in adolescence. 2.2 distorted first-person perspective there are at least 3 subtypes. 2.2.1 person feels as if their experiences aren't their own, at least briefly, or as if they were a mere inanimate object. 2.2.2 person feels an incredible distance between the self and experience, resulting in intense and involuntary constant or recurring self-monitoring. 2.2.3 person feels as if the self were located at a specific point in space, or perhaps as if it were a physical object, or both. 2.3 other states of depersonalization sense of alienation from self or one's own experience. 2.3.1 melancholiform depersonalization melancholic mood change from which the person feels alienated. 2.3.2 unspecified depersonalizaton other depersonalization 2.4 diminished presence an increased distance from being affected by the world that is experienced by the person as originating from within the self; this is experienced as an affliction by the person. 2.4.1 specified increasing distance from the world experienced as apathy towards specific events. 2.4.2 unspecified sense of barrier between self and world that cannot be furthered specified by the person. 2.4.3 including derealization or perceptual change where the sense of barrier results in a change in world perception (e.g. sense of fogginess) or is accompanied by derealization. 2.5 derealization the world appears as strange, alien, unreal, or changed. 2.5.1 fluid (global) derealization the world seems to lose its color or become lifeless, or there is some other diminution of the qualities of the world. 2.5.2 intrusive derealization things in the world seem much more intrusive than normal, which strongly affect the person emotionally. 2.6 hyperreflectivity; increased reflectivity tendency to engage in excessive reflection of matters involving the self or other things hindering the sense of being able to live carefree or spontaneously; person will engage in intense reflection while engaged in activity (called also "simultaneous introspection" in japanese psychopathology). 2.7 i-split sense that the self does not exist as a unified whole beyond having a multifaceted personality. 2.7.1 i-split suspected when person's comments hint at i-split. 2.7.2 person reports non-psychotic experience of i-split. 2.7.3 person reports non-psychotic experience of i-split that is experienced in a way that the different pieces of self exist at different points in space like physical objects. 2.7.4 person reports delusional experience of i-split. 2.8 dissociative depersonalization (out of body experience) person experiences the self as if it were outside the body. 2.8.1 person feels as if this is occurring, without hallucinating. 2.8.2 person experiences this as a dissociative hallucination. 2.9 identity confusion person feels as if they were another person. 2.10 sense of change in relation to chronological age feeling as if the person were very much younger or older than they really are. 2.11 sense of change in relation to gender (see subtypes) 2.11.1 person worries that they might be gay. 2.11.2 person is confused about their sex or feels as if they were the opposite sex. 2.12 loss of common sense/perplexity/lack of natural evidence person is confused about the meaning of what people normally understand implicitly and may spend a lot of time wondering why, say, the sky is blue or 2+2=4; or person may follow extremely rigid schemas that come across as bizarre to others ("morbid rationalism") or may have a tendency to obsess about the spatial or geometric aspects of the world ("geometrism"). 2.13 anxiety (see subtypes) 2.13.1 panic attacks with autonomous symptoms panic accompanied by multiple autonomic symptoms including labored breathing, heart racing, chest pain, or a sense of choking. 2.13.2 psychic-mental anxiety feeling of anxiety without autonomic symptoms. 2.13.3 phobic anxiety anxiety triggered by specific fears (e.g. agoraphobia). 2.13.4 social anxiety anxiety caused by social situations. 2.13.5 diffuse, free-floating, and pervasive anxiety intense, constant anxiety. 2.13.6 paranoid anxiety anxiety triggered by paranoid fears. 2.14 ontological anxiety pervasive anxiety experienced by person over their own existence that causes them to be more interested in survival than in self-realization; it can involve a sense as if something ominous were approaching, a sense of being exposed to others, or some other fear of violation of their own existence. 2.15 diminished transparency of consciousness a sense that one is blocked from clearly perceiving the contents of consciousness which is not secondary to something else (e.g. thought pressure, organic brain disorder, or clinical depression). 2.16 diminished initiative pervasive difficulty initiating goal-directed activity that is not secondary to, for example, clinical depression. 2.17 hypohedonia pervasive and recurring diminished capacity for pleasure. 2.18 diminished vitality sense of diminishment of one's vital energy that is not secondary to, for example, clinical depression. 2.18.1 state-like experienced only episodically. 2.18.1 trait-like experienced chronically. domain 3: bodily experiences symptomdescription 3.1 morphological change sensations or perceptions as if parts of the body or the entire body has changed size or shape. 3.1.1 due to paroxysmal sensations. 3.1.2 due to perception. 3.2 mirror-related phenomena frequently looking at mirrors or avoiding mirrors, or otherwise feeling as if the shape of the face has changed when looking in a mirror. 3.2.1 the person only looks in the mirror to see if their face has changed, but perceives no change. 3.2.2 perceived change or distortion of the face. 3.2.3 other mirror-related phenomena. 3.3 somatic depersonalization (bodily estrangement) feeling alienated from one's body or its parts. 3.4 psychophysical misfit and psychophysical split the body feels as if it does not fit (but not simply because the person dislikes their appearance) or a feeling as if the body and mind do not go together. 3.5 bodily disintegration feeling as if the body is falling to pieces. 3.6 spatialization of bodily experiences feeling as if parts of the body were no longer a medium for action but as if they were simply standalone physical objects, or feeling as if one can feel body parts that one normally cannot feel. 3.7 cenesthetic experiences various unusual bodily sensations, including feelings of numbness, electrical sensations, and thermal sensations. 3.8 motor disturbances (see subtypes) 3.8.1 pseudo-movements of the body person feels as if a part of the body is moving, but it actually is not. 3.8.2 motor interference movements of the body intended by the person are derailed, moving in a way not intended by the person. 3.8.3 motor blocking person feels unable to move a body part. 3.8.4 sense of motor paresis usually temporary sense of weakness in one or more limbs, which can interfere with the person's physical movements (such as grasping an object). 3.8.5 desautomation of movement normally automatic or partially automatic physical activities that are carried out on a daily basis or frequently, such as brushing one's hair or riding a bike, can no longer be so, causing the person to have to concentrate and guide each aspect of their movement. 3.9 mimetic experiences pseudo-movements of other objects and people are experienced as if there were a connection to the person's own actions. domain 4: transitivism/demarcation symptomdescription 4.1 confusion with the other person confuses their thoughts, feelings, and other aspects with their interlocutor, or otherwise feels invaded or intruded upon by their interlocutor (but cannot explain why this is so). 4.2 confusion with one's own specular image person confuses themselves with their reflection, such as when they are looking in a mirror. 4.3 threatening bodily contact (see subtypes) 4.3.1 person feels threatened by being close to or in contact with another person not because of paranoia or suspicion. 4.3.2 person feels annihilated when in close contact with another person. 4.4 passivity mood mood-like feeling of being at the mercy of the world, with the person feeling restrained. 4.5 other transitivistic phenomena other feelings as if not properly demarcated from other people and the world. domain 5: existential reorientation symptomdescription 5.1 primary self-reference phenomena person feels as if outside events are connected to themselves which cannot be explained by any more primary psychopathology. 5.2 feeling of centrality brief feeling as if being at the center of all existence. 5.3 feeling as if the subject's experiential field is the only extant reality person feels as if only things they are perceiving exist, such that it feels as if things cease to exist when the person looks away, for example. 5.4 "as if" feelings of extraordinary creative power, extraordinary insight into hidden dimensions of reality, or extraordinary insight into own mind or the mind of others. person experiences a sense as if they possess insight most other people do not. 5.5 "as if" feeling that the experienced world is not truly real, existing, as if it was only somehow apparent, illusory, or deceptive an example includes feeling as if the person were in a movie. 5.6 magical ideas (i.e. ideas implying nonphysical causality) person feels that they can control things with their mind that they actually cannot, or to otherwise unrealistically control external events. 5.7 existential or intellectual change person experiences a major change in their worldview, such as joining a new religion, that does not occur as part of a manic or hypomanic episode. 5.8 solipsistic grandiosity person feels superior to other people and considers others to be beneath their notice or concern. examination of anomalous world experience (eawe) the eawe is the companion interview to the ease that focuses on the person's experiences with the world, rather than with the self. there are 6 domains: space and objects, which deals with the person's experience with space and physical objects, with disorders including hallucinations, distortions of spatial relationships, and experiences of seeing the same object in multiple ways at the same time (called "contamination" on the rorschach test). time and events, which deals with the person's experience with time, with disorders involving time speeding up or slowing down, time breaking up or becoming fragmented, and constant anticipation of something major about to happen. other persons, which deals with the person's experience of other people, with disorders including disruptions of the sense of ego boundaries with other people, referential ideation based on actions or words by other people, and loss or lack of the ability to naturally understand social situations and social cues leading to attempts to compensate through increased focus or concentration,. language, which deals with reduced fluency and disruption of prose in one's native language, distortions in the person's expression which causes others to misunderstand the person, problems with concrete and abstract concepts, and distraction by individual words and phrases leading to the person having difficulty following what they are reading or listening to. atmosphere, which deals with the person's overall feeling-state of the world, with disorders including derealization (particularly the truman show-style derealization), objects no longer having normal meaning, hyper-awareness of things that normally stay in the background of awareness, apophanous mood, and a sense of radical changes in the very structure of the universe itself. existential orientation, which deals with radical changes in a person's worldview, dealing with such things as rejecting society's conventions and rules, being extremely open to believing new ideas, and grandiosity which involves the person considering others to be inferior, like insects compared to them. eawe items domain 1: space and objects symptom description 1.1 abnormal intensity or persistence of visual perceptions visual stimuli appear more or less intense or take longer to leave perception after ending. 1.1.1 increase in intensity of visual perceptions* visual stimuli seem more intense, such as light being brighter or colors stronger. 1.1.2 decrease in intensity of visual perceptions* visual stimuli seem less intense. 1.1.3 recurrence or prolongation of visual stimuli even after visual stimuli are gone, person continues to see them. also called palinopsia. 1.2 blindness or partial blindness vision is experienced as being blurry or partially or wholly absent. 1.2.1 blurred vision* 1.2.2 partial seeing person sees only part of an object. 1.2.3 transitory blindness visual field is experienced as either partly or entirely absent. 1.3 disturbances involving verticality (accuracy) of visual perceptions* mis-seeing objects or perceiving visual stimuli that is actually absent. 1.3.1 visual illusions* person mis-sees something, mistaking it for something else. 1.3.2 visual hallucinations* person experiences seeing something when nothing is there. can seem only partially external. 1.3.3 visual pseudohallucinations* like visual hallucinations, but person while experiencing it recognizes its lack of basis in reality. 1.4 visual fragmentation objects or scenes appear broken up. 1.4.1 object fragmentation cannot perceive objects as a whole. 1.4.2 break-up of a scene the world becomes fragmented, with different things appearing disconnected or unrelated to one another. 1.4.3 captivation of attention by