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Is American Psycho a Good Representation of Schizophrenia? American Psycho is not a good representation of schizophrenia. The film and novel depict Patrick Bateman as a psychopathic serial killer who experiences hallucinations and delusions, but his symptoms align more closely with psychopathy or antisocial personality disorder rather than schizophrenia. Schizophrenia is a complex mental illness characterized by disorganized thinking, paranoia, and severe cognitive impairments, whereas Bateman remains highly functional in his professional life and exhibits calculated, manipulative behavior.