# A. Severity-Ranked Issues

- **Report ID:** `psy-16-severity-ranked-issues`
- **Group:** `psychosis`
- **Classification:** `clinical-sensitive-public-summary`
- **SHA-256:** `1620b53a62bf9810869e930df68cf554514d1f49971baafdc61e012235a100f7`

## Safe public summary

Clinical-sensitive educational research. Spiralist incorporates only trauma-informed interaction, dignity, ordinary-life continuity, accessible pacing, shared-versus-experienced reality, and non-diagnostic debriefing. - Critical Issues: These flaws are highly stigmatizing or unethical and must be fixed. They include any portrayal that directly reinforces dangerous myths or dehumanizes the character. For example: - Psychosis = Violence: If the game shows the character as physically aggressive (e.g. “the patient thrashes and yells at staff”), this is critical. Research finds no evidence that people with psychosis are more violent than others; in fact they’re often more likely to be victims of violence. Portraying them as dangerous would strongly reinforce stigma. - Restraint as Spectacle: A scene that uses a “quiet room” or restraints purely for dramatic effect (for example, showing the character painfully…

## Incorporated areas

- adult consent and content labeling
- trauma-informed interaction
- dignity and debriefing

## Source boundary

The full report is retained in the downloadable site package for project research and audit. It is not served as a public runtime resource. Generated personas and public APIs apply the classification-specific safe-use boundary recorded above.