As an ex-patient and trainee psychiatric nurse I have personally experienced and witnessed all you describe however I believe that this process is critical to the development of schizophrenic like psychoses and starts before contact with the psychiatric profession which exacerbates the process. The medical model which has been extremely successful in treating physical illnesses is counter indicated in the treatment of mental illnesses. A rehab model which focuses on making the patient better rather than finding out what is wrong with them is far better. I helped a patient by getting his mother to focus on what is right with her son rather than what is wrong with him. My own experience was that I only needed one person to believe in me and to support me. It was not an easy journey and as you say it only became successful when I demanded respect. If you do not like or respect me you cannot be my friend. I don’t need you telling me what you think is wrong with me.Support and encouragement goes a long way to help. I found that recovery from psychosis was enlightening but the psychosis was not. The development of self through our perception of how we think others perceive us is a normal process which is gradually replaced, with maturity, by a more self determined process. The failure of this development is critical to development of psychosis.