{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T16:26:08Z","timestamp":1753892768006,"version":"3.41.2"},"reference-count":126,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2024,1,10]],"date-time":"2024-01-10T00:00:00Z","timestamp":1704844800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Psychiatry"],"abstract":"<jats:p>Wherever psychopathology operates with the concept of (disorders of) the self and personality, it can address the role of the intuitive access we have toward ourselves, others, and the world. This study discusses the concept of <jats:italic>oikei\u00f4sis<\/jats:italic>. It examines its role in explaining paranoia as a change in <jats:italic>intuitive<\/jats:italic> self-and-world relatedness. In the first <jats:italic>step<\/jats:italic>, symptomatic features of paranoid personality disorder are sketched, with a focus on the explanatory role of attentional and interpretative biases, which correlate with significant changes in intuitive processing. In the second <jats:italic>step<\/jats:italic>, the prototypical phenomenality of feelings of unfamiliarity and mistrust are discussed against the backdrop of changes of oikei\u00f4sis in paranoid personality disorder. In the <jats:italic>third step<\/jats:italic>, the main therapeutic challenge in treating paranoid personality disorder\u2014building a trustful relationship\u2014is explored. 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