{ "model": { "rank": 6451, "code": "thing-q105434", "model_id": "vr.tr.hypochondriasis", "name": "hypochondriasis", "purpose": "Let an agent explain hypochondriasis and health anxiety in general terms from psychiatric sources, describe classification, causes and treatment, distinguish health anxiety from body dysmorphic disorder and from justified medical concern, and route personal concerns to clinicians.", "family": "Thing Registry", "category": "Cross-cutting context", "status": "research-draft", "kind": "thing", "plane": "XCT", "domain": "XCT.STA", "industry": "", "version": "", "url": "/models/thing/q105434/", "tier": 2, "score": 60, "payload": { "layer": "wikidata", "aliases": [ "delusional dysmorphophobia", "body dysmorphic disorder", "cyberchondria", "Snapchat dysmorphia", "Barbie syndrome", "muscle dysmorphia", "penile dysmorphic disorder" ], "aliasCount": 7, "merged": 7, "knownIn": 60, "facets": null, "markers": [], "lexicalClass": "", "senseRank": null, "alsoRegisteredAs": null, "source": { "dataset": "wikidata", "item": "Q105434", "url": "https://www.wikidata.org/wiki/Q105434", "license": "CC0 1.0" } }, "research": { "vercy": "1.0-draft", "publication": { "status": "research-draft", "adjudicationStatus": "unreviewed", "publishableCanonical": false, "generatedAt": "2026-09-13T04:20:51Z", "providers": [ "Claude" ], "breadth": "written by Claude from model knowledge without web access - no source was read, every claim is a lead to verify", "pass": 2, "wave": 3, "engine": "claude" }, "metaModel": { "id": "THING-Q105434", "registryId": "vr.tr.hypochondriasis", "name": "hypochondriasis", "version": "0.2.0-wave.3", "entryKind": "thing", "family": "Thing Registry", "domain": [ "XCT.STA" ], "status": "research-draft" }, "canonicalUrl": "https://ver.cy/models/thing/q105434/", "model": { "registry_id": "vr.tr.hypochondriasis", "name": "hypochondriasis", "purpose": "Let an agent explain hypochondriasis and health anxiety in general terms from psychiatric sources, describe classification, causes and treatment, distinguish health anxiety from body dysmorphic disorder and from justified medical concern, and route personal concerns to clinicians.", "definition": "A condition marked by persistent preoccupation with having or acquiring a serious illness despite little or no medical evidence, now classified as illness anxiety disorder or health anxiety and grouped with somatic symptom disorders and the obsessive-compulsive spectrum, with modern forms such as cyberchondria driven by online searching; related but distinct conditions include body dysmorphic disorder and its variants such as muscle dysmorphia, and media terms such as Snapchat dysmorphia and Barbie syndrome describe appearance concerns rather than illness anxiety.", "what_it_is_for": "Not applicable; a mental health condition.", "affordances": [ "explain the condition", "relay classification and treatment", "distinguish related conditions", "route personal concerns" ], "distinguishing_features": [ "Illness preoccupation", "Reassurance seeking or avoidance", "Treatable with CBT", "Reclassified diagnosis" ], "appearance": "Not a visible object; persistent worry about illness.", "visual_identification": [ "Excessive fear of having a serious illness", "Illness anxiety disorder, health anxiety, cyberchondria; body dysmorphic disorder and muscle dysmorphia as related conditions", "Reasonable concern about symptoms is not a disorder; somatic symptom disorder involves distressing symptoms" ], "physical_properties": [ { "quantity": "prevalence of health anxiety", "typical_range": "about 3-5", "unit": "percent", "note": "estimates vary" }, { "quantity": "DSM-5 reclassification", "typical_range": "2013", "unit": "year", "note": "into illness anxiety disorder and somatic symptom disorder" } ], "families_and_kinds": [ "illness anxiety disorder or health anxiety", "somatic symptom disorder with health anxiety features", "cyberchondria", "body dysmorphic disorder and muscle dysmorphia as related obsessive-compulsive spectrum conditions", "media terms such as Snapchat dysmorphia and Barbie syndrome for appearance concerns" ], "related_models": [ { "relation": "is a kind of", "target": "somatic symptom disorder", "why": "in registry terms" }, { "relation": "is a kind of", "target": "obsessive-compulsive spectrum", "why": "in registry terms" }, { "relation": "is a kind of", "target": "nosophobia", "why": "in registry terms" }, { "relation": "is treated by", "target": "cognitive behavioral therapy", "why": "as first-line treatment" } ], "identifiers": [ { "scheme": "ICD-11", "value_or_pattern": "6B23", "note": "hypochondriasis" }, { "scheme": "MeSH", "value_or_pattern": "D006998", "note": "hypochondriasis" } ], "standards_and_regulation": [ "Diagnostic criteria in ICD-11 and DSM-5", "Clinical guidelines on health anxiety treatment" ], "failure_modes_and_hazards": [ "Agents giving personal diagnosis or dismissing real symptoms", "Stigma from the older term hypochondriac", "Confusing health anxiety with body dysmorphic disorder" ], "in_scope": [], "out_of_scope": [], "characteristics": [] }, "sources": [], "structure": { "bundles": [ { "id": "help", "name": "Help", "description": "Support first.", "rationale": "Safety.", "layers": [ { "id": "crisis", "name": "Crisis", "description": "Crisis support.", "findings": [ { "id": "crisis-finding", "name": "Crisis", "description": "Crisis.", "questions": [ { "text": "What support exists for someone in severe distress about their health or appearance?", "kind": "action" }, { "text": "Is the user in crisis, which needs immediate support services?", "kind": "boundary" } ] } ] }, { "id": "care", "name": "Care", "description": "Getting help.", "findings": [ { "id": "care-finding", "name": "Care", "description": "Care.", "questions": [ { "text": "How can someone seek assessment for health anxiety, and how are physical symptoms also properly checked?", "kind": "provenance" }, { "text": "Is the user asking about their own symptoms or worries, which need a clinician?", "kind": "boundary" } ] } ] } ] }, { "id": "understand", "name": "Understand", "description": "The condition.", "rationale": "Clinical.", "layers": [ { "id": "definition", "name": "Definition", "description": "Definition and classification.", "findings": [ { "id": "definition-finding", "name": "Definition", "description": "Definition.", "questions": [ { "text": "What is hypochondriasis or illness anxiety disorder, and how did DSM-5 and ICD-11 reclassify it?", "kind": "definition" }, { "text": "Is the question about health anxiety, body dysmorphic disorder or reasonable medical concern?", "kind": "boundary" } ] } ] }, { "id": "related", "name": "Related", "description": "Related conditions.", "findings": [ { "id": "related-finding", "name": "Related", "description": "Related.", "questions": [ { "text": "How do body dysmorphic disorder, muscle dysmorphia and media terms such as Snapchat dysmorphia differ from health anxiety?", "kind": "definition" }, { "text": "Which entry fits the specific condition?", "kind": "action" } ] } ] } ] }, { "id": "treat", "name": "Treat", "description": "Causes and treatment.", "rationale": "Clinical.", "layers": [ { "id": "causes", "name": "Causes", "description": "Causes.", "findings": [ { "id": "causes-finding", "name": "Causes", "description": "Causes.", "questions": [ { "text": "What factors contribute to health anxiety, including cyberchondria, with research attributed?", "kind": "provenance" }, { "text": "Which references are standard?", "kind": "provenance" } ] } ] }, { "id": "treatment", "name": "Treatment", "description": "Treatment.", "findings": [ { "id": "treatment-finding", "name": "Treatment", "description": "Treatment.", "questions": [ { "text": "What treatments such as CBT and medication do guidelines recommend, in general terms?", "kind": "provenance" }, { "text": "Which sources are cited?", "kind": "provenance" } ] } ] } ] }, { "id": "context", "name": "Context", "description": "History and society.", "rationale": "Context.", "layers": [ { "id": "history", "name": "History", "description": "History.", "findings": [ { "id": "history-finding", "name": "History", "description": "History.", "questions": [ { "text": "How has hypochondria been understood from ancient humoral theory to modern psychiatry?", "kind": "provenance" }, { "text": "Which entry fits the history of psychiatry?", "kind": "action" } ] } ] }, { "id": "society", "name": "Society", "description": "Society and media.", "findings": [ { "id": "society-finding", "name": "Society", "description": "Society.", "questions": [ { "text": "How do online health information and social media shape health and appearance anxieties, with findings attributed?", "kind": "provenance" }, { "text": "Which entry fits cyberchondria?", "kind": "action" } ] } ] } ] } ] }, "openQuestions": [ "Should body dysmorphic disorder be a separate primary entry?", "How should clinical guidelines be linked?", "The registry entry has merged aliases naming distinct disorders and media terms; should they be split off?" ], "statistics": { "bundles": 4, "layers": 8, "findings": 8, "questions": 16 } }, "draft": { "generator": "vr.draft.v3", "status": "draft-generated", "researched": false, "archetype": "abstract concept", "method": "Written from the archetype playbook - what this kind of thing needs beyond identity and provenance - and from the structure that recurred across 6,333 models already researched by two engines. Applied to this entry by rule. No source was read for this thing and no claim here is researched. This entry carries no facets of its own, so they were inferred from its domain - a guess about a whole domain applied to one thing.", "facetsInferred": true, "nextPass": "A researcher replaces this draft with a sourced specification. Treat every sentence below as a proposal to argue with.", "purpose": "Give an agent a durable, checkable way to recognise a hypochondriasis, record what state it is in, and decide what may be done with it.", "whatItIs": "Let an agent explain hypochondriasis and health anxiety in general terms from psychiatric sources, describe classification, causes and treatment, distinguish health anxiety from body dysmorphic disorder and from justified medical concern, and route personal concerns to clinicians.", "characteristics": { "substance": "abstract", "origin": "conceptual", "agency": "inert" }, "whatYouCanDoWithIt": [ "observed and measured" ], "distinguishingFeatures": [ "Names folded into this entry, which a task may need to split apart again: delusional dysmorphophobia, body dysmorphic disorder, cyberchondria, Snapchat dysmorphia, Barbie syndrome, muscle dysmorphia, penile dysmorphic disorder.", "7 finer distinctions are held as aliases rather than separate entries, because telling them apart needs a task that asks for it.", "Described in 60 Wikipedia languages, which is a measure of how widely the thing is known, not of how important it is." ], "openQuestionsForResearch": [ "Which of the bundles below does a real task actually need, and which are ceremony?", "What does this thing have that the facets do not capture at all?", "Which neighbouring kind is most often confused with a hypochondriasis, and on what evidence are they told apart?" ], "whatItIsMadeOf": "an abstraction with no physical instance", "physicalCharacter": [ "Does nothing on its own; everything it does, something else did to it.", "These come from the domain this entry sits in rather than from the entry itself, so treat them as a first guess about the whole domain applied to one thing." ], "whatCanBeDoneWithIt": [ "observe it, measure it, record its state" ], "howItIsRecognised": [ "Nothing to see. What is recognised is an instance of it, and which instances count is exactly what is argued about." ], "relatedModels": [ { "relation": "covers", "note": "Finer kinds folded into this entry because telling them apart needs a task that asks for it. Each is a model waiting to be split out when one does.", "targets": [ "delusional dysmorphophobia", "body dysmorphic disorder", "cyberchondria", "Snapchat dysmorphia", "Barbie syndrome", "muscle dysmorphia", "penile dysmorphic disorder" ] } ], "standing": "Described in 60 Wikipedia languages, which measures how widely it is written about rather than how important or how common it is. 7 finer distinctions are held inside this entry as names rather than as separate models.", "structure": { "bundles": [ { "id": "identity-and-classification", "name": "Identity, naming and classification", "description": "How an agent tells one hypochondriasis from another, and a hypochondriasis from things that resemble it.", "rationale": "Recognition comes before every other claim. Without stable identity nothing else in the model can be trusted to be about the same thing twice.", "layers": [ { "id": "naming-and-identifiers", "name": "Names and identifiers", "description": "The names this thing goes by and the identifiers that survive translation and time.", "findings": [ { "id": "preferred-name-and-aliases", "name": "Preferred name, aliases and local names", "description": "Which name to use, which names mean the same thing, and which merely sound similar.", "questions": [ { "id": "preferred-name-and-aliases-q01", "text": "What identifies and describes the name of a hypochondriasis, and in what units or vocabulary?", "kind": "definition", "answer_data": [ "identifiers", "types and classes", "values with units", "explicit unknowns" ] }, { "id": "preferred-name-and-aliases-q02", "text": "Who or what asserted this about the name of a hypochondriasis, by which method, and when was it true?", "kind": "provenance", "answer_data": [ "authority", "method", "evidence", "event time", "knowledge time" ] }, { "id": "preferred-name-and-aliases-q03", "text": "What may an agent decide or do once the name of a hypochondriasis is known, and what must it refuse?", "kind": "action", "answer_data": [ "permitted actions", "preconditions", "refusals", "escalation" ] } ] }, { "id": "stable-identifiers", "name": "Stable identifiers and external keys", "description": "Identifiers that keep pointing at this kind of thing across systems and languages.", "questions": [ { "id": "stable-identifiers-q01", "text": "What identifies and describes an identifier for a hypochondriasis, and in what units or vocabulary?", "kind": "definition", "answer_data": [ "identifiers", "types and classes", "values with units", "explicit unknowns" ] }, { "id": "stable-identifiers-q02", "text": "Who or what asserted this about an identifier for a hypochondriasis, by which method, and when was it true?", "kind": "provenance", "answer_data": [ "authority", "method", "evidence", "event time", "knowledge time" ] }, { "id": "stable-identifiers-q03", "text": "What may an agent decide or do once an identifier for a hypochondriasis is known, and what must it refuse?", "kind": "action", "answer_data": [ "permitted actions", "preconditions", "refusals", "escalation" ] } ] } ] }, { "id": "classification-and-granularity", "name": "Classification and granularity", "description": "Where a hypochondriasis sits among kinds, and how finely a task needs to cut it.", "findings": [ { "id": "kind-and-parents", "name": "Kind, parents and neighbouring kinds", "description": "The classes this thing belongs to and the ones it is next to.", "questions": [ { "id": "kind-and-parents-q01", "text": "What identifies and describes the kind of a hypochondriasis, and in what units or vocabulary?", "kind": "definition", "answer_data": [ "identifiers", "types and classes", "values with units", "explicit unknowns" ] }, { "id": "kind-and-parents-q02", "text": "Who or what asserted this about the kind of a hypochondriasis, by which method, and when was it true?", "kind": "provenance", "answer_data": [ "authority", "method", "evidence", "event time", "knowledge time" ] }, { "id": "kind-and-parents-q03", "text": "What may an agent decide or do once the kind of a hypochondriasis is known, and what must it refuse?", "kind": "action", "answer_data": [ "permitted actions", "preconditions", "refusals", "escalation" ] } ] }, { "id": "distinguishing-features", "name": "Distinguishing features", "description": "What separates a hypochondriasis from the things most often confused with it.", "questions": [ { "id": "distinguishing-features-q01", "text": "What identifies and describes what distinguishes a hypochondriasis, and in what units or vocabulary?", "kind": "definition", "answer_data": [ "identifiers", "types and classes", "values with units", "explicit unknowns" ] }, { "id": "distinguishing-features-q02", "text": "Who or what asserted this about what distinguishes a hypochondriasis, by which method, and when was it true?", "kind": "provenance", "answer_data": [ "authority", "method", "evidence", "event time", "knowledge time" ] }, { "id": "distinguishing-features-q03", "text": "What may an agent decide or do once what distinguishes a hypochondriasis is known, and what must it refuse?", "kind": "action", "answer_data": [ "permitted actions", "preconditions", "refusals", "escalation" ] } ] } ] } ] }, { "id": "state-and-lifecycle", "name": "State and lifecycle", "description": "The states a hypochondriasis passes through and the events that move it between them.", "rationale": "Most decisions about a thing depend on what state it is in now, which is a claim with a time on it, not a property.", "layers": [ { "id": "lifecycle-stages", "name": "Lifecycle stages", "description": "From coming into existence to ceasing to be one of these.", "findings": [ { "id": "stages-and-transitions", "name": "Stages and transitions", "description": "The stages worth naming and what moves a hypochondriasis between them.", "questions": [ { "id": "stages-and-transitions-q01", "text": "What identifies and describes the lifecycle of a hypochondriasis, and in what units or vocabulary?", "kind": "definition", "answer_data": [ "identifiers", "types and classes", "values with units", "explicit unknowns" ] }, { "id": "stages-and-transitions-q02", "text": "Who or what asserted this about the lifecycle of a hypochondriasis, by which method, and when was it true?", "kind": "provenance", "answer_data": [ "authority", "method", "evidence", "event time", "knowledge time" ] }, { "id": "stages-and-transitions-q03", "text": "What may an agent decide or do once the lifecycle of a hypochondriasis is known, and what must it refuse?", "kind": "action", "answer_data": [ "permitted actions", "preconditions", "refusals", "escalation" ] } ] } ] }, { "id": "observations-and-status", "name": "Observations and current status", "description": "What is observed about a hypochondriasis, how often and by whom.", "findings": [ { "id": "observation-record", "name": "Observation record", "description": "How an observation of a hypochondriasis is recorded so that it can be superseded rather than overwritten.", "questions": [ { "id": "observation-record-q01", "text": "What identifies and describes an observation of a hypochondriasis, and in what units or vocabulary?", "kind": "definition", "answer_data": [ "identifiers", "types and classes", "values with units", "explicit unknowns" ] }, { "id": "observation-record-q02", "text": "Who or what asserted this about an observation of a hypochondriasis, by which method, and when was it true?", "kind": "provenance", "answer_data": [ "authority", "method", "evidence", "event time", "knowledge time" ] }, { "id": "observation-record-q03", "text": "What may an agent decide or do once an observation of a hypochondriasis is known, and what must it refuse?", "kind": "action", "answer_data": [ "permitted actions", "preconditions", "refusals", "escalation" ] } ] } ] } ] }, { "id": "definitions-in-contest", "name": "Definitions and who holds them", "description": "What hypochondriasis is taken to mean, and by whom.", "rationale": "When a field disagrees about a concept, the disagreement is the content. A model that picks one definition silently destroys the information.", "layers": [ { "id": "competing-definitions", "name": "Competing definitions", "description": "The main readings and the traditions behind them.", "findings": [ { "id": "definition-map", "name": "Definitions and their holders", "description": "Each definition with the school or body that holds it.", "questions": [ { "id": "definition-map-q01", "text": "Which definitions of hypochondriasis are in use, and which tradition or body holds each?", "kind": "definition" }, { "id": "definition-map-q02", "text": "What turns on the difference between them in practice?", "kind": "boundary" } ] } ] }, { "id": "operationalisation", "name": "Operationalisation", "description": "How it is measured or applied when it has to be.", "findings": [ { "id": "operational-record", "name": "Measures and proxies", "description": "Instruments and indicators used to stand in for it.", "questions": [ { "id": "operational-record-q01", "text": "How is hypochondriasis operationalised or measured in practice, and by what instrument?", "kind": "measurement" }, { "id": "operational-record-q02", "text": "What does that operationalisation leave out, and when does that matter?", "kind": "boundary" } ] } ] } ] }, { "id": "instances-and-use", "name": "Instances, use and consequence", "description": "What counts as an instance of hypochondriasis and what follows from calling something that.", "rationale": "Applying a concept is an act with consequences, so a model must say what the label licenses and what it does not.", "layers": [ { "id": "instances", "name": "What counts as an instance", "description": "Clear cases, borderline cases and non-cases.", "findings": [ { "id": "instance-tests", "name": "Tests for an instance", "description": "What would settle whether something falls under it.", "questions": [ { "id": "instance-tests-q01", "text": "What would settle whether something is an instance of hypochondriasis?", "kind": "boundary" }, { "id": "instance-tests-q02", "text": "Which borderline cases are argued about, and on what grounds?", "kind": "definition" } ] } ] }, { "id": "consequence", "name": "Consequence of application", "description": "Rights, duties or decisions that follow from the label.", "findings": [ { "id": "consequence-record", "name": "What the label licenses", "description": "What an agent may do once something is classified this way.", "questions": [ { "id": "consequence-record-q01", "text": "What follows practically once something is treated as hypochondriasis?", "kind": "action" }, { "id": "consequence-record-q02", "text": "What must an agent not infer from the label alone?", "kind": "action" } ] } ] } ] }, { "id": "provenance-and-evidence", "name": "Provenance, evidence and time", "description": "Where every claim about a hypochondriasis came from and when it held.", "rationale": "A claim without a source and a time cannot be superseded, only overwritten, and an agent that overwrites loses the ability to explain itself.", "layers": [ { "id": "source-and-authority", "name": "Source and authority", "description": "Who said it, on what evidence, and how strongly.", "findings": [ { "id": "claim-provenance", "name": "Claim provenance and confidence", "description": "The authority behind each claim about a hypochondriasis and how confident it is.", "questions": [ { "id": "claim-provenance-q01", "text": "What identifies and describes a claim about a hypochondriasis, and in what units or vocabulary?", "kind": "definition", "answer_data": [ "identifiers", "types and classes", "values with units", "explicit unknowns" ] }, { "id": "claim-provenance-q02", "text": "Who or what asserted this about a claim about a hypochondriasis, by which method, and when was it true?", "kind": "provenance", "answer_data": [ "authority", "method", "evidence", "event time", "knowledge time" ] }, { "id": "claim-provenance-q03", "text": "What may an agent decide or do once a claim about a hypochondriasis is known, and what must it refuse?", "kind": "action", "answer_data": [ "permitted actions", "preconditions", "refusals", "escalation" ] } ] } ] }, { "id": "time-and-versions", "name": "Time, versions and supersession", "description": "When a claim was true, when it was learnt, and what replaced it.", "findings": [ { "id": "validity-and-supersession", "name": "Validity period and supersession", "description": "How an old claim about a hypochondriasis is retired without being erased.", "questions": [ { "id": "validity-and-supersession-q01", "text": "What identifies and describes the validity of a claim about a hypochondriasis, and in what units or vocabulary?", "kind": "definition", "answer_data": [ "identifiers", "types and classes", "values with units", "explicit unknowns" ] }, { "id": "validity-and-supersession-q02", "text": "Who or what asserted this about the validity of a claim about a hypochondriasis, by which method, and when was it true?", "kind": "provenance", "answer_data": [ "authority", "method", "evidence", "event time", "knowledge time" ] }, { "id": "validity-and-supersession-q03", "text": "What may an agent decide or do once the validity of a claim about a hypochondriasis is known, and what must it refuse?", "kind": "action", "answer_data": [ "permitted actions", "preconditions", "refusals", "escalation" ] } ] } ] } ] } ] }, "statistics": { "bundles": 5, "layers": 10, "findings": 12, "questions": 32 } } } }