People in psychosis become aware their insanity is circular. In fact, that is a horrifying realization; that they are caught in an inescapable maze. All arguments used by the patient, on the level of abstract reasoning, are blocked by everyone who is "helping" us to accept the invisible "disease" raging within our defective selves. All evidence is denied. All emotion, invalidated, by renaming it an "inappropriate affect." It becomes impossible for the patient to integrate her very real concrete experience with the concepts that would allow her to make sense of it. That's what the "split" really is. If psychiatry would stop acting like the Patriarchy from Hell, and treating patients like naughty children being punished and controlled, for just a minute, we'd all improve dramatically. And by all, I mean , patients AND psychiatrists.