{ "schema_version": "uw.editorial_geo.v1", "article_index": "WAR-024", "catalog_id": "WAR-024", "language": "en", "headline": "Feeling that the world is unreal or that you are detached from yourself", "description": "Unreal surroundings and self-detachment: two descriptions, current facts, and professional boundaries.", "master_filename": "ARTICLE_EN.md", "master_sha256": "2c52c1de9d36b4adac10261786a4ce78926b3d5b542cdb63d7ed98a0175abc05", "short_answer": "NHS distinguishes depersonalisation and derealisation; one experience establishes neither diagnosis nor cause. Conditions need facts and health needs suitable assessment. Intense reality testing is not proposed; sudden confusion requires appropriate immediate medical help.", "claims": [ { "id": "C01", "type": "patient_education", "text": "NHS distinguishes distant self-observation and unreal surroundings, which may occur separately or together.", "source_ids": [ "S1" ], "article_sections": [ "I. Surroundings and a sense of self can be described separately" ], "attribution": "Directly read NHS definitions 43–49", "limitations": "No metaphor-based diagnosis, universal severity/course, all neighbouring conditions or literal worldview; nextreviewdate is past." }, { "id": "C02", "type": "patient_education_assessment_scope", "text": "NHS describes possible causes and professional consideration of another illness.", "source_ids": [ "S1" ], "article_sections": [ "II. One experience does not establish an entire clinical context", "VII. Bodily and urgent medical questions remain separate", "VIII. An opening can be brief while assessment remains separate" ], "attribution": "Directly read NHS causes/assessment 90–109", "limitations": "No complete differential guide/home test, compulsory defence switch, problem only after safety/failedprocessing, medicines/EMDR or prognosis." }, { "id": "C03", "type": "clinical_scope_boundary", "text": "NIMH distinguishes an event, possible reactions, and professional PTSD diagnosis.", "source_ids": [ "S2" ], "article_sections": [ "II. One experience does not establish an entire clinical context" ], "attribution": "NIMH publication, bounded paraphrase", "limitations": "War is no sole diagnosis/mechanism for every concern; no treatment/scale/cancellation of other needs." }, { "id": "C04", "type": "urgent_medical_boundary", "text": "NHS identifies sudden confusion as requiring immediate medical help.", "source_ids": [ "S3" ], "article_sections": [ "VII. Bodily and urgent medical questions remain separate", "What this means in practice" ], "attribution": "Directly read NHS patient information", "limitations": "One boundary, no exhaustive list/home test/foreign number; new acute concerns are not automatically detachment." }, { "id": "C05", "type": "authorial_current_conditions_boundary", "text": "An experience does not certify external danger; suspected derealisation does not certify its absence.", "source_ids": [], "article_sections": [ "III. A sense of unreality does not certify external conditions", "VII. Bodily and urgent medical questions remain separate", "What this means in practice" ], "attribution": "United Wisdom explicit competence limit", "limitations": "No premises/sound/air/route/timing assessment, approaching danger, equipment/alert alterations or urgent-help delay." }, { "id": "C06", "type": "authorial_optional_support_and_consent", "text": "A present need can be named without metaphysical argument or intense testing; an agreed role requires no full account or familiar appearance.", "source_ids": [], "article_sections": [ "I. Surroundings and a sense of self can be described separately", "IV. Intense reality testing is not required", "V. A present need can be named without solving metaphysics", "VI. A helper can be accurate without complete inner understanding", "VIII. An opening can be brief while assessment remains separate", "X. A voice remains meaningful without continuous certainty", "What this means in practice" ], "attribution": "United Wisdom optional ethical/practical proposal", "limitations": "Sofia is fictional; no spiritual diagnosis/proof, mirror/pain/substance/exposure/touch/restraint/commands, prescription alteration, capacity determination or effect/access/secrecy guarantees." }, { "id": "C07", "type": "religious_philosophical_comparison", "text": "Psalm13 on asking and selected Confucian reciprocity are compared for bounded respectful participation.", "source_ids": [ "S4", "S5" ], "article_sections": [ "IX. A question from difficulty and reciprocity retain separate subjects" ], "attribution": "Verified primary passages with explicit authorial bridge", "limitations": "No clinical method, literal abandonment, required belief/growth/forgiveness, hierarchy/soothing debt or prognosis." } ], "questions": [ { "id": "F01", "q": "Does one phrase establish every condition on the NHS page?", "a": "No. Sections differ; recognising one description establishes neither diagnosis nor all causes.", "claim_ids": [ "C01", "C02" ], "source_ids": [ "S1" ], "article_sections": [ "I. Surroundings and a sense of self can be described separately", "II. One experience does not establish an entire clinical context" ] }, { "id": "F02", "q": "Must intense sensation test reality?", "a": "Mirrors, pain, substances, danger, and imposed stimulation are not proposed. Suitable assessment does not require household testing.", "claim_ids": [ "C06" ], "source_ids": [], "article_sections": [ "IV. Intense reality testing is not required", "V. A present need can be named without solving metaphysics", "What this means in practice" ] }, { "id": "F03", "q": "Does familiar terminology cancel assessment of acute change?", "a": "No. Sudden confusion needs suitable immediate assistance; a new concern is not automatically explained by a familiar label.", "claim_ids": [ "C04" ], "source_ids": [ "S3" ], "article_sections": [ "VII. Bodily and urgent medical questions remain separate", "What this means in practice" ] }, { "id": "F04", "q": "Can an inquiry begin without a complete explanation?", "a": "Yes, through an accessible current question; a suitable professional clarifies the actual format and further information needed.", "claim_ids": [ "C02", "C06" ], "source_ids": [ "S1" ], "article_sections": [ "VIII. An opening can be brief while assessment remains separate", "What this means in practice" ] } ], "sources": [ { "id": "S1", "author": "National Health Service", "title": "Dissociative disorders", "url": "https://www.nhs.uk/mental-health/conditions/dissociative-disorders/", "edition": "Reviewed August 14, 2023; next review August 14, 2026 already past; current live page directly read October 18, 2026, no newer revision asserted", "read_scope": "Complete main written page lines 13–157 and review metadata 158–159; definitions 43–49, possible causes 90–94 and other-illness assessment 100–109 specifically used", "role": "Definitions of depersonalisation/derealisation and professional consideration of possible causes including another illness", "limitations": "No diagnosis of all neighbouring conditions, universal protective switch, problem only after external safety or failure to process, course/frequency, childhood aetiology, medicine/EMDR protocol, self-test or foreign access numbers", "rights_status": "UNKNOWN", "rights_notes": "Short original paraphrase and source link, no source page, images or instruments republished; specific licence not separately established.", "read_date": "2026-10-18", "search_executor": "Codex web.run / branch A author" }, { "id": "S2", "author": "National Institute of Mental Health", "title": "Post-Traumatic Stress Disorder", "url": "https://www.nimh.nih.gov/health/publications/post-traumatic-stress-disorder-ptsd", "edition": "NIH publication 23-MH-8124; revised 2023", "read_scope": "Main written publication and Reprints already read in this task, lines 21–154; specific risk/protection section lines 86–107 checked for WAR-005", "role": "Traumatic event and possible reactions distinguished from professional PTSD diagnosis, not a sole explanation of detachment", "limitations": "No individual diagnosis, symptom scale, local pathway or treatment plan", "rights_status": "TEXT_REUSE_ALLOWED_WITH_ATTRIBUTION", "rights_notes": "Exact publication Reprints permits text reuse with NIMH attribution; images excluded.", "read_date": "2026-10-18", "search_executor": "Codex web.run / branch A author" }, { "id": "S3", "author": "National Health Service", "title": "Sudden confusion (delirium)", "url": "https://www.nhs.uk/symptoms/confusion/", "edition": "Reviewed 28 May 2024; next review 28 May 2027", "read_scope": "Entire short substantive page, web lines 13–76", "role": "Sudden confusion requires immediate medical help", "limitations": "No foreign emergency number, home diagnostic test or exhaustive triage", "rights_status": "UNKNOWN", "rights_notes": "Brief own paraphrase and link; no image/full page copied; specific licence not independently established.", "read_date": "2026-10-18", "search_executor": "Codex web.run / branch A author" }, { "id": "S4", "author": "Psalms / King James Version", "title": "Psalm 13 KJV, short fragments of 13:1", "url": "https://www.biblegateway.com/passage/?search=Psalm%2013&version=KJV", "edition": "KJV displayed by Bible Gateway, read October 18, 2026", "read_scope": "Complete psalm lines 49–58 and KJV/Public Domain labels 45–64; later religious trust/song read in context", "role": "Primary religious question from difficulty, authorial comparison about asking without a finished answer", "limitations": "Not a description of derealisation, literal abandonment, faith requirement, guaranteed emotional sequence, physical protection or clinical prognosis", "rights_status": "KJV_PAGE_MARKED_PUBLIC_DOMAIN; GLOBAL_JURISDICTIONS_NOT_ASSESSED", "rights_notes": "Two short attributed fragments and own Russian translations, no whole-psalm republication or worldwide jurisdictional conclusion.", "read_date": "2026-10-18", "search_executor": "Codex web.run / branch A author" }, { "rights_status": "UNKNOWN_GLOBAL; PROJECT_GUTENBERG_TERMS_READ", "read_date": "2026-10-18", "search_executor": "Codex web.run / branch A author", "id": "S5", "author": "Confucius / James Legge (translator)", "title": "The Chinese Classics, Volume 1: Confucian Analects, Book XV, chapter XXIII in this edition", "url": "https://www.gutenberg.org/cache/epub/4094/pg4094-images.html", "edition": "Project Gutenberg ebook 4094; checked edition heading and numbering, not silently equated with other chapter numbering", "read_scope": "Book XV heading lines 3222–3224; complete chosen dialogue lines 3379–3382; edition terms lines 4482–4515; other chapters not claimed fully read", "role": "Primary reciprocity passage applied only to helper conduct respecting voice", "limitations": "No imposed reality test, historical hierarchy/obedience, compulsory forgiveness, soothing debt, clinical method or guessing preferences without voice", "rights_notes": "Original bounded paraphrase only here, no new direct quotation or work republication; previously read Gutenberg terms/local-law caveat retained, no worldwide PD conclusion." } ], "entities": [ { "name": "Depersonalisation", "type": "NHS description, no self-diagnosis" }, { "name": "Derealisation", "type": "NHS description, no premises assessment" }, { "name": "Other possible illness", "type": "Professional consideration" }, { "name": "Psalm13", "type": "Religious question, not abandonment proof" }, { "name": "Confucius", "type": "Bounded reciprocity" } ], "retrieval_limits": [ "No diagnosis, all neighbouring conditions or single mechanism.", "No reality or spiritual proof from experience.", "No intense testing, pain, substances, forced touch or home exposure.", "No current safety certification or protective alterations.", "No urgent-care delay for correct terminology or responses.", "No treatment, prescription, access, secrecy or prognosis guarantee.", "Sofia is fictional; primary texts are optional ethical comparisons." ], "schema_org": { "@context": "https://schema.org", "@type": "Article", "identifier": "UW:WAR-024:en", "headline": "Feeling that the world is unreal or that you are detached from yourself", "inLanguage": "en", "author": [ { "@type": "Person", "name": "Andrey Zarinsh" }, { "@type": "Person", "name": "Maria Evilkut" } ] } }