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Notes -
I'm someone (a man) who has definitely experienced the twin phenomena of (1) violent intrusive thoughts, including towards my loved ones, and (2) a general lowering of my impulse control in situations where I am stressed or distressed.
Now, (2) has (fortunately) never led me to actually acting out anything that occurs in (1) but I can imagine how it could if the stress or distress were severe enough.
To cohere with your model I think the kind of intrusive thoughts I and the TikTokers talk about would be part of that "perfect storm" of bad things. After all, to do evil things you have to have some idea of what those things are (which may include self harm) and how to do them.
From the lack-of-agency perspective I think it's common to describe people in heightened emotional states such that they aren't acting rationally as lacking in agency. Sometimes we even recognize this lack of agency in the law. For example killing someone may not be murder depending in part on the emotional state you were in when it occurred and what caused that emotional state.
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