Paranoia
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You are out of touch with reality, and think that everyone is plotting against you. You never trust anyone except old friends...and you keep an eye on them, too, just in case. Most people, understandably, react to you at -2. A paranoid NPC reacts at -4 toward any stranger, and any "legitimate" reaction penalty (e.g., for an unfriendly race or nationality) is doubled. Paranoia goes very well with Delusions, which of course have their own disadvantage value!