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It has been suggested that a "hierarchy" of paranoia exists, extending from mild social evaluative concerns, through ideas of social reference, to persecutory beliefs concerning mild, moderate, and severe threats.

Drug-induced paranoia, associated with amphetamines, methamphetamine and similar stimulants has much in common with schizophrenic paranoia; the relationship has been under investigation since 2012.

Based on data obtained by the Dutch NEMISIS project in 2005, there was an association between impaired hearing and the onset of symptoms of psychosis, which was based on a five-year follow up.

Some older studies have actually declared that a state of paranoia can be produced in patients that were under a hypnotic state of deafness. Mc Kenna, "As a noun, paranoia denotes a disorder which has been argued in and out of existence, and whose clinical features, course, boundaries, and virtually every other aspect of which is controversial.

According to some research there is a hierarchy for paranoia.

The least common types of paranoia at the very top of the hierarchy would be those involving more serious threats.

Pathological forms reflect exaggerated perceptual biases and judgmental predispositions that can arise and perpetuate them, are reflexively caused errors similar to a self-fulfilling prophecy.

Drug-induced paranoia has a better prognosis than schizophrenic paranoia once the drug has been removed.

For further information, see stimulant psychosis and substance-induced psychosis.

Paranoid thinking typically includes persecutory, or beliefs of conspiracy concerning a perceived threat towards oneself (e.g.

the American colloquial phrase, "Everyone is out to get me").

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