Everyone has an inner monologue. But when you have schizophrenia you have difficulty distinguishing which thoughts/ideas are coming from inside your own head and which are outside your head. Which leads to confusion about what is happening around you because you start blending your imagination with reality. You believe that things that are originating in your head are actually coming from the real world around you, and not realizing that you are generating them yourself.
Some people believe that all humans used to be that way thousands of years ago as we transitioned into reflective self awareness, and possibly explains the origin of religious prophets of old believing that god was speaking to them.
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