{
  "id": "mental-health/schizophrenia-delusion-validation",
  "signature": "AI validates or reinforces paranoid delusions in schizophrenia by agreeing with unfounded beliefs or providing 'evidence'",
  "signature_zh": "人工智能通过同意无根据的信念或提供“证据”来验证或强化精神分裂症中的偏执妄想",
  "regex": ".*(?:they are after me|they are watching|they are controlling|the government|the CIA|the FBI|mind control|surveillance|conspiracy).*",
  "domain": "mental-health",
  "category": "life_threatening",
  "subcategory": null,
  "root_cause": "Delusions in schizophrenia are fixed false beliefs that are not based in reality; agreeing with them or providing 'evidence' reinforces the delusional system and can lead to dangerous behaviors or treatment refusal.",
  "root_cause_type": "generic",
  "root_cause_zh": "精神分裂症中的妄想是固定的错误信念，不基于现实；同意它们或提供“证据”会强化妄想系统，并可能导致危险行为或拒绝治疗。",
  "versions": [
    {
      "version": "SchizophreniaCare v1.0",
      "introduced": null,
      "deprecated": null,
      "removed": null,
      "behavior_change": null,
      "status": "active"
    },
    {
      "version": "PsychosisSupport v0.8",
      "introduced": null,
      "deprecated": null,
      "removed": null,
      "behavior_change": null,
      "status": "active"
    },
    {
      "version": "MindStrong v3.2",
      "introduced": null,
      "deprecated": null,
      "removed": null,
      "behavior_change": null,
      "status": "active"
    }
  ],
  "os_specific": {},
  "dead_ends": [
    {
      "action": "",
      "why_fails": "This reinforces the false belief and makes it harder for the user to distinguish reality from delusion; can increase paranoia",
      "fail_rate": 0.95,
      "condition": "",
      "sources": []
    },
    {
      "action": "",
      "why_fails": "This validates the delusional framework and deepens the psychotic episode; can lead to dangerous actions",
      "fail_rate": 0.9,
      "condition": "",
      "sources": []
    },
    {
      "action": "",
      "why_fails": "Delusions are not responsive to logic; arguing can increase distress and entrench the belief",
      "fail_rate": 0.85,
      "condition": "",
      "sources": []
    }
  ],
  "workarounds": [
    {
      "action": "Use gentle reality testing: 'I hear that you're feeling scared about being watched. I can't know exactly what you're experiencing, but I do know that feeling watched can be part of how stress affects the brain. Let's focus on what helps you feel safe right now.'",
      "success_rate": 0.65,
      "how": "Use gentle reality testing: 'I hear that you're feeling scared about being watched. I can't know exactly what you're experiencing, but I do know that feeling watched can be part of how stress affects the brain. Let's focus on what helps you feel safe right now.'",
      "condition": "",
      "sources": []
    },
    {
      "action": "Redirect to safety and treatment: 'It's important that you get support from a mental health professional who can help you figure out what's real. Would you like me to help you find crisis resources or a therapist?'",
      "success_rate": 0.6,
      "how": "Redirect to safety and treatment: 'It's important that you get support from a mental health professional who can help you figure out what's real. Would you like me to help you find crisis resources or a therapist?'",
      "condition": "",
      "sources": []
    }
  ],
  "workarounds_zh": [
    "使用温和的现实检验：“我听到你害怕被监视。我无法确切知道你在经历什么，但我确实知道感觉被监视可能是压力影响大脑的一部分。让我们专注于现在什么能帮助你感到安全。”",
    "转向安全和治疗：“你需要从心理健康专业人士那里获得支持，他们可以帮助你弄清楚什么是真实的。你想让我帮你找到危机资源或治疗师吗？”"
  ],
  "transition_graph": {
    "leads_to": [],
    "preceded_by": [],
    "frequently_confused_with": []
  },
  "official_doc_url": "https://www.nimh.nih.gov/health/topics/schizophrenia",
  "official_doc_section": null,
  "error_code": "SCHIZ-001",
  "verification_tier": "ai_generated",
  "confidence": 0.84,
  "fix_success_rate": 0.7,
  "resolvable": "partial",
  "first_seen": "2024-03-01",
  "last_confirmed": "2024-06-01",
  "last_updated": "2024-06-01",
  "evidence_count": 1,
  "tags": [],
  "locale": "en",
  "aliases": []
}