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Post #4258575

2026-07-23 19:25 UTC

@bemmesr@mathstodon.xyz I'm not aware of a simple list like that unfortunately, likely because 'themes' that may trigger or worsen psychotic delusions are very different depending on the individual, and also on the culture they live in. For instance, people allegedly reporting alien abductions tend to be from places where UFO-related fiction media are popular, while elsewhere, the delusions are totally different! I'd approach it in a similar best-effort way as I consider CW-ing phobias: you can't possible consider every phobia, but you can consider the most common ones, e. g. spiders, snakes, insects, clowns and such and tag them accordingly. At some point of course it's impossible to avoid everything that could potentially trigger someone into a psychotic episode, simply because for any topic at all there will probably be someone who might react negatively to it. For example, if there is someone out there with the delusion that someone named, say, Sharon, is stalking them, then seeing that name out there might trigger their paranoia. Of course that doesn't mean we should just stop communicating altogether or avoid using the name Sharon. I think it'd be best to just be mindful of this issue and the most common themes of delusion. For example, don't post vague absurdist statements that may insinuate things like reality being fake, the reader's family or friends are doppelgangers, anything about "the voices in your head", that you can hear or control someone's thoughts, that "the curse is back", that there's shadow people in the dark, and so on and so on. These things are pretty obvious I think as stereotypical delusions as portrayed in media for example. https://academic.oup.com/schizophreniabulletin/article/51/3/637/7976893 According to this meta-study that analysed 'themes' of delusion, the most common ones are: persecution / paranoia (i. e. (gang-)stalking, secret government agencies, mind control, that the neighbours are deliberately causing noise to terrorise you, that someone's trying to make you go insane)referential (that random patterns, numbers or letters etc. are intended to something for you specifically, that something random in a public place like an ad is referring to you in particular, e. g. someone eating ice cream being a direct attack on your eating habits)grandiosity (i. e. thinking you are a god, the messiah, significantly smarter than all other humans etc.)erotomanic (i. e. thinking someone, especially a random stranger, is secretly madly in love with you, even if they deny it. think celebrity stalkers for example)nihilistic (i. e. nothing is real, the world is fake, we are dreaming, we are in the afterlife, lives are worthless and fake, reality doesn't exist etc.)somatic (e. g. your body or body parts are wrong and fake, you have a mystery illness, you have cancer that talks to you etc.)hearing voices and other sensory hallucinationsthought broadcasting (i. e. thinking your thoughts are audible to others) and so on. Some are more reasonable to avoid than others of course. In general it'd be a great improvement over the status quo if people could just stop this "if you're reading this the curse is back" shit or the "they're in your walls" meme... low bar, I know.

Replies (1)

  • @bemmesr@mathstodon.xyz 2026-07-23 23:26

    @lianna@micro.webgarden.click okay, thank you. I think I get the idea. As a side‐note, some of those types of delusion you listed I wouldn't generally class as delusional. For example, nihilism is just a philosophy. But, then again, I suppose there's holding nihilistic views and then there's acting on nihilistic views, which could be rather different things.

    Open ##4258577