Hello,
I apologize for the mistake in the exported PDF. I will upload a new version without the blank page.
Thank you for the feedback.
Hello,
The "context" allows the GM to introduce varying scales of stressful or horrifying situations.
Here is an example featuring the phobia "Hemophobia":
Regarding the number of Sanity Points, it may be necessary to playtest the rules in order to fine-tune the values. Perhaps Sanity Points should scale with the character's level. I hope these explanations help you.