Are you happy and what do you think happiness is? The answers of ordinary people include flirtation and various simple expectations, reflecting the dreams of ordinary people’s lives. However, what is the meaning of “happiness” for schizophrenic patients? One of the clinical characteristics of schizophrenia patients is poor psychosocial functioning. Reduced subjective quality of life associated with psychosocial dysfunction, including a lack of pleasure and a decreased sense of general well-being, has long been thought to be inherent to the disorder. However, there is research evidence that people with schizophrenia are able to maintain the same level of happiness as healthy individuals. Therefore, it remains controversial whether “pleasure deficit” should be defined as a clinical manifestation of schizophrenia. To further explore this issue, the researchers used patients with schizophrenia from the CATIE study (note: a milestone in schizophrenia clinical trials) to investigate and analyze the distribution of overall life satisfaction in patients with chronic schizophrenia and to speculate and discuss possible mechanisms of action. The study found that a high percentage (46%) of schizophrenia patients were satisfied with their lives! However, the researchers made the speculation that if people with schizophrenia are satisfied with their current state, they lack the subjective will or action to try to change it. This may be because people with schizophrenia often overestimate their level of mental functioning and the resources they have. More importantly, whether or not a person with schizophrenia is satisfied with their life has a direct impact on the amount of effort the person puts into the recovery phase. If their satisfaction with their lives is low, they can instead be motivated to maintain the same level of motivation and goals as they had before the illness began, or have a strong subjective desire to change things. The researchers realized that even in the early stages of the disease, patients may be undergoing a significant shift in their life goals and values, and that this shift has a profound impact on the level of effort and benefit they receive during the treatment process.