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Leftism
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There's a gradient. Most mental health issues allow people to retain will and discern over reality. But there are some disorders and mental issues that hamper the ability to tell reality from fantasy, some completely detach the person's perception from the real world. Hallucinations and delirium can have disease awareness or not (the person is aware they are hallucinating). When you lose that, then there's no way of telling which behavior is conscious decision and which is a reaction to delirium. There's even disordered behavior, when the brain just no longer responds to the prefrontal cortex and the person is just not there. She seems to be a tad gone if she thinks that Kamala Harris is a clone controlled by Obama. You could replace them with a goblin controlled by Satan, and it's just as irrational. Hallucinations and delirium are culturally sensitive and take form according to locally relevant symbols and themes. She is definitely no longer in touch with reality.