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This could be referring to dissociation, which is a state of mind where someone may feel like they are watching their life before their eyes through a screen, or that they don't really feel anything at all. Or maybe when they're walking down the street they feel like a ghost, that they've floated out of their body. But in psychotic terms, this is may extend to the point of a hallucination, that the person has seen or hear something that is not real, and the delusion, where they believe it is real and is happening to them, and that it might signify something when it doesn't.

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Q: What is 'out of touch with reality'?
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