this is a savagely misguided and antiquated understanding of psychological disorders — especially schizophrenia — but let's set that aside for a moment. suppose that it were the case that one could treat schizophrenics by indulging their beliefs. suppose you could just be like "yeah man, the cia and aliens, cool beans" and doing so made them happy, productive members of their communities instead of suicidal social pariahs. would you have a problem with that treatment option?
Do I have to address said schizophrenic as 'Your Highness', will that person then be treated like a King by society and will I face criminal action and get called a bigot if I refuse to bow when said schizophrenic walks past?
It doesn't matter what happens in the mind of a trans-person. What matters is what the rest of us are compelled to do about it. If I make a Tweet saying the schizophrenic isn't really a King, should that be a hate crime? Should I lose my job or be required to make a public apology for not respecting the way that Schizophrenic self-identifies?
Hey, let's do a Thork story. Its been a while.
I actually have a friend who is a schizophrenic. Its incredibly sad for him. IRL we all call him Mental
[redacted] so for the sake of anonymity, we'll call him Mental Barry instead. He was diagnosed as suffering with "delusions of grandeur" and is currently banged up in a mental hospital, sectioned and on the strongest medication you can receive for such a disorder ... clozapine. You are only prescribed this if two other medications have already failed. Now, Mental Barry is a really nice guy which is just as well because he's fucking huge and I can tell you, he's never dull. He recently defrauded the government of £100,000 of disaster relief funds for covid, because Mental Barry believed himself to be the CEO of a clean energy company. You can see how much the government was checking these grants. 🙄 He then took the funds and bought 13 vans with it. He left them at his mother's house and she received an eviction notice. When his father tried to move one of the vans, his father got arrested because none of the vans were taxed or insured. Mental Barry then racked up enormous credit card debts buying ... I guess prepper type equipment is the best way to describe it. He thinks the world is going to end very soon. An example.
I was with him at Costco (I needed socks) and he saw a 12 man tent. "That's a great price" he remarked. "I'm going to buy it".
"You don't have 11 friends" I protested. It didn't matter. That tent, 3 cans of propane and a 10 litre industrial can of baked beans found their way into the trolley. Oh, and an enormous outdoor lock box which he could use 'to keep things safe'. He has 7 of these in his mother's garden already. Fortunately, he owned a huge van to get all that crap home ... you can't fault his logic.
Now I'm not sure what the flash point was to get him sectioned again in January. The time before, he was chased by a gang who damaged his van and when he complained to the police, they didn't take his complaint seriously and believe the gang existed. After he called them over 100 times, because you need to do that if you want them to help you, they had him sectioned again. But this time, I'm not sure yet. Maybe relevant, I was phoned by a guy who owned a boatyard. He'd been recommended to me to do a website, by Mental Barry. I asked how this potential client knew Mental Barry and he told me Mental Barry was trying to buy a £40,000 boat. So next time I see Mental Barry in the pub I ask him
"Barry, what's this I hear about you buying a boat?".
"Yeah, I'm going to keep it in a small village on the South coast".
"But Barry, we live 70 miles from the coast, why are you buying a boat?"
Mental Barry looked back at me, perplexed. His long curly black hair creating a fuzzy telephone receiver shaped halo around his face. His wild eyes flashed and he stroked his enormous unkempt Viking beard
"Why would you not buy a boat?"
I'm not often lost for words, but I didn't have an answer. I just looked into the bottom of my pint and wondered if one day Mental Barry might stab me to death. If he finds out that about a week before he was sectioned that I told his mother he was about to buy a boat, to which she exclaimed "He'll put us in the poor house, what am I to do?" ... maybe he will stab me.

Fortunately, at the moment he's extremely busy with a solicitor putting together a case to sue the police. I hope this solicitor works out for him because the last 6 have dropped his case.
Anyhoo, the point is, at no time am I ever expected to join in with Mental Barry's delusions. I'm not supposed to humour him, and far less am I supposed to egg him on. If one day Mental Barry turned around to me and exclaimed "No, I'm now Mental Bernadette and I'm going to have my nuts chopped off and throw shotputs for Great Britain" is it a hate crime if I use the wrong pronoun on her?
You see, Barry is the mental one. Not me. This dynamic seems to be lost on 'trans-patients' and yet somehow, the patients are the ones law makers and politicians side with. It must be a cold day in hell, because I agree with Rushy.