Honestly (over the counter) drugs help a lot. Plus therapy. A lot of people shy away from that shit, but yeah, both are good.

IDK

Yeah, it's a joke with a "schizophrenia" punchline, as you put it, but I feel like it speaks to a yearning for connection and empathy and for love in a patriarchal system that demands the domination of man over woman, and therefore excludes the very possibility of love between a man and a woman, for true love can never exist in a dominator-dominated dynamic.

In a way, it's the mirror image of a "wife bad" joke, where the loveless nature of patriarchal heterosexual unions is framed as the failure of the woman, where the "schizophrenia" joke frames it as a mere unattainable dream of the man.