With Natalie Banner, Rachel Bingham, Norman Poole, Roman Pawar, and Abdi Sanati
This workshop considers the role of community in understandings of normality. In 1994, the DSM added a caveat to the definition of mental disorder, that cultural congruence protects individual’s beliefs and values from being labelled as pathological. This reflected a blossoming political and ideological notion of ‘tolerance’, which now underpins widespread efforts to respect – and not alienate – communities with non-mainstream value systems and beliefs. The INPP 2012 conference reflects continued efforts to understand and embrace difference and promote tolerance. Yet, mental disorder is fundamentally about ‘difference’, and is by definition not tolerated but treated. We therefore propose the following presentations in an exploration of ‘difference’ as it arises within, and between, communities. The first presentation questions why it is that a single individual with an unshakable and dangerous value system may sometimes be diagnosed with a mental disorder, while an unshakable and dangerous value system held by a group may be criminal, but is not ‘pathological’. The second presentation considers the features of communities which protect against diagnosis. We consider the dependence of this immunity on being sufficiently organised and having a discourse and dialogue of acceptability or tolerance. The final presentation discusses the successes of the homosexual civil rights movement in establishing a respected orientation as opposed to a repressed medical condition. We consider the conceptual problems illuminated by this shift, which reveal important features of diagnosis itself.