Paranoid-like reactions are sometimes misdiagnosed as delusional schizophrenia or other delusional psychoses because of the clinical presentation’s resemblance to delusions. For example, so-called jealous delusions are generally diagnosed as schizophrenia, but as Fish points out, most of the jealous delusions are the result of psychogenic reactions and personality development. Factors that may be associated with the development of jealous delusions include physical disability, a spouse who is too young or beautiful, or sexual dysfunction. Even couples who are particularly close to each other and have become psychologically dependent on each other may have jealous delusions. Paranoia-like reactions with jealous delusions may also occur after menopause when sexual function decreases.