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Does anyone have thoughts about avoiding failure modes of this sort?

Meredith from Status451 here. I've been through a few psychotic episodes of my own, often with paranoid features, for reasons wholly unrelated to anything being discussed at the object-level here; they're unpleasant enough, both while they're going on and while cleaning up the mess afterward, that I have strong incentives to figure out how to avoid these kinds of failure modes! The patterns I've noticed are, of course, only from my own experience, but maybe relating them will be helpful.

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