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Harvey has bizarre ideas, believing, for example, that his arms are decomposing. He has frequent hallucinations in which he sees his arms losing flesh and believes this is punishment for having brushed up against a strange woman in a store several years before. Harvey has completely neglected his personal hygiene, never bathing or putting on clean clothes. He seems unaware of what is going on around him, frequently laughing and giggling for no apparent reason. Which of the following diagnoses would best fit Harvey?
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