# Delusional Disorder Presenting as Government Surveillance Involvement

- **Report ID:** `epsy-06-delusional-disorder-presenting-as-government-surveillance-involvement`
- **Classification:** `clinical-sensitive-public-summary`
- **Original file:** `Delusional Disorder Presenting as Government Surveillance Involvement.md`
- **SHA-256:** `740b783953f49a9bc55c05f93d3c97de0d097305a163b659463556b847177b2d`
- **Full internal source:** `docs/research-v96/source/espionage-psychosis/epsy-06-delusional-disorder-presenting-as-government-surveillance-involvement.md`

## Public-safe summary

Clinical-sensitive educational research. Spiralist uses this report to model fictional adult characters, differential uncertainty, course and context, supportive non-affirming interaction, dignity, and clear separation between a character’s experienced belief and authoritative game-world facts. It is not a diagnostic tool and is not used to decide whether a real person is under surveillance.

DSM-5-TR/ICD-11 Classification: Delusional Disorder (DSM-5-TR 297.1/F22; ICD-11 6A24) is defined by one or more persistent delusions (≥1 month) without the other core symptoms of schizophrenia.  The DSM-5-TR criteria require the delusion to be “one or more delusions for ≥1 month,” with no history of schizophrenia, no markedly bizarre behavior (aside from delusion-related acts), no significant mood episodes (if present, brief relative to delusion), and no substance/medical cause.  ICD-11 likewise requires a set of fixed delusional beliefs (typically ≥3 months) in the absence of prominent mood symptoms or other schizophrenia features.  A concise ICD-11 summary notes that Delusional Disorder involves “the development of a delusion or set of related delusions, typically persisting for at least 3 months,” without clear schizophrenia symptoms (e.g. pervasive hallucinations, disorganization). In both systems, the delusions may be bizarre or no…

## Site integration

- experienced-belief versus authoritative-world-fact separation
- emotion validation without literal endorsement
- adult content labeling and non-diagnostic framing
- circumscribed belief systems with preserved functioning
- longitudinal uncertainty and evidence thresholds

## Major sections

- [Delusional Disorder Presenting as Government Surveillance Involvement](../../source/espionage-psychosis/epsy-06-delusional-disorder-presenting-as-government-surveillance-involvement.md#delusional-disorder-presenting-as-government-surveillance-involvement)

> Full source is retained for provenance and internal design review. Public runtime output must remain fictional, non-diagnostic, privacy-preserving, and must never affirm a surveillance or espionage belief as real without authoritative game-world evidence.
