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