# Psychosis Research Integration Map v95

Updated UTC: `2026-07-18T01:01:04Z`

## Runtime use

| Research finding | Site/runtime implementation |
|---|---|
| Person-first identity must precede symptoms | Existing life-history, ordinary-capability, relationship, humor, embarrassment, work, housing, and future-goal fields remain mandatory persona context. |
| Experienced reality and shared reality must be distinguishable without ridicule | Perspective output explicitly separates shared observations, subjective meaning, overlap clues, and uncertainty. |
| Voice hearing is often socially structured | Voice agents retain identity, relationship, acoustic signature, power relation, triggers, negotiation pattern, and non-omniscience. |
| Speech changes with distress and cognitive pressure | A six-band speech-pressure model changes latency, blocking, tangentiality, output length, and coherence while preserving character voice. |
| Trauma-informed play centers consent, choice, pacing, and collaboration | Interaction moves now expose permission, two-choice offers, emotional reflection, silence, stimulus reduction, concrete questions, and immediate shared goals as first-class supportive moves. |
| Validation should acknowledge emotion without affirming a delusion | Dialogue guidance distinguishes emotional validation from factual confirmation or confrontation. |
| Restraint and containment require dignity safeguards | Non-graphic, non-player-controlled restraint; no humiliation, punishment, or puzzle reward for coercion. |
| Adult simulation requires clear educational objectives and debrief | 18+ gate, content boundary, learning objectives, session debrief, player non-diagnosis, and opt-out language remain required. |
| Accessibility must include reduced stimulation and captions | Low-stimulation, text-forward, reduced-audio, reduced-visual, and captioned modes remain available. |
| Recovery cannot erase identity or future | Completion requires the character to retain a name, choice, relationship beat, ordinary capability, and future-facing line. |

## Deep source links

See [the source register](source-register.json) and every psychosis report summary under [summaries/psychosis/](summaries/psychosis/). Full byte-preserved reports are under `source/psychosis/`.