"Extreme Bias" - A Mental Disorder?

This is a slap-yourself-in-the-forehead article in tomorrow's Washington Post. We have been dealing for the past year with a group of nutty people who just go crazy over the idea that there are gay people and that some people -- that would be us -- don't see any problem with that. On a related note: did you look at Michelle Turner's Powerpoint slides yet?

They speak, they organize, they write stuff in the blog comments, and you just look at it and wonder how in the world anybody can think that way. You study their words, looking for a unifying theme, looking for some rationality, and there just isn't any.

Well ... could it be? ... maybe they're actually, certifiably nuts.

The 48-year-old man turned down a job because he feared that a co-worker would be gay. He was upset that gay culture was becoming mainstream and blamed most of his personal, professional and emotional problems on the gay and lesbian movement.

These fixations preoccupied him every day. Articles in magazines about gays made him agitated. He confessed that his fears had left him socially isolated and unemployed for years: A recovering alcoholic, the man even avoided 12-step meetings out of fear he might encounter a gay person.

"He had a fixed delusion about the world," said Sondra E. Solomon, a psychologist at the University of Vermont who treated the man for two years. "He felt under attack, he felt threatened."

Mental health practitioners say they regularly confront extreme forms of racism, homophobia and other prejudice in the course of therapy, and that some patients are disabled by these beliefs. As doctors increasingly weigh the effects of race and culture on mental illness, some are asking whether pathological bias ought to be an official psychiatric diagnosis. Psychiatry Ponders Whether Extreme Bias Can Be an Illness

How come I never thought of this?

Do you remember the study a couple of years ago that analyzed the conservative agenda? Here's a link to a press release: Researchers help define what makes a political conservative. Those psychologists were gentle, but ... there is something there, definitely.

Advocates have circulated draft guidelines and have begun to conduct systematic studies. While the proposal is gaining traction, it is still in the early stages of being considered by the professionals who decide on new diagnoses.

If it succeeds, it could have huge ramifications on clinical practice, employment disputes and the criminal justice system. Perpetrators of hate crimes could become candidates for treatment, and physicians would become arbiters of how to distinguish "ordinary prejudice" from pathological bias. Thorny discussions about how mental illnesses are defined would get even more prickly.

Many urge more research, saying they are unsure whether bias can be pathological. Solomon, for instance, is uncomfortable with the idea. But several experts say that psychiatry has been inattentive to the effects of prejudice on mental health and illness.

"Has anyone done a word search for 'racism' in DSM-IV? It doesn't exist," said Carl C. Bell, a Chicago psychiatrist, referring to psychiatry's manual of mental disorders. "Has anyone asked, 'If you have paranoia, do you project your hostility toward other groups?' The answer is 'Hell, no!' "

This is an eye-opener. Very interesting...

"When they reach that stage, they are very impaired," he said. "They can't work and function; they can't hold a job. They would benefit from treatment of some type, particularly medication."

Doctors who treat inmates at the California State Prison outside Sacramento concur: They have diagnosed some forms of racist hatred among inmates and administered antipsychotic drugs.

"We treat racism and homophobia as delusional disorders," said Shama Chaiken, who later became a divisional chief psychologist for the California Department of Corrections, at a meeting of the American Psychiatric Association. "Treatment with antipsychotics does work to reduce these prejudices."

There's more. Lots more.