A schizophrenic patient assumes, of course, a subservient or somehow complicit role with their psychiatrist, and with other medical professionals. This is important, it is necessary. It has helped me to seek treatment, and to remain on my prescribed medication.
There have been other benefits of treatment, as well as case-management. My psychiatrist helped to convince me to quit smoking. I am very grateful to her for that, and glad that I did. Several of my case managers suggested that I seek employment, which I did– and years later, I am happily and gainfully working.
Just the same, as a patient, I feel I need to meet the doctors and caseworkers halfway. At least halfway. I have to put forth an effort, too. It is wrong to expect others to spoon feed me everything I need in life and all I need to know.
Although I am schizophrenic, I still need to work hard, pay my bills and taxes, and live up to my various obligations. I recognize that there may be patients so incapacitated that they are unable to do these things, but I would recommend that mid- to high- functioning mentally ill people try to push their boundaries to see if they can handle more responsibility.
I would suggest that many people are capable of more than they realize.
It’s ok to hope for a miracle, but it takes effort, experience, and understanding to make things happen in the “real” world. Mentally ill people need to be more– gulp– self-reliant.
A Schizophrenic Perspective 