But also if you have schizophrenia, but all the people around you -for some reason- have chosen you at random to aggressively reward your schizophrenia and lavi

But also if you have schizophrenia, but all the people around you -for some reason- have chosen you at random to aggressively reward your schizophrenia and lavish you while also threatening that if the illusions stop, they will kill you, then schizophrenia really isn't a problem, in fact it's the best thing that ever happened to you. Saves your life every day. But it's still a thing. Maybe you can't refer to it as a disorder, but you are hallucinating stuff. It's a set of material facts about your mental state. Some of Donald Trump's various disorders have objectively rewarded him, generously. But he has those conditions. He doesn't not have narcissism just because his narcissism is good for his bottom line. I think the issue is that medical criteria are functional- what should doctors do about this. If it's not even bad, they shouldn't do anything! And this gets translated as "nothing is there to treat" but shouldn't be translated as "nothing is there to notice"