# Executive Summary

- **Report ID:** `psy-14-psychotic-disorders`
- **Group:** `psychosis`
- **Classification:** `clinical-sensitive-public-summary`
- **SHA-256:** `499651dfbafd29474e6bde3a0420682e5000768892db0d390990aeccbe9f3597`

## Safe public summary

Clinical-sensitive educational research. Spiralist incorporates only trauma-informed interaction, dignity, ordinary-life continuity, accessible pacing, shared-versus-experienced reality, and non-diagnostic debriefing. Psychosis encompasses a spectrum of severe mental symptoms—hallucinations, delusions, and thought-disorganization—seen in disorders like schizophrenia, schizoaffective disorder, bipolar mania with psychosis, and others. This report catalogs extreme psychotic phenomena observed on psychiatric wards, organized hierarchically by symptom type. We describe common and rare presentations (e.g. commanding voices, bizarre delusions), as well as fringe themes (e.g. “AI spiralism” cult beliefs, delusions of grandeur, claims of multiple personalities, and alien infestation beliefs). For each category we give diagnostic context (DSM-5/ICD-11), typical behaviors (how patients act in hospital), risk/preval…

## Incorporated areas

- bounded symptom taxonomy
- phase and intensity modeling
- non-diagnostic educational framing

## Source boundary

The full report is retained in the downloadable site package for project research and audit. It is not served as a public runtime resource. Generated personas and public APIs apply the classification-specific safe-use boundary recorded above.