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A 56-year-old man is referred by his employer after lodging a third complaint alleging that colleagues are conspiring to have him dismissed. He keeps a dated folder of their remarks, has not spoken to his brother for eleven years over something said at a wedding, and checks his wife's phone because he believes she is unfaithful, though he can point to nothing. Asked whether he might be reading too much into things, he pauses and concedes that he might be. He hears no voices and his work is competent. Which one of the following best accounts for his presentation?
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