If you know that life is basically going to be horrendously difficult at best and all but unlivable at worst or possibly even unlivable do you go on? And the choice to go on is the only thing that I think can be called hope. Because if hope isn't forced to encounter the worst possibility then it's a lie.

The experience and behavior that gets labeled schizophrenic is a special strategy that a person invents in order to live in an unlivable situation.