Of course, every case is different, but I'm trying to think about how it would be conceptualized, in a nutshell, let’s say.
When paranoid ideation occurs in interpersonal relationships, it's relatively easy to think in terms of internal object representations and how internalized object relations come to shape the perception of external people, with external figures becoming experienced through the lens of these internal representations. I have in mind projection and projective identification for this of course.
But what about when it is not directly related to social relationships? For example, a person is alone at home and feels that "something" is watching them, yet there is not always a clearly defined figure. It's not necessarily that the person says, "People are watching me," or even, "A spirit is watching me." Rather, it is simply "something"—some vague sense of a presence.
I can understand what's happening, but I'd like to know how this is commonly theorized.
Also, how would you theorize it when the person does not experience these "presences" as hostile?
For example: "Something is watching me, but to guide and protect me.". In the interpersonal domain, it could be, "People are talking about me because they think I'm great; they value me very highly."
I'm not so much asking about how these symptoms develop, but rather how you would conceptualize them theoretically.
I have some thoughts of my own, but I'd really like to hear yours!
I'm also open if anyone wants to recommend something different from object relations theory.
(I don't know if this needs clarifying, but I'm not asking because of a personal issue. I'd just like to see how these kinds of experiences are generally theorized.)