Today's schizophrenics hallucinate different things than those of your grandparents' time

Ugg. Too much philosophizing. Schizophrenia, bipolar disorder, and other conditions that cause psychosis are medical conditions, not a philosophical problem. The first half of this essay appropriately discusses how culture affects these conditions, but the author still had to go on and philosophize about it:

“Leaks and exposés continually undermine our assumptions about what we
are revealing and to whom, how far our actions are being monitored and
our thoughts being transmitted. We manipulate our identities and are
manipulated by unknown others. We cannot reliably distinguish the real
from the fake, or the private from the public.”

No, no, no! Psychosis isn’t a philosophical issue. If it was, then it wouldn’t need to be treated. And yes, most people can reliably distinguish the real from the fake, and the private from the public. The problem with psychosis is that it causes distress and disability. When you experience psychosis you can’t function. This is why you treat it. I’ve experienced mild forms of psychosis several times. It was among the worst experiences of my life–complete and utter hell. I wasn’t thinking about the philosophy of the Truman Show or the Matrix, like the author wants to discuss. I questioned reality, but not abstractly and calmly.

I get it that when people talk about psychosis they want to talk about detachment from reality and then go on to the epistemological and metaphysical conclusions. But I can have that discussion right now without losing my ability to function or being in severe distress. I can question whether I’m in the Matrix or on the Truman Show without feeling an ounce of terror. When you are experiencing psychosis, YOU CAN NOT. Psychosis is a medical condition only. It doesn’t hide some greater truth.

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