In the analysis sure, words, thoughts and symbolic stuff are just little 2d cartoons. Obvious stuff. But in practice we treat them as God's own titty, flowing with the milk of truth.
There is a willing suspension of disbelief going on there. Like, if I don't pretend that your idea for the word "dog" is the same as mine, then the conversation just collapses. So I let my grasp on reality slide.
Whether you enter this state of "mental screen fixation" through personal preference or pressure from outside forces makes no difference in the state arrived at, surely.