Academic Journal
Προβολή σε EDS

Online Virality as a Persecutory Experience: A Psychodynamic Case Study.

Λεπτομέρειες βιβλιογραφικής εγγραφής
Τίτλος: Online Virality as a Persecutory Experience: A Psychodynamic Case Study.
Συγγραφείς: Appel G; 111 East 77th St., New York, NY10075 E-mail: gappel@northwell.edu., Garrett M; 111 East 77th St., New York, NY10075 E-mail: gappel@northwell.edu., Greenstein S; 111 East 77th St., New York, NY10075 E-mail: gappel@northwell.edu., Srivastava A; 111 East 77th St., New York, NY10075 E-mail: gappel@northwell.edu.
Πηγή: Psychoanalytic review [Psychoanal Rev] 2026 Sep; Vol. 113 (3), pp. 259-267.
Τύπος έκδοσης: Journal Article; Case Reports
Γλώσσα: English
Στοιχεία περιοδικού: Publisher: Guilford Press Country of Publication: United States NLM ID: 0401156 Publication Model: Print Cited Medium: Internet ISSN: 1943-3301 (Electronic) Linking ISSN: 00332836 NLM ISO Abbreviation: Psychoanal Rev Subsets: MEDLINE
Imprint Name(s): Publication: : New York, NY : Guilford Press
Original Publication: New York, National Psychological Assn. for Psychoanalysis.
Ιατρικοί όροι (MeSH): Delusions*/psychology , Delusions*/etiology , Paranoid Disorders*/psychology , Bipolar Disorder*/psychology , Bipolar Disorder*/complications , Marijuana Abuse*/psychology , Marijuana Abuse*/complications, Antipsychotic Agents/therapeutic use ; Humans ; Male ; Young Adult ; Digital Media
Περίληψη: Online virality can generate sudden destabilizing visibility in individuals with mood or psychotic disorders. This case report describes a 21-year-old man with bipolar disorder and cannabis use disorder who developed paranoid and persecutory delusions shortly after a video he posted went viral, worsened by an arrest that led to insomnia, withdrawal, hypervigilance, and the belief that he and his family were in danger. During hospitalization, he described feeling as if his life was being broadcast, an organizing explanation for his distress. His decompensation reflected inconsistent antipsychotic adherence, daily cannabis use, a traumatic arrest, and viral visibility. The shift from grandiosity to guilt to projected threat suggests paranoid-schizoid regression triggered by the online virality. Symptoms improved with antipsychotic optimization. This case underscores the need to assess digit platform use when evaluating psychotic decompensation.
Contributed Indexing: Keywords: ego destabilization; fantasy; online virality; psychosis
Substance Nomenclature: 0 (Antipsychotic Agents)
Entry Date(s): Date Created: 20260921 Date Completed: 20260921 Latest Revision: 20260921
Update Code: 20260922
DOI: 10.1521/prev.2026.113.3.259
PMID: 42766403
Βάση Δεδομένων: MEDLINE
FullText Text:
  Availability: 0
Header DbId: cmedm
DbLabel: MEDLINE
An: 42766403
AccessLevel: 3
PubType: Academic Journal
PubTypeId: academicJournal
PreciseRelevancyScore: 0
IllustrationInfo
Items – Name: Title
  Label: Title
  Group: Ti
  Data: Online Virality as a Persecutory Experience: A Psychodynamic Case Study.
– Name: Author
  Label: Authors
  Group: Au
  Data: <searchLink fieldCode="AU" term="%22Appel+G%22">Appel G</searchLink>; 111 East 77th St., New York, NY10075 E-mail: gappel@northwell.edu.<br /><searchLink fieldCode="AU" term="%22Garrett+M%22">Garrett M</searchLink>; 111 East 77th St., New York, NY10075 E-mail: gappel@northwell.edu.<br /><searchLink fieldCode="AU" term="%22Greenstein+S%22">Greenstein S</searchLink>; 111 East 77th St., New York, NY10075 E-mail: gappel@northwell.edu.<br /><searchLink fieldCode="AU" term="%22Srivastava+A%22">Srivastava A</searchLink>; 111 East 77th St., New York, NY10075 E-mail: gappel@northwell.edu.
– Name: TitleSource
  Label: Source
  Group: Src
  Data: <searchLink fieldCode="JN" term="%220401156%22">Psychoanalytic review</searchLink> [Psychoanal Rev] 2026 Sep; Vol. 113 (3), pp. 259-267.
– Name: TypePub
  Label: Publication Type
  Group: TypPub
  Data: Journal Article; Case Reports
– Name: Language
  Label: Language
  Group: Lang
  Data: English
– Name: TitleSource
  Label: Journal Info
  Group: Src
  Data: <i>Publisher: </i><searchLink fieldCode="PB" term="%22Guilford+Press%22">Guilford Press </searchLink><i>Country of Publication: </i>United States <i>NLM ID: </i>0401156 <i>Publication Model: </i>Print <i>Cited Medium: </i>Internet <i>ISSN: </i>1943-3301 (Electronic) <i>Linking ISSN: </i><searchLink fieldCode="IS" term="%2200332836%22">00332836 </searchLink><i>NLM ISO Abbreviation: </i>Psychoanal Rev <i>Subsets: </i>MEDLINE
– Name: PublisherInfo
  Label: Imprint Name(s)
  Group: PubInfo
  Data: <i>Publication</i>: <spring 1984-> : New York, NY : Guilford Press<br /><i>Original Publication</i>: New York, National Psychological Assn. for Psychoanalysis.
– Name: SubjectMESH
  Label: MeSH Terms
  Group: Su
  Data: <searchLink fieldCode="MM" term="%22Delusions%22">Delusions*</searchLink>/<searchLink fieldCode="MM" term="%22Delusions+psychology%22">psychology</searchLink> <br /><searchLink fieldCode="MM" term="%22Delusions%22">Delusions*</searchLink>/<searchLink fieldCode="MM" term="%22Delusions+etiology%22">etiology</searchLink> <br /><searchLink fieldCode="MM" term="%22Paranoid+Disorders%22">Paranoid Disorders*</searchLink>/<searchLink fieldCode="MM" term="%22Paranoid+Disorders+psychology%22">psychology</searchLink> <br /><searchLink fieldCode="MM" term="%22Bipolar+Disorder%22">Bipolar Disorder*</searchLink>/<searchLink fieldCode="MM" term="%22Bipolar+Disorder+psychology%22">psychology</searchLink> <br /><searchLink fieldCode="MM" term="%22Bipolar+Disorder%22">Bipolar Disorder*</searchLink>/<searchLink fieldCode="MM" term="%22Bipolar+Disorder+complications%22">complications</searchLink> <br /><searchLink fieldCode="MM" term="%22Marijuana+Abuse%22">Marijuana Abuse*</searchLink>/<searchLink fieldCode="MM" term="%22Marijuana+Abuse+psychology%22">psychology</searchLink> <br /><searchLink fieldCode="MM" term="%22Marijuana+Abuse%22">Marijuana Abuse*</searchLink>/<searchLink fieldCode="MM" term="%22Marijuana+Abuse+complications%22">complications</searchLink><br /><searchLink fieldCode="MH" term="%22Antipsychotic+Agents%22">Antipsychotic Agents</searchLink>/<searchLink fieldCode="MH" term="%22Antipsychotic+Agents+therapeutic+use%22">therapeutic use</searchLink> ; <searchLink fieldCode="MH" term="%22Humans%22">Humans</searchLink> ; <searchLink fieldCode="MH" term="%22Male%22">Male</searchLink> ; <searchLink fieldCode="MH" term="%22Young+Adult%22">Young Adult</searchLink> ; <searchLink fieldCode="MH" term="%22Digital+Media%22">Digital Media</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Online virality can generate sudden destabilizing visibility in individuals with mood or psychotic disorders. This case report describes a 21-year-old man with bipolar disorder and cannabis use disorder who developed paranoid and persecutory delusions shortly after a video he posted went viral, worsened by an arrest that led to insomnia, withdrawal, hypervigilance, and the belief that he and his family were in danger. During hospitalization, he described feeling as if his life was being broadcast, an organizing explanation for his distress. His decompensation reflected inconsistent antipsychotic adherence, daily cannabis use, a traumatic arrest, and viral visibility. The shift from grandiosity to guilt to projected threat suggests paranoid-schizoid regression triggered by the online virality. Symptoms improved with antipsychotic optimization. This case underscores the need to assess digit platform use when evaluating psychotic decompensation.
– Name: SubjectMinor
  Label: Contributed Indexing
  Group:
  Data: <i>Keywords: </i>ego destabilization; fantasy; online virality; psychosis
– Name: NumberCAS
  Label: Substance Nomenclature
  Group: ID
  Data: 0 (Antipsychotic Agents)
– Name: DateEntry
  Label: Entry Date(s)
  Group: Date
  Data: <i>Date Created: </i>20260921 <i>Date Completed: </i>20260921 <i>Latest Revision: </i>20260921
– Name: DateUpdate
  Label: Update Code
  Group: Date
  Data: 20260922
– Name: DOI
  Label: DOI
  Group: ID
  Data: 10.1521/prev.2026.113.3.259
– Name: AN
  Label: PMID
  Group: ID
  Data: 42766403
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=cmedm&AN=42766403
RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1521/prev.2026.113.3.259
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        StartPage: 259
    Subjects:
      – SubjectFull: Antipsychotic Agents therapeutic use
        Type: general
      – SubjectFull: Humans
        Type: general
      – SubjectFull: Male
        Type: general
      – SubjectFull: Young Adult
        Type: general
      – SubjectFull: Digital Media
        Type: general
      – SubjectFull: Delusions psychology
        Type: general
      – SubjectFull: Delusions etiology
        Type: general
      – SubjectFull: Paranoid Disorders psychology
        Type: general
      – SubjectFull: Bipolar Disorder psychology
        Type: general
      – SubjectFull: Bipolar Disorder complications
        Type: general
      – SubjectFull: Marijuana Abuse psychology
        Type: general
      – SubjectFull: Marijuana Abuse complications
        Type: general
    Titles:
      – TitleFull: Online Virality as a Persecutory Experience: A Psychodynamic Case Study.
        Type: main
  BibRelationships:
    HasContributorRelationships:
      – PersonEntity:
          Name:
            NameFull: Appel G
      – PersonEntity:
          Name:
            NameFull: Garrett M
      – PersonEntity:
          Name:
            NameFull: Greenstein S
      – PersonEntity:
          Name:
            NameFull: Srivastava A
    IsPartOfRelationships:
      – BibEntity:
          Dates:
            – D: 01
              M: 09
              Text: 2026 Sep
              Type: published
              Y: 2026
          Identifiers:
            – Type: issn-electronic
              Value: 1943-3301
          Numbering:
            – Type: volume
              Value: 113
            – Type: issue
              Value: 3
          Titles:
            – TitleFull: Psychoanalytic review
              Type: main
ResultId 1