The last time I was in hospital my internal world was basically nuked by meds. Everything I had been thinking about, complex webs of ideas and concepts I had come up with all disappeared and all that was left was the reality of the hospital. I guess it’s caused by sz that I’m an inward directed person, so largely the stuff I am thinking about is more often the significant reality, opposed to the outside world which is mundane and boring. Since being hospitalized the last time it has been difficult to rebuild an internal world as thinking is difficult, so reality is kind of just perceptions of daily life rather than having my own lens of analysis and critical thought applied to everything.
Sure, a lot of the thinking was odd, transcendent, critical, cynical, and maladaptive etc. but that was my world, and the reality that replaced it was sterile, austere, disciplinary and ugly in so many ways. Definitely psychiatry should not be about imposing realities but treating symptoms of illness, but the medical practice seems to try to align a person with a very conformist and ultraconservative interpretation of reality. Treating symptoms is all that should be expected of medicine, but imposing realities is getting political and approaches persecutory.
Yes, the entire cultivation of someone’s internal world can be the result of schizophrenia, but to try to impose another reality on it denies that person having had any agency at all in shaping it. Negative symptoms could influence a person to have ideas against work ethic and industry, but whether that person develops those ideas is completely their own will and not schizophrenia. Upon meeting a medical professional and expressing these kind of irrational, maladaptive and nonconformist ideas will likely result in an attempt to nuke their internal world, and establish the cold environs of the clinic.