Mental Health, Mormonism and Delusion (Update)
Posted: Fri Feb 17, 2012 5:52 am
This is a legacy thread that come to mind when I saw the following article yesterday:
Neuroscientist Says Religious Fundamentalism Could Be Treated As A Mental Illness
http://www.huffingtonpost.com/2013/05/31/kathleen-taylor-religious-fundamentalism-mental-illness_n_3365896.html?utm_hp_ref=mostpopular
Apparently I am not the only one who is concerned about the mental well being of overly conservative religionists.
______________________________________________________________
The thread on the LDS aversion to marriage counseling and professional mental health care and services in general, and the anger that was expressed by some believers at my characterization of some of the Republican Presidential candidates as delusional, got me thinking about some definitions.
Here is a good working definition of delusion: a persistent false belief regarding the self or persons or objects outside the self that is maintained despite indisputable evidence to the contrary; also : the abnormal state marked by such beliefs.
So, what part of this definition and the clinical definition below (from DSM V) does not apply to an active believing adult member of the LDS Church?
From the DSM: (B 04 Delusional Disorder)
Delusional Disorder
A. Delusions of at least 1 month’s duration. (Check)
B. Criterion A for Schizophrenia has never been met. (Check)
Note: Tactile and olfactory hallucinations may be present in Delusional Disorder if they are related to the delusional theme.
C. Apart from the impact of the delusion(s) or its ramifications, functioning is not markedly impaired and behavior is not obviously odd or bizarre. (Check - or maybe not)
D. If mood episodes have occurred concurrently with delusions, their total duration has been brief relative to the duration of the delusional periods. (Check)
E. The disturbance is not better accounted for by another mental disorder such as body dysmorphic disorder or obsessive compulsive disorder. (Check)
F. The disturbance is not due to the direct physiological effects of a substance (e.g., a drug of abuse, a medication) or a general medical condition.(Check)
Specify type (the following types are assigned based on the predominant delusional theme):
--Erotomanic Type: delusions that another person, usually of higher status, is in love with the individual
--Grandiose Type: delusions of inflated worth, power, knowledge, identity, or special relationship to a deity or famous person
--Jealous Type: delusions that the individual’s sexual partner is unfaithful
--Persecutory Type: delusions that the person (or someone to whom the person is close) is being malevolently treated in some way
--Somatic Type: delusions that the person has some general medical condition
Mixed Type: delusions characteristic of more than one of the above types but no one theme predominates.
In the interest of full disclosure, religion, in general, is normally given a pass in terms of defining delusional beliefs. However, I think that the florid and demonstrably false beliefs demanded from full status members in Mormonism and Scientology probably ride along on the coat tails of the mainstream religions when it comes to this exception.
Next time someone objects to the use of the term delusional in describing LDS beliefs, they should be prepared to explain how such beliefs are excepted from the above set of criteria and definitions.
_______________________
Edited Feb 17 to change DSM-IV to DSM-V
Neuroscientist Says Religious Fundamentalism Could Be Treated As A Mental Illness
http://www.huffingtonpost.com/2013/05/31/kathleen-taylor-religious-fundamentalism-mental-illness_n_3365896.html?utm_hp_ref=mostpopular
Apparently I am not the only one who is concerned about the mental well being of overly conservative religionists.
______________________________________________________________
The thread on the LDS aversion to marriage counseling and professional mental health care and services in general, and the anger that was expressed by some believers at my characterization of some of the Republican Presidential candidates as delusional, got me thinking about some definitions.
Here is a good working definition of delusion: a persistent false belief regarding the self or persons or objects outside the self that is maintained despite indisputable evidence to the contrary; also : the abnormal state marked by such beliefs.
So, what part of this definition and the clinical definition below (from DSM V) does not apply to an active believing adult member of the LDS Church?
From the DSM: (B 04 Delusional Disorder)
Delusional Disorder
A. Delusions of at least 1 month’s duration. (Check)
B. Criterion A for Schizophrenia has never been met. (Check)
Note: Tactile and olfactory hallucinations may be present in Delusional Disorder if they are related to the delusional theme.
C. Apart from the impact of the delusion(s) or its ramifications, functioning is not markedly impaired and behavior is not obviously odd or bizarre. (Check - or maybe not)
D. If mood episodes have occurred concurrently with delusions, their total duration has been brief relative to the duration of the delusional periods. (Check)
E. The disturbance is not better accounted for by another mental disorder such as body dysmorphic disorder or obsessive compulsive disorder. (Check)
F. The disturbance is not due to the direct physiological effects of a substance (e.g., a drug of abuse, a medication) or a general medical condition.(Check)
Specify type (the following types are assigned based on the predominant delusional theme):
--Erotomanic Type: delusions that another person, usually of higher status, is in love with the individual
--Grandiose Type: delusions of inflated worth, power, knowledge, identity, or special relationship to a deity or famous person
--Jealous Type: delusions that the individual’s sexual partner is unfaithful
--Persecutory Type: delusions that the person (or someone to whom the person is close) is being malevolently treated in some way
--Somatic Type: delusions that the person has some general medical condition
Mixed Type: delusions characteristic of more than one of the above types but no one theme predominates.
In the interest of full disclosure, religion, in general, is normally given a pass in terms of defining delusional beliefs. However, I think that the florid and demonstrably false beliefs demanded from full status members in Mormonism and Scientology probably ride along on the coat tails of the mainstream religions when it comes to this exception.
Next time someone objects to the use of the term delusional in describing LDS beliefs, they should be prepared to explain how such beliefs are excepted from the above set of criteria and definitions.
_______________________
Edited Feb 17 to change DSM-IV to DSM-V