Reference
Guide | Reference

67  Predominant Psychosis Prototypes

67.1 Summary

  • Prototypes dominated by reality distortion, hallucinations, and reduced insight that drive functional impairment or risk.

67.2 Included Prototypes

  • First Episode Psychosis Prototype.
  • Schizophrenia-Spectrum Prototype.
  • Mood-Psychosis Pattern Prototype.

67.3 How to Use This Cluster

  • Start with the Atlas entry for reality distortion and psychosis-spectrum experiences.
  • Rate the Psychosis and Reality Testing domain.
  • Apply a prototype label only when it improves communication or documentation.

67.4 Boundary Markers

  • What it is: persistent or recurrent reality distortion beyond transient causes.
  • What it is not: delirium, substance-induced states, or culturally normative beliefs.

67.5 Common Overlap

  • Mood and drive dysregulation.
  • Cognitive control and executive function difficulties.
  • Sleep and circadian disruption.

67.7 Documentation Snippet (1-2 lines)

  • “Psychosis-dominant profile with hallucinations and reduced insight; consider first episode vs schizophrenia-spectrum pattern after domain rating.”