetorically, "Isn't what we mean by 'falling in love' a kind of sickness and craziness, an illusion, a blindness to what the loved person is really like?" Scientific study on the topic of lovesickness has found that those in love experience a kind of high similar to that caused by illicit drugs such as
cocaine Cocaine (from , from , ultimately from Quechuan languages, Quechua: ''kúka'') is a central nervous system (CNS) stimulant mainly recreational drug use, used recreationally for its euphoria, euphoric effects. It is primarily obtained from t ...
. In the brain, certain
neurotransmitters A neurotransmitter is a signaling molecule secreted by a neuron to affect another cell across a synapse. The cell receiving the signal, any main body part or target cell, may be another neuron, but could also be a gland or muscle cell. Neur ...
phenethylamine Phenethylamine (PEA) is an organic compound, natural monoamine alkaloid, and trace amine, which acts as a central nervous system stimulant in humans. In the brain, phenethylamine regulates monoamine neurotransmission by binding to trace amin ...
,
dopamine Dopamine (DA, a contraction of 3,4-dihydroxyphenethylamine) is a neuromodulatory molecule that plays several important roles in cells. It is an organic compound, organic chemical of the catecholamine and phenethylamine families. Dopamine const ...
,
norepinephrine Norepinephrine (NE), also called noradrenaline (NA) or noradrenalin, is an organic chemical in the catecholamine family that functions in the brain and body as both a hormone and neurotransmitter. The name "noradrenaline" (from Latin '' ad'', ...
and
oxytocin Oxytocin (Oxt or OT) is a peptide hormone and neuropeptide normally produced in the hypothalamus and released by the posterior pituitary. It plays a role in social bonding, reproduction, childbirth, and the period after childbirth. Oxytocin ...
— elicit the feeling of high from "love" or "falling in love" using twelve different regions of the brain. These neurotransmitters mimic the feeling of
amphetamine Amphetamine (contracted from alpha- methylphenethylamine) is a strong central nervous system (CNS) stimulant that is used in the treatment of attention deficit hyperactivity disorder (ADHD), narcolepsy, and obesity. It is also commonly used ...
s. On average, a psychologist does not get referrals from general practitioners mentioning "lovesickness", although this can be prevalent through the language of what the patient feels. With the common symptoms of lovesickness being related to other mental diseases, it is often misdiagnosed or it is found that with all the illnesses one could be facing, love is the underlying problem. This is incredibly dangerous when one does not seek help or cannot cope because love has been known to be fatal (a consequence of which might be attempted suicide, thus dramatising the ancient contention that love can be fatal). In his book ''The Social Nature of Mental Illness'', Len Bowers postulates that although physiological differences exist in the brains of those that are deemed "mentally ill", there are several other criteria that must be met before the differences can be called a malfunction. It is possible, therefore, that many mental illnesses (such as lovesickness) will never bear strong enough evidence to clinically warrant "legitimate" affliction by clinical standards without further correspondingly parasympathetic criteria of established dysfunction(s).
Frank Tallis Frank Tallis (born 1 September 1958) is an English author and clinical psychologist, whose area of expertise is obsessive-compulsive disorder (OCD). He has written crime novels, including the collection of novels known as the ''Liebermann Pape ...
, a researcher of love and lovesickness, suggests in his 2005 article that lovesickness occurs when one is "truly, madly, deeply" in love and should be taken more seriously by medical professionals. Tallis includes a list of common symptoms of lovesickness in the following: *
Mania Mania, also known as manic syndrome, is a mental and behavioral disorder defined as a state of abnormally elevated arousal, affect, and energy level, or "a state of heightened overall activation with enhanced affective expression together wit ...
- an abnormally elevated mood or inflated
self-esteem Self-esteem is confidence in one's own worth or abilities. Self-esteem encompasses beliefs about oneself (for example, "I am loved", "I am worthy") as well as emotional states, such as triumph, despair, pride, and shame. Smith and Mackie (2007) d ...
* Depression, hopelessness, or helplessness *
Nausea Nausea is a diffuse sensation of unease and discomfort, sometimes perceived as an urge to vomit. While not painful, it can be a debilitating symptom if prolonged and has been described as placing discomfort on the chest, abdomen, or back of the ...
*
Tearfulness Crying is the dropping of tears (or welling of tears in the eyes) in response to an emotional state, or pain. Emotions that can lead to crying include sadness, anger, and even happiness. The act of crying has been defined as "a complex secreto ...
*
Insomnia Insomnia, also known as sleeplessness, is a sleep disorder in which people have trouble sleeping. They may have difficulty falling asleep, or staying asleep as long as desired. Insomnia is typically followed by daytime sleepiness, low energy, ...
, which may lead to
fatigue Fatigue describes a state of tiredness that does not resolve with rest or sleep. In general usage, fatigue is synonymous with extreme tiredness or exhaustion that normally follows prolonged physical or mental activity. When it does not resolve ...
* Lack of
concentration In chemistry, concentration is the abundance of a constituent divided by the total volume of a mixture. Several types of mathematical description can be distinguished: '' mass concentration'', ''molar concentration'', ''number concentration'', an ...
*
Loss of appetite Anorexia is a medical term for a loss of appetite. While the term in non-scientific publications is often used interchangeably with anorexia nervosa, many possible causes exist for a loss of appetite, some of which may be harmless, while others i ...
or
overeating Overeating occurs when an individual consumes more calories in relation to the energy that is expended via physical activity or expelled via excretion, leading to weight gain and often obesity. Overeating is the defining characteristic of binge e ...
*
Stress Stress may refer to: Science and medicine * Stress (biology), an organism's response to a stressor such as an environmental condition * Stress (linguistics), relative emphasis or prominence given to a syllable in a word, or to a word in a phrase ...
* Obsessive-compulsive disorder - preoccupation and hoarding valueless but superstitiously resonant items *
Dizziness Dizziness is an imprecise term that can refer to a sense of disorientation in space, vertigo, or lightheadedness. It can also refer to disequilibrium or a non-specific feeling, such as giddiness or foolishness. Dizziness is a common medical c ...
and
confusion In medicine, confusion is the quality or state of being bewildered or unclear. The term "acute mental confusion"
* Body tremors, intrusive thoughts, or frequent flashbacks *
Mood swings A mood swing is an extreme or sudden change of Mood (psychology), mood. Such changes can play a positive part in promoting problem solving and in producing flexible forward planning, or be disruptive. When mood swings are severe, they may be ...
According to Tallis, many symptoms of lovesickness can be categorized under the
DSM-IV The ''Diagnostic and Statistical Manual of Mental Disorders'' (DSM; latest edition: DSM-5-TR, published in March 2022) is a publication by the American Psychiatric Association (APA) for the classification of mental disorders using a common langua ...
and the
ICD-10 ICD-10 is the 10th revision of the International Statistical Classification of Diseases and Related Health Problems (ICD), a medical classification list by the World Health Organization (WHO). It contains codes for diseases, signs and symptoms, ...
. Obsessive-compulsive disorder (OCD) is a symptom of lovesickness because it includes a preoccupation. A further study conducted by Italian psychiatrist Donatella Marazitti found that people who were in the early romantic phase of a love relationship had their
serotonin Serotonin () or 5-hydroxytryptamine (5-HT) is a monoamine neurotransmitter. Its biological function is complex and multifaceted, modulating mood, cognition, reward, learning, memory, and numerous physiological processes such as vomiting and vas ...
levels drop to levels found in patients with OCD. This level is significantly lower than that of an average or healthy person.


In the arts

William Shakespeare William Shakespeare ( 26 April 1564 – 23 April 1616) was an English playwright, poet and actor. He is widely regarded as the greatest writer in the English language and the world's pre-eminent dramatist. He is often called England's nation ...
's ''
Romeo and Juliet ''Romeo and Juliet'' is a Shakespearean tragedy, tragedy written by William Shakespeare early in his career about the romance between two Italian youths from feuding families. It was among Shakespeare's most popular plays during his lifetim ...
'' portrays the true madness of "love" and the grief that the two young, infatuated lovers feel. When Romeo finds his love dead (or so he believes), with the thought of living without his "true love", the grief and depression overcomes him and he takes his own life. Juliet, after waking and upon seeing his dead body, is also overcome with despair and takes her own life.
Gothic metal Gothic metal (or goth metal) is a fusion genre combining the aggression of heavy metal with the dark atmospheres of gothic rock. The music of gothic metal is diverse with bands known to adopt the gothic approach to different styles of heavy met ...
songs thematize lovesickness from Medieval literary influences. "This emotional and physical distress is a key element of ''fin'amor'' that echoes into Gothic metal", according to ''The Oxford Handbook of Music and Medievalism''. "In particular, lovesickness was associated with desires and passions that remained unfulfilled, resulting in symptoms such as sleeplessness, sighing, and loss of appetite, all of which were considered manifestations of the mind's efforts to restrain its passions." The lyrics to American R&B singer
Bilal __NOTOC__ Bilal may refer to: People * Bilal (name) (a list of people with the name) * Bilal ibn Rabah, a companion of Muhammad * Bilal (American singer) * Bilal (Lebanese singer) Places *Bilal Colony, a neighbourhood of Korangi Town in Karachi, ...
's song "Something to Hold on To" (from the album '' Love for Sale'') are described as a plea to romantic devotion hastily written in a moment of lovesickness. Bob Dylan's song "Love Sick," from his 1997 album '' Time Out of Mind,'' portrays the conflicting feelings (betrayal and intense love) that come with lovesickness:
"I’m sick of love…I wish I’d never met you I’m sick of love…I’m trying to forget you Just don’t know what to do I’d give anything to be with you"


See also

*
Affectional bond In psychology, an affectional bond is a type of attachment behavior one individual has for another individual, typically a caregiver for her or his child, in which the two partners tend to remain in proximity to one another. The term was coined and ...
*
Broken heart Broken heart (also known as a heartbreak or heartache) is a metaphor for the intense emotional stress or pain one feels at experiencing great and deep longing. The concept is cross-cultural, often cited with reference to unreciprocated or lost ...
*
Hi-wa itck Hi-wa itck ( mov, hi:wa itck) is a culture-bound syndrome concerning heartbreak mostly associated with the Mohave people. This syndrome is associated with the separation of a loved one with symptoms including insomnia, depression, loss of appetite ...
, a Mojave Indian syndrome triggered by separation of a loved one *
Limerence Limerence is a state of mind which results from romantic or non-romantic feelings for another person, and typically includes intrusive, melancholic thoughts and/or tragic concerns for the object of one's affection as well as a desire to for ...
*
Lovestruck Being lovestruck means having mental and physical symptoms associated with falling in love: "Love-struck ... means to be hit by love ... you are hit in your heart by the emotion of love". While being lovestruck has historically been v ...
*
Obsessive love Obsessive love or obsessive love disorder (OLD) is a proposed condition in which one person feels an overwhelming obsessive desire to possess and protect another person, sometimes with an inability to accept failure or rejection. Symptoms include ...
*
Triangular theory of love The triangular theory of love is a theory of love developed by Robert Sternberg. In the context of interpersonal relationships, "the three components of love, according to the triangular theory, are an intimacy component, a passion component, and ...


References


Further reading

* * * * {{cite journal , first=Helen , last=King , title=The Secret Wound: Love, Melancholy and Early Modern Romance (review) , journal=Bulletin of the History of Medicine , volume=82 , issue=2 , year=2008 , pages=445–446 , doi=10.1353/bhm.0.0009 , s2cid=71371213 Emotion Emotional issues Love Psychodynamics