Neurological symptoms without organic basis — motor, sensory, seizure-type. Requires: ≥4 symptom criteria, absence of organic pathology, ≥2 of 4 associated characteristics (la belle indifférence, histrionic features, stress precipitation, symptom modelling).

Symptoms resembling physical illness experienced or observed in others. Accompanied by significant changes in: physical/emotional reactions, productivity, relationships, or worldview. Distress present. No organic pathology.

Sleep disruption, generalised anxiety, irritability, sadness, demoralization, lack of energy, dizziness. Significant functional impairment. Associated with identifiable stressor within 6 months exceeding individual coping capacity.

≥6 functional symptoms from ≥2 organ systems (cardiovascular, respiratory, GI, urogenital, skin, pain) persisting ≥3 months. Accompanied by autonomic arousal (palpitations, tremor, flushing, sweating) or exaggerated medication side effects indicating low pain threshold.

≥3 of 6 criteria: inability to describe emotions; describes circumstances rather than feelings; lacks fantasy life; thought content externally focused; unaware of somatic correlates of emotion; occasional violent affective outbursts.

≥5 of 9: excessive work engagement; pervasive time urgency; motor-expressive features under time pressure; hostility/cynicism; irritability; accelerated physical and mental activity; high achievement drive; high competitiveness.

Patient habitually restrains reactions to secure relationship — even to the detriment of their own interests and comfort. Maps onto the BZE's agency suppression mechanism: relational safety is present but purchased at the cost of telic drive.

Includes hypochondriasis (misinterpretation of symptoms as serious disease ≥6 months), disease phobia (specific disease fear, attack-form), thanatophobia (groundless fear of imminent death), or health anxiety (<6 months, readily reassured).

Macrotraumas: high concentration of significant life events (LCU >300 for 6 months or >500 for 1 year). Microtraumas: recurring reactions to discrepancy between expected and actual reality, generating ongoing tension affecting mood, physical condition, relationships, and performance.

Emotionally charged triggers, age-related reactions, or anniversaries of loss triggering autonomic arousal, functional syndromes, or conversion symptoms. Patient unaware of the association. Represents biographical temporal encoding activating present somatic response.

Ongoing suppression of emotionally charged impulses in relationships. The symptom allows discharge of the impulse or conveys a message — consciously or not. In BZE terms: agency (B) is redirected through somatic expression rather than direct action.

Excessive emotional/behavioural reaction with a conscious trigger ("every time I am expected to obey..."). Patient cannot identify underlying need without external help. Represents a high-dissipation state where narrative coherence has not yet metabolised the biographical conflict.

≥2 of 4: excessive focus on physical suffering; desperate symptom control; helpless fear of new symptoms; demands for clear diagnosis and physical treatment. Available agency is consumed by symptom monitoring rather than productive forward action.

Persistent denial of physical disorder and/or treatment need despite established diagnosis and adequate medical information. Represents a narrative coherence failure — the biographical integration mechanism rejecting information that threatens the self-model.

Helplessness (perceives self as unable to cope; lacks support; reactive capacity preserved) + duration ≥1 month + generalization. Hopelessness (C criterion): consciousness of having failed, conviction that no solutions exist. This is the clinical expression of what the BZE models as agency collapse — the multiplicative gate has closed.

Housing instability, food insecurity, inadequate healthcare access, significant financial debt generating chronic background anxiety.

Regular code-switching, experienced racism, discrimination, or systemic barriers due to race, gender, sexuality, disability, religion, or cultural identity.

Chronic exposure to noise, pollution, unsafe neighbourhood, long commute, or physically hazardous conditions that drain energy before the day begins.

Primary caregiving without adequate respite, toxic or exploitative work environment, or role demands that systematically prevent recovery.

Constant "on guard" state when moving through community. Persistent hypervigilance as a survival adaptation — the biological cost of sustained threat appraisal even in objective safety.

Yoga, somatic experiencing, body scan, breathwork, Stress Surfing, biofeedback, or other practices that directly train vagal tone and interoceptive accuracy.

Mindfulness meditation, contemplative prayer, reflective journalling, or structured awareness practices that reduce cognitive dissipation and strengthen narrative coherence.

Active engagement in psychotherapy (psychodynamic, CBT, EMDR, somatic, PPT, or other), coaching, or structured biographical integration work. Directly increases the attachment repair term and narrative coherence.

Active participation in faith community, peer support groups, professional networks, or cultural community. Measures the social scaffolding dimension of the Resources multiplier beyond individual attachment security.

Clarity of forward direction — whether grounded in personal goals, professional vocation, faith, or service. Includes vocational and spiritual sources of meaning as legitimate I_DA inputs per Frankl, Ryff, and Keyes.