Thanks for the reminder about schizophrenics. Even though I've known about the effect (and especially the effect with use of lithium, which is thankfully not so commonly used), I've sort of forgotten about it as a factor in my thinking about the recent struggles of someone in my personal life. It's probably not forgotten by those working in the system, and wouldn't surprise me if it contributes to the incentives of the system encouraging people to be shut-ins and never challenge anything.