It’s about someone trying to control them.
In one respect, there are (not real) people “in their head” trying to control their behavior.
So this theme is playing out in their lives in a very real way.
We all have a certain level of distrust of authority figures and many people have been traumatized around themes of abuse of power.
So you take a natural tendency to blame authority, add in some personal control issues, and pepper in some schizophrenia, you get paranoid government control conspiracy. In some aspect, it is a defense mechanism to blame external forces rather than recognize it is your own problem. In another aspect, hallucinations, by definition, are indistinguishable from reality. So the phantoms that haunt them are real in their experience. It’s disturbing to imagine what that is like.
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